MARY KATHRYN RYAN (PA-C, ATL) – Surgical Physician Assistant, NPI 1083038582
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
Provider Addresses for MARY KATHRYN RYAN (PA-C, ATL)
N3016 FUMEE LAKE DR
IRON MOUNTAIN, MI 498019640
Phone: (906) 396-0866
Type: Mailing
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801
Phone: (906) 774-1313
Type: Location
24060 SE Kent Kangley Rd Ste D-100
Maple Valley, WA 980386851
Phone: (425) 358-7708
Fax: (425) 656-5047
Type: Location
1620 Lake Tapps Pkwy SE Ste 115
Auburn, WA 980928376
Phone: (253) 246-2860
Fax: (253) 246-2861
Type: Location
27005 168th Pl SE Ste 201
Covington, WA 980424902
Phone: (253) 630-3660
Fax: (253) 631-1591
Type: Location
150 Andover Park W
Tukwila, WA 981882801
Phone: (425) 979-2663
Fax: (425) 524-4447
Type: Location
4011 TALBOT RD S STE 300
RENTON, WA 980555791
Phone: (425) 656-5060
Fax: (425) 656-5047
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $125.
Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.
Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Heron Therapeutics, Inc. ($125).
Total Amount
$125
General + Research + Ownership
Payments
1
Total payment records
General Amount
$125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Heron Therapeutics, Inc. | $125 |
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: 2021-11-02
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 |
|---|---|---|---|---|
| I20211102002975 | I | Physician Assistant | WA | 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 |
|---|---|---|---|---|
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 1,184 | 20 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 627 | 46 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 196 | 115 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 135 | 62 | $0 |
| 73564 | X-ray of knee, 4 or more views | 75 | 60 | $0 |
Insurance plans in this area (ZIP 49801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Orthopedic Surgery, Hand Surgery | WA | |
| Occupational Therapist In Private Practice | WA | |
| - | WA | |
| Orthopedic Surgery, Sports Medicine | WA | |
| - | WA | |
| - | WA | |
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA |
Reviews
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