RYAN DORNBIER – Urology Physician, NPI 1609294305
Urology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
543 UROLOGY in IL
Provider Addresses for RYAN DORNBIER
2160 S 1ST AVE
MAYWOOD, IL 601533328
Phone:
Type: Mailing
12129 UNIVERSITY AVE STE 100
CLIVE, IA 503258287
Phone: (515) 400-3550
Fax: (515) 400-3551
Type: Location
12129 UNIVERSITY AVE STE 200
CLIVE, IA 503258287
Phone: (515) 400-3550
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $1,508.
Total Amount is formed as General ($1,508) + Research ($0) + Ownership ($0) = $1,508.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Boston Scientific Corporation ($296).
Total Amount
$1,508
General + Research + Ownership
Payments
43
Total payment records
General Amount
$1,508
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $296 |
| Dornier MedTech America, Inc | $195 |
| Olympus America Inc. | $117 |
| Astellas Pharma US Inc | $116 |
| COLOPLAST CORP | $86 |
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: 2021-07-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210731000247 | I | Urology | IA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 177 | 135 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 129 | 112 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 125 | 94 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 97 | 97 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 95 | 84 | $0 |
Insurance plans in this area (ZIP 60153)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| - | IN | |
| Internal Medicine, Pulmonary Disease, Sleep Medicine | IA | |
| Pulmonary Disease | IA | |
| Family Practice, Obstetrics/Gynecology | IA | |
| - | IA | |
| Physical Therapist In Private Practice | IA | |
| Diagnostic Radiology | IA | |
| - | IA | |
| - | IA |
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