RYAN C O'CONNOR (DO) – Physical Medicine & Rehabilitation Physician, NPI 1194714691

RYAN C O'CONNOR (DO) is a healthcare provider. based in East lansing, Michigan. specializing in PAIN MANAGEMENT, PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials DO. They hold a License No. 5101014205 (MI). The NPI Number for RYAN C O'CONNOR (DO) is 1194714691

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
RYAN C O'CONNOR (DO)
NPI
1194714691
Phone
(517) 884-2976
Address
804 SERVICE RD STE A109F
Enumeration Date
18 October 2005
Last Update Date
27 June 2023

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5178844554
Graduation Year
1999 (27 years ago)
PAC ID
4385836170
Group Practice PAC ID
8628404936
Professional Enrollment ID
I20101118001045
Address ID
MI488236804EA4660XRDXX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

259 PAIN MANAGEMENT in MI

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Provider Addresses for RYAN C O'CONNOR (DO)

  • 804 SERVICE RD STE A109F

    EAST LANSING, MI 488247015

    Phone: (517) 884-2976

    Fax: (517) 432-3928

    Type: Mailing

  • 804 SERVICE RD STE A109B

    EAST LANSING, MI 488247015

    Phone: (517) 884-8701

    Fax: (517) 884-8787

    Type: Mailing

  • South Hagadorn Road, East Lansing, Ingham County, Michigan, 48824, United States

    EAST LANSING, MI 488236804

    Phone: (517) 884-8701

    Fax: (517) 884-8787

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $884.

Total Amount is formed as General ($884) + Research ($0) + Ownership ($0) = $884.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Medtronic, Inc. ($493).

Total Amount

$884

General + Research + Ownership

Payments

23

Total payment records

General Amount

$884

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

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: 2010-11-18

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
I20101118001045IPhysical Medicine And RehabilitationMITBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg79042$0
Q9966Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml19052$0
99213Established patient office or other outpatient visit, 20-29 minutes18198$0
99214Established patient office or other outpatient visit, 30-39 minutes12673$0
J1040Injection, methylprednisolone acetate, 80 mg8143$0
View full utilization report →

Insurance plans in this area (ZIP 48824)

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Provider's Procedures

RYAN C O'CONNOR (DO) performs procedures in PAIN MANAGEMENT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL MEDICINE AND REHABILITATIOMI64493Injections of lower or sacral spine facet joint using imaging guidance7552
PHYSICAL MEDICINE AND REHABILITATIOMI95910Nerve transmission studies, 7-8 studies1313

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: 8628404936View full group profile
NameSpecialtyState
Osteopathic Manipulative MedicineMI
Osteopathic Manipulative MedicineMI
Family PracticeMI
Osteopathic Manipulative MedicineMI
-MI
Physical Medicine And Rehabilitation, Osteopathic Manipulative MedicineMI
Osteopathic Manipulative MedicineMI
-MI
Internal MedicineMI
P S Y C H I A T R YMI

Reviews

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Frequently asked questions

Can I use this page to confirm RYAN C O'CONNOR (DO)'s NPI?
Yes. RYAN C O'CONNOR (DO) is listed with NPI 1194714691 in the public NPI dataset.
Is RYAN C O'CONNOR (DO) still practicing?
RYAN C O'CONNOR (DO) is currently listed as active in the public NPI registry.
What is RYAN C O'CONNOR (DO)'s primary classification?
Physical Medicine & Rehabilitation Physician is the headline specialty for RYAN C O'CONNOR (DO) here. Clinical services aligned with this taxonomy classification.
Where is RYAN C O'CONNOR (DO) based?
RYAN C O'CONNOR (DO) is tied to East Lansing, Michigan in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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