DR. JAMES J. RYAN (M.D.) – Surgery Physician, NPI 1598768194
Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
730 GENERAL SURGERY in MN
Provider Addresses for DR. JAMES J. RYAN (M.D.)
54249 SOUTH SAND ROAD
STURGEON LAKE, MN 55578
Phone: (218) 485-4936
Type: Mailing
4572 COUNTY ROAD 61
MOOSE LAKE, MN 557679401
Phone: (218) 485-2105
Type: Location
Skyline Boulevard, Cloquet, Carlton County, Minnesota, United States
CLOQUET, MN 557201199
Phone: (218) 879-4641
Type: Location
400 E 3RD ST
DULUTH, MN 558051951
Phone: (218) 786-8364
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-06-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20051027000220 | I | General Surgery | MN | TBD |
| I20240610003866 | I | General Surgery | WI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55578)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Family Practice | MN | |
| Family Practice | MN | |
| Family Practice | WI | |
| Family Practice | AK | |
| General Surgery | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Nurse Practitioner | MN | |
| Family Practice | ID | |
| Family Practice | NE |
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