DR. RYAN DAVID SCULLY (MD) – Adult Reconstructive Orthopaedic Surgery Physician, NPI 1063775351

DR. RYAN DAVID SCULLY (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. MD500002586 (DC). The NPI Number for DR. RYAN DAVID SCULLY (MD) is 1063775351

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. RYAN DAVID SCULLY (MD)
NPI
1063775351
Phone
(757) 953-7550
Address
554 KEILY STREET
Enumeration Date
21 June 2012
Last Update Date
3 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3017740500
Graduation Year
2012 (14 years ago)
PAC ID
6305203985
Group Practice PAC ID
8123260981
Professional Enrollment ID
I20240430000110
Address ID
MD208321384OL3414XCTXX300

Contacts

Other Endpoint
N/A
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:13State licenses:2Other namesUpdated within 12 months

1,916 ORTHOPEDIC SURGERY in FL

Provider Addresses for DR. RYAN DAVID SCULLY (MD)

  • 554 KEILY STREET

    JACKSONVILLE, FL 32212

    Phone: (757) 953-7550

    Fax: (757) 953-7560

    Type: Mailing

  • 5530 WISCONSIN AVE STE 1660

    CHEVY CHASE, MD 208154322

    Phone: (301) 657-9876

    Fax: (301) 657-8229

    Type: Location

  • 3301 New Mexico Ave NW Ste 110

    Washington, DC 200163622

    Phone: (202) 244-0706

    Fax: (202) 686-6278

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $30,969.

Total Amount is formed as General ($30,969) + Research ($0) + Ownership ($0) = $30,969.

Last reported payment date: 2024-09-06 • Largest payer in this snapshot: Smith+Nephew, Inc. ($30,077).

Total Amount

$30,969

General + Research + Ownership

Payments

37

Total payment records

General Amount

$30,969

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240430000110IOrthopedic SurgeryDCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
27130Replacement of thigh bone and hip joint with prosthesis2626$0
27447Replacement of knee joint, both sides of knee2120$0
11981Insertion of drug delivery implant into tissue1514$0
20985Computer-assisted surgery for muscle and bone procedure1111$0
View full utilization report →

Insurance plans in this area (ZIP 32212)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123260981View full group profile
NameSpecialtyState
Hand Surgery, Orthopedic Surgery, Physical Medicine And Rehabilitation, Sports Medicine, Plastic And Reconstructive SurgeryMD
-MD
Physical Therapist In Private PracticeVA
Physician AssistantVA
Physical Medicine And Rehabilitation, Interventional Pain ManagementMD
-MD
Physical Therapist In Private PracticeMD
Physician AssistantVA
-MD
Orthopedic Surgery, Sports MedicineMD

Reviews

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Frequently asked questions

What NPI should I save for DR. RYAN DAVID SCULLY (MD)?
Save NPI 1063775351 if you need a stable reference for DR. RYAN DAVID SCULLY (MD).
Does this profile mean DR. RYAN DAVID SCULLY (MD) is currently active?
Yes — DR. RYAN DAVID SCULLY (MD) appears active in the national provider directory.
What kind of provider is DR. RYAN DAVID SCULLY (MD)?
The page reflects Adult Reconstructive Orthopaedic Surgery Physician for DR. RYAN DAVID SCULLY (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. RYAN DAVID SCULLY (MD)?
The snapshot lists Jacksonville, Florida for DR. RYAN DAVID SCULLY (MD); download NPPES for the complete set.
How can I contact DR. RYAN DAVID SCULLY (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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