RYAN DUTTON (PA-C) – Surgical Physician Assistant, NPI 1023369030

RYAN DUTTON (PA-C) is a healthcare provider. based in Bend, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5236 (AZ). The NPI Number for RYAN DUTTON (PA-C) is 1023369030

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
RYAN DUTTON (PA-C)
NPI
1023369030
Phone
(541) 706-6915
Address
2275 NE Doctors Dr Ste 6
Enumeration Date
1 October 2012
Last Update Date
4 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
1850543190
Group Practice PAC ID
1052204096
Professional Enrollment ID
I20151029002441
Address ID
OR976011106KL2865XAVEX304
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:13State licenses:2Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for RYAN DUTTON (PA-C)

  • 2275 NE Doctors Dr Ste 6

    Bend, OR 977016092

    Phone: (541) 706-6915

    Fax: (541) 706-6733

    Type: Location

  • PO BOX 5579

    BEND, OR 977085579

    Phone:

    Type: Mailing

  • 2275 NE DOCTORS DR STE 6

    BEND, OR 977016092

    Phone: (541) 706-6915

    Fax: (541) 706-6733

    Type: Location

  • PO BOX 2120

    PORTLAND, OR 972082120

    Phone: (541) 274-3278

    Fax: (541) 274-3275

    Type: Mailing

  • 3001 DAGGETT AVE STE 101

    KLAMATH FALLS, OR 976011126

    Phone: (541) 274-3278

    Fax: (541) 274-3275

    Type: Location

  • 2614 CLOVER ST

    KLAMATH FALLS, OR 976011132

    Phone: (541) 884-6233

    Fax: (541) 880-2840

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $590.

Total Amount is formed as General ($590) + Research ($0) + Ownership ($0) = $590.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($183).

Total Amount

$590

General + Research + Ownership

Payments

26

Total payment records

General Amount

$590

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

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: 2015-10-29

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
I20151029002441IPhysician AssistantORTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes418316$0
99213Established patient office or other outpatient visit, 20-29 minutes136130$0
99212Established patient office or other outpatient visit, 10-19 minutes4645$0
View full utilization report →

Insurance plans in this area (ZIP 97701)

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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: 1052204096View full group profile
NameSpecialtyState
Family PracticeOR
Nurse PractitionerOR
-OR
Internal MedicineOR
Family PracticeOR
-OR
-OR
Neurology, NeuropsychiatryFL
Diagnostic RadiologyOR
Cardiovascular Disease (Cardiology), Internal MedicineOR

Reviews

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Frequently asked questions

What unique ID ties claims to RYAN DUTTON (PA-C)?
NPI 1023369030 is assigned to RYAN DUTTON (PA-C) under the national enumeration system.
Does this profile mean RYAN DUTTON (PA-C) is currently active?
Yes — RYAN DUTTON (PA-C) appears active in the national provider directory.
Does RYAN DUTTON (PA-C) list a primary specialty?
If you are matching referrals, note Surgical Physician Assistant for RYAN DUTTON (PA-C). Clinical services aligned with this taxonomy classification.
Where does public data place RYAN DUTTON (PA-C)?
The snapshot lists Bend, Oregon for RYAN DUTTON (PA-C); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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