RYAN BRENT UDINK (D.O.) – Emergency Medicine Physician, NPI 1073756359

RYAN BRENT UDINK (D.O.) is a healthcare provider. based in Klamath falls, Oregon. specializing in Emergency Medicine Physician. They hold the professional credentials D.O.. They hold a License No. DO160999 (OR). The NPI Number for RYAN BRENT UDINK (D.O.) is 1073756359

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
RYAN BRENT UDINK (D.O.)
NPI
1073756359
Phone
(541) 882-6311
Address
2865 DAGGETT AVE
Enumeration Date
15 April 2009
Last Update Date
24 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5412746733
Graduation Year
2009 (17 years ago)
PAC ID
0446400410
Group Practice PAC ID
1052204096
Professional Enrollment ID
I20130912000310
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

Loading map...

Provider Addresses for RYAN BRENT UDINK (D.O.)

  • Sky Lakes Medical Center, 2865, Daggett Avenue, Klamath Falls, Klamath County, Oregon, 97601, United States

    KLAMATH FALLS, OR 976011106

    Phone: (541) 882-6311

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2013-09-12

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
I20130912000310IEmergency MedicineORTBD

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
99285Emergency department visit with high level of medical decision making213205$0
99284Emergency department visit with moderate level of medical decision making165156$0
99283Emergency department visit with low level of medical decision making2020$0
99291Critical care, first 30-74 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 97601)

Loading plans...

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
Physician AssistantOR
Family PracticeOR
Nurse PractitionerOR
-OR
Internal MedicineOR
Family PracticeOR
-OR
Neurology, NeuropsychiatryFL
Diagnostic RadiologyOR
Cardiovascular Disease (Cardiology), Internal MedicineOR

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is RYAN BRENT UDINK (D.O.) listed with a National Provider Identifier?
Yes — RYAN BRENT UDINK (D.O.) has NPI 1073756359 on file in the registry.
Would RYAN BRENT UDINK (D.O.) appear as active to a payer?
You can treat RYAN BRENT UDINK (D.O.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe RYAN BRENT UDINK (D.O.)'s focus?
For RYAN BRENT UDINK (D.O.), the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is RYAN BRENT UDINK (D.O.) associated with Klamath Falls?
Public fields place RYAN BRENT UDINK (D.O.) around Klamath Falls, Oregon. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.