Dr. Ryan Gregory Firth , MD
Pediatrics • Lander, WY
745 Buena Vista Dr
Lander, WY 825203431
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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NPI assigned on April 12, 2008; this date does not establish years in practice.
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Published CMS data list 5,565 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 36415 — Insertion of needle into vein for collection of blood sample: 1,693 service units.
- 85025 — Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count: 1,058 service units.
- 80053 — Blood test, comprehensive group of blood chemicals: 661 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 26 records in the table · Guide: How to read Medicare Part B data
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Medicare Part B services went from 6,763 in 2020 to 5,565 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
745 Buena Vista Dr
Lander, WY 825203431
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Lander Medical Clinic Pc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, 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 Colorado School Of Medicine, Denver
2006
What Public CMS Data Show
Pediatrics: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
788 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 – by Provider, 2024.
Medicare-allowed amount
About $50,496 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 – by Provider and Service, 2024.
Paid by Medicare
About $50,496 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 – by Provider and Service, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
Years since graduation
20 years (graduated 2006)
CMS Doctors and Clinicians data list 2006 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
2008
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, “Does your provider accept Medicare as full payment?”
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.
Enrolled in Medicare (PECOS)
Dr. Firth has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Firth as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Lander and Wyoming
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Not enough clinicians listed under Pediatrics in Wyoming have Medicare Part B data for 2024 to make a comparison.
Medicare-allowed amount
Not enough clinicians listed under Pediatrics in Wyoming have Medicare Part B data for 2024 to make a comparison.
Paid by Medicare
Not enough clinicians listed under Pediatrics in Wyoming have Medicare Part B data for 2024 to make a comparison.
6 active clinicians are listed under Pediatrics with a practice address in Lander, WY (80 in Wyoming).
Addresses are self-reported to NPPES and may be out of date.
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 decreased 18% from 6,763 in 2020 to 5,565 in 2024.
- 2020: 6,763
- 2021: 7,239
- 2022: 7,332
- 2023: 5,241
- 2024: 5,565
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Medicare-allowed amount
Medicare-allowed amount varied from year to year: $49,541 in 2020 and $50,496 in 2024.
- 2020: $49,541
- 2021: $56,664
- 2022: $69,810
- 2023: $49,854
- 2024: $50,496
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Paid by Medicare
Paid by Medicare varied from year to year: $48,974 in 2020 and $50,496 in 2024.
- 2020: $48,974
- 2021: $56,257
- 2022: $69,810
- 2023: $49,854
- 2024: $50,496
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018–2023 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 – by Provider and Service data, 2019–2024; 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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36415
Insertion of needle into vein for collection of blood sample
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1,693 | 739 | $22.00 | $8.62 |
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85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
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1,058 | 504 | $76.00 | $7.57 |
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80053
Blood test, comprehensive group of blood chemicals
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661 | 401 | $76.00 | $10.30 |
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80048
Blood test, basic group of blood chemicals (calcium, total)
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244 | 125 | $54.00 | $8.29 |
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80069
Kidney function blood test panel
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195 | 84 | $48.00 | $8.48 |
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84443
Blood test, thyroid stimulating hormone (tsh)
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180 | 141 | $86.00 | $16.43 |
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81001
Manual urinalysis test with examination using microscope, automated
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171 | 107 | $34.00 | $3.09 |
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84153
Psa (prostate specific antigen) measurement, total
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153 | 92 | $104.00 | $18.02 |
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85610
Blood test, clotting time
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136 | 25 | $45.00 | $4.20 |
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80076
Liver function blood test panel
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132 | 43 | $60.00 | $8.01 |
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83036
Hemoglobin a1c level
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132 | 100 | $77.00 | $9.52 |
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80061
Blood test, lipids (cholesterol and triglycerides)
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128 | 112 | $90.00 | $13.12 |
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83735
Magnesium level
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120 | 48 | $33.00 | $6.47 |
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84100
Phosphate level
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82 | 21 | $35.00 | $4.59 |
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85651
Red blood cell sedimentation rate, to detect inflammation, non-automated
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80 | 54 | $36.00 | $4.13 |
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84439
Thyroxine (thyroid chemical), free
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76 | 51 | $69.00 | $8.72 |
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83540
Iron level
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66 | 48 | $56.00 | $6.21 |
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83550
Iron binding capacity
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63 | 46 | $75.00 | $8.39 |
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82728
Ferritin (blood protein) level
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59 | 48 | $60.00 | $13.05 |
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84550
Uric acid level, blood
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32 | 27 | $40.00 | $4.43 |
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82565
Blood creatinine level
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31 | 21 | $44.00 | $5.02 |
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G0008
Administration of influenza virus vaccine
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17 | 17 | $21.72 | $21.29 |
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90662
Influenza vaccine split virus, preservative free
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15 | 15 | $104.00 | $81.82 |
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G0103
Prostate cancer screening; prostate specific antigen test (psa)
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15 | 15 | $106.00 | $18.92 |
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82550
Creatine kinase (cardiac enzyme) level, total
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13 | 11 | $45.00 | $5.89 |
(top 25 shown)
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.
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208000000X
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
NUCC Taxonomy Code: 208000000X
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - FAMILY PRACTICE
I20090904000014
WY
5698820132
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Lander Medical Clinic Pc
745 Buena Vista Dr, Lander, WY 825203431
Phone: 3073322941
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Osteopathic Medicine (D.O.)
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant
Pediatrics
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated April 12, 2008.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Mailing Address
745 Buena Vista Dr
Lander, WY 825203431
Phone: 3073322941