JASON THOMAS RYAN (MD) – Surgery Physician, NPI 1093035008

JASON THOMAS RYAN (MD) is a healthcare provider. based in Kalamazoo, Michigan. specializing in GENERAL SURGERY, VASCULAR SURGERY. They hold the professional credentials MD. They hold a License No. 4301096222 (MI). The NPI Number for JASON THOMAS RYAN (MD) is 1093035008

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
JASON THOMAS RYAN (MD)
NPI
1093035008
Phone
(269) 381-4577
Address
1535 GULL RD STE 20
Enumeration Date
2 June 2010
Last Update Date
17 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2693813521
Graduation Year
2009 (17 years ago)
PAC ID
9436389467
Group Practice PAC ID
7315856077
Professional Enrollment ID
I20180621000382
Address ID
MI490481650KA1535XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,444 GENERAL SURGERY in MI

Provider Addresses for JASON THOMAS RYAN (MD)

  • 1535 GULL RD STE 20

    KALAMAZOO, MI 490481626

    Phone: (269) 381-4577

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $3,193.

Total Amount is formed as General ($3,193) + Research ($0) + Ownership ($0) = $3,193.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($2,884).

Total Amount

$3,193

General + Research + Ownership

Payments

44

Total payment records

General Amount

$3,193

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2018-06-21

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
I20180621000382IVascular SurgeryMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes180163$0
93880Ultrasound of both sides of head and neck blood flow10098$0
93922Ultrasound study of arm and leg arteries9285$0
99203New patient office or other outpatient visit, 30-44 minutes7878$0
93971Ultrasound study of one arm or leg veins with compression and maneuvers6550$0
View full utilization report →

Insurance plans in this area (ZIP 49048)

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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: 7315856077View full group profile
NameSpecialtyState
Nurse PractitionerMI
Internal MedicineMI
-MI
-IN
Gastroenterology, Internal MedicineMI
Nurse PractitionerMI
N E U R O L O G YMI
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseMI
Family PracticeMI
N E U R O L O G YGA

Reviews

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Frequently asked questions

What number should I use to identify JASON THOMAS RYAN (MD) for billing?
Administrative and clinical systems typically use NPI 1093035008 for JASON THOMAS RYAN (MD).
Is JASON THOMAS RYAN (MD) currently accepting referrals based on NPI status?
Registry metadata lists JASON THOMAS RYAN (MD) as active.
What services align with JASON THOMAS RYAN (MD)'s listing?
JASON THOMAS RYAN (MD)'s public classification highlights Surgery Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to JASON THOMAS RYAN (MD)?
JASON THOMAS RYAN (MD) shows a connection to Kalamazoo, Michigan in registry-derived data.
Can I export JASON THOMAS RYAN (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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