DR. TIMOTHY J RYAN (D.O.) – Internal Medicine Physician, NPI 1790721520

DR. TIMOTHY J RYAN (D.O.) is a healthcare provider. based in Jefferson city, Missouri. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 102684 (MO). The NPI Number for DR. TIMOTHY J RYAN (D.O.) is 1790721520

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY J RYAN (D.O.)
NPI
1790721520
Phone
(573) 635-5264
Address
PO BOX 104240
Enumeration Date
21 June 2006
Last Update Date
7 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1991 (35 years ago)
PAC ID
4587767645
Group Practice PAC ID
1850371089
Professional Enrollment ID
I20100805000949

Contacts

Secure Messaging
TIMOTHYRYAN@fitzgibbon.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

4,186 INTERNAL MEDICINE in MO

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Provider Addresses for DR. TIMOTHY J RYAN (D.O.)

  • PO BOX 104240

    JEFFERSON CITY, MO 651104240

    Phone: (573) 635-5264

    Fax: (573) 556-5757

    Type: Mailing

  • 2303 S HIGHWAY 65 STE A

    MARSHALL, MO 653403735

    Phone: (660) 886-3364

    Fax: (660) 886-6044

    Type: Mailing

  • 65, Marshall Drive, Stapleford, Bramcote, Nottingham, Nottinghamshire, East Midlands, England, NG9 3LE, United Kingdom

    MARSHALL, MO 653403702

    Phone: (660) 886-3364

    Fax: (660) 886-6044

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 289 Open Payments records for all available years, with a total value of $4,860.

Total Amount is formed as General ($4,860) + Research ($0) + Ownership ($0) = $4,860.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($652).

Total Amount

$4,860

General + Research + Ownership

Payments

289

Total payment records

General Amount

$4,860

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2010-08-05

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
I20100805000949IInternal MedicineMOTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only354264$0
99214Established patient office or other outpatient visit, 30-39 minutes341269$0
36415Insertion of needle into vein for collection of blood sample194161$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14854$0
99213Established patient office or other outpatient visit, 20-29 minutes143125$0
View full utilization report →

Insurance plans in this area (ZIP 65110)

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Provider's Procedures

DR. TIMOTHY J RYAN (D.O.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMO83036Hemoglobin A1C level440260
INTERNAL MEDICINEMO85610Blood test, clotting time31953

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: 1850371089View full group profile
NameSpecialtyState
Neuropsychiatry, NeurologyMO
Certified Registered Nurse Anesthetist (Crna)MO
Diagnostic RadiologyMO
Diagnostic RadiologyMO
Internal MedicineMO
Family PracticeMO
Neuropsychiatry, NeurologyMO
-MO
A L L E R G Y/ I M M U N O L O G YWA
Nurse PractitionerMO

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Frequently asked questions

What NPI should I save for DR. TIMOTHY J RYAN (D.O.)?
Save NPI 1790721520 if you need a stable reference for DR. TIMOTHY J RYAN (D.O.).
Is DR. TIMOTHY J RYAN (D.O.) active in the national directory?
DR. TIMOTHY J RYAN (D.O.)'s public NPI profile is in an active state.
Does DR. TIMOTHY J RYAN (D.O.) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for DR. TIMOTHY J RYAN (D.O.). Clinical services aligned with this taxonomy classification.
Where is DR. TIMOTHY J RYAN (D.O.)'s primary listing?
We display Jefferson City, Missouri because that is what the record indicates for DR. TIMOTHY J RYAN (D.O.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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