Michael J Ryan
Internal Medicine - Nephrology โข Spokane, WA
105 W 8th Ave Ste 7010
Spokane, WA 992042312
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Michael Ryan is listed in NPPES under Internal Medicine - Nephrology.
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NPI assigned on October 27, 2006; this date does not establish years in practice.
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Published CMS data list 194 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 153 service units.
- 99205 โ New patient outpatient office visit: 26 service units.
- 99215 โ Established patient outpatient office visit: 15 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 1,090 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Jardiance (Empagliflozin) โ 123 prescription fills, including refills.
- Losartan Potassium โ 120 prescription fills, including refills.
- Kerendia (Finerenone) โ 92 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 26 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 60% of clinicians listed under Internal Medicine - Nephrology in Spokane, WA (2024, 23 clinicians with data). Median for this group: 587. Middle half: 139 to 724.
Fewer Medicare Part B services than 80% of clinicians listed under Internal Medicine - Nephrology in Washington (2024, 194 clinicians with data). Median for this group: 816. Middle half: 360 to 1,459.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 80 in 2019 to 194 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2019โ2024.
Practice Location & Contact Primary Location
105 W 8th Ave Ste 7010
Spokane, WA 992042312
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Seattle, WA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
University Of Michigan Medical School
1986
What Public CMS Data Show
Internal Medicine - Nephrology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
121 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $27,132 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $18,944 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
2,100 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$328,755 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $173.35 across 7 records.
By nature of payment
- Food and Beverage: $173.35 across 7 records.
Reporting-company totals (3 largest of 7)
- Alnylam Pharmaceuticals Inc.: $34.59 across 1 record.
- Corcept Therapeutics: $32.89 across 1 record.
- Novo Nordisk Inc: $26.79 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
40 years (graduated 1986)
CMS Doctors and Clinicians data list 1986 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
May accept Medicare assignment
CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.
Ask the office before your visit. If a clinician does not accept assignment for a service, they can charge up to 15% more than the Medicare-approved amount, and you may be asked to pay the full amount at the visit.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Spokane and Washington
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 60% of clinicians listed under Internal Medicine - Nephrology in Spokane, WA (2024, 23 clinicians with data). Median for this group: 587. Middle half: 139 to 724.
Fewer Medicare Part B services than 80% of clinicians listed under Internal Medicine - Nephrology in Washington (2024, 194 clinicians with data). Median for this group: 816. Middle half: 360 to 1,459.
Medicare-allowed amount
Close to the middle for clinicians listed under Internal Medicine - Nephrology in Spokane, WA (2024, 23 clinicians with data). Median for this group: $55,434. Middle half: $14,619 to $128,103.
A lower Medicare-allowed amount than 80% of clinicians listed under Internal Medicine - Nephrology in Washington (2024, 194 clinicians with data). Median for this group: $106,985. Middle half: $40,151 to $177,601.
Paid by Medicare
A lower Medicare payment amount than 60% of clinicians listed under Internal Medicine - Nephrology in Spokane, WA (2024, 23 clinicians with data). Median for this group: $42,625. Middle half: $11,124 to $98,844.
A lower Medicare payment amount than 80% of clinicians listed under Internal Medicine - Nephrology in Washington (2024, 194 clinicians with data). Median for this group: $81,637. Middle half: $31,274 to $134,293.
Medicare Part D prescriptions
More Part D prescriptions than 60% of clinicians listed under Internal Medicine - Nephrology in Spokane, WA (2024, 23 clinicians with data). Median for this group: 295. Middle half: 157 to 1,472.
Close to the middle for clinicians listed under Internal Medicine - Nephrology in Washington (2024, 199 clinicians with data). Median for this group: 933. Middle half: 338 to 1,523.
Part D drug cost
A higher Part D drug cost than 80% of clinicians listed under Internal Medicine - Nephrology in Spokane, WA (2024, 23 clinicians with data). Median for this group: $60,973. Middle half: $5,095 to $172,807.
A higher Part D drug cost than 85% of clinicians listed under Internal Medicine - Nephrology in Washington (2024, 199 clinicians with data). Median for this group: $93,732. Middle half: $22,786 to $199,552.
29 active clinicians are listed under Internal Medicine - Nephrology with a practice address in Spokane, WA (286 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Spokane
20.7% of these 29 clinicians have the CMS telehealth indicator.
79.3% of these 29 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 143% from 80 in 2019 to 194 in 2024.
- 2019: 80
- 2021: 87
- 2022: 207
- 2023: 177
- 2024: 194
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Medicare-allowed amount
Medicare-allowed amount increased 335% from $6,241 in 2019 to $27,132 in 2024.
- 2019: $6,241
- 2021: $12,987
- 2022: $28,191
- 2023: $25,277
- 2024: $27,132
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Paid by Medicare
Paid by Medicare increased 283% from $4,949 in 2019 to $18,944 in 2024.
- 2019: $4,949
- 2021: $10,144
- 2022: $19,934
- 2023: $18,268
- 2024: $18,944
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 4855% from 22 in 2020 to 1,090 in 2024.
- 2020: 22
- 2021: 60
- 2022: 445
- 2023: 645
- 2024: 1,090
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30-day fills
30-day fills increased 7977% from 26 in 2020 to 2,100 in 2024.
- 2020: 26
- 2021: 108
- 2022: 857
- 2023: 1,337
- 2024: 2,100
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Part D drug cost
Part D drug cost increased 4473% from $7,189 in 2020 to $328,755 in 2024.
- 2020: $7,189
- 2021: $539
- 2022: $41,625
- 2023: $154,722
- 2024: $328,755
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $16.59 in 2021 to $173.35 in 2025.
- 2021: $16.59
- 2022: $76.11
- 2023: $79.64
- 2024: $175.23
- 2025: $173.35
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $173.35.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Alnylam Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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OXLUMO | General | $34.59 |
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
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Korlym | General | $32.89 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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โ | General | $26.79 |
| Veloxis Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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ENVARSUS | General | $23.76 |
| HEARTFLOW, INC. |
Food and Beverage
Cash or cash equivalent
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FFRct | General | $19.75 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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JARDIANCE | General | $18.91 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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KRYSTEXXA | General | $16.66 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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153 | 95 | $391.00 | $127.16 |
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99205
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
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26 | 26 | $670.00 | $195.59 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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15 | 11 | $546.00 | $172.77 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Jardiance | Empagliflozin | 123 | 5,445 | $86,868.98 | 27 |
| Losartan Potassium | Losartan Potassium | 120 | 8,348 | $1,416.79 | 36 |
| Kerendia | Finerenone | 92 | 4,740 | $89,508.86 | 18 |
| Farxiga | Dapagliflozin Propanediol | 84 | 4,050 | $68,824.43 | 18 |
| Amlodipine Besylate | Amlodipine Besylate | 77 | 5,490 | $646.12 | 25 |
| Lisinopril | Lisinopril | 68 | 2,539 | $393.28 | 15 |
| Spironolactone | Spironolactone | 53 | 3,870 | $329.87 | 17 |
| Torsemide | Torsemide | 49 | 1,898 | $658.18 | โ |
| Ozempic | Semaglutide | 45 | 1,834 | $50,051.25 | 18 |
| Calcitriol | Calcitriol | 38 | 2,830 | $434.02 | 12 |
| Potassium Chloride | Potassium Chloride | 35 | 736 | $365.47 | โ |
| Furosemide | Furosemide | 29 | 1,895 | $243.10 | โ |
| Irbesartan | Irbesartan | 29 | 2,008 | $599.66 | โ |
| Hydrochlorothiazide | Hydrochlorothiazide | 28 | 2,340 | $138.06 | โ |
| Carvedilol | Carvedilol | 26 | 1,200 | $68.46 | โ |
| Allopurinol | Allopurinol | 25 | 1,770 | $316.93 | โ |
| Famotidine | Famotidine | 25 | 1,690 | $494.33 | โ |
| Prednisone | Prednisone | 21 | 906 | $135.30 | โ |
| Atorvastatin Calcium | Atorvastatin Calcium | 21 | 1,530 | $98.56 | โ |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 19 | 511 | $537.93 | โ |
| Tamsulosin Hcl | Tamsulosin Hcl | 17 | 1,380 | $421.00 | โ |
| Mounjaro | Tirzepatide | 16 | 672 | $25,489.82 | โ |
| Duloxetine Hcl | Duloxetine Hcl | 15 | 450 | $137.94 | โ |
| Ezetimibe | Ezetimibe | 13 | 450 | $142.66 | โ |
| Metoprolol Succinate | Metoprolol Succinate | 11 | 990 | $376.39 | โ |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-11-08NUCC Taxonomy Code: 207RN0300X
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Additional State Medicaid & Healthcare Payer Identifiers
Secondary Practice Locations
Harborview Medical Center, 325 9th Ave
Seattle, WA 98104
Phone: 2067315939
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Psychiatric/Mental Health
Advanced Registered Nurse Practitioner
Internal Medicine - Interventional Cardiology
MDPHD
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Advanced Registered Nurse Practitioner
Internal Medicine
Doctor of Osteopathic Medicine (D.O.)
Internal Medicine - Pulmonary Disease
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Additional practice office at Harborview Medical Center, 325 9th Ave, Seattle, WA 98104
Registered at 105 W 8TH AVE STE 7010, SPOKANE, WA 992042312 (Tel: 5094746560)
Registered at PO BOX 421, LIBERTY LAKE, WA 990190421 (Tel: 8667472455)
NPI status registered as active in NPPES database
Registered at HARBORVIEW MEDICAL CENTER, 325 9TH AVE, SEATTLE, WA 98104 (Tel: 2067315939)
Registered at PO BOX 50095, SEATTLE, WA 981455095 (Tel: 2065436420)
Recorded as MICHAEL RYAN
Internal Medicine (license number reported to NPPES: WA MD00026567)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Internal Medicine - Nephrology Specialists in Spokane
- Dr. Katherine Tuttle, MD
- Dr. Nelson Chow, MD
- Dr. Satinder Singh, MD
- Dr. Mark Anthony Cabrera, MD
- Dr. Sean Sanchez, MD
- Dr. Samer Abdulkhalek, MD
Mailing Address
Po Box 421
Liberty Lake, WA 990190421
Phone: 8667472455