RYAN E BERECKY (MD) – Diagnostic Radiology Physician, NPI 1104026772
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
532 DIAGNOSTIC RADIOLOGY in OR
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Provider Addresses for RYAN E BERECKY (MD)
Northeast Medical Center Drive, Bend, Deschutes County, Oregon, 97701, United States
BEND, OR 977016061
Phone: (541) 382-6633
Fax: (541) 382-2719
Mailing address matches the actual address.
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.
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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: 2018-06-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180627003792 | I | Diagnostic Radiology | OR | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| A9585 | Injection, gadobutrol, 0.1 ml | 15,152 | 168 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 8,993 | 104 | $0 |
| 70450 | Ct scan head or brain without contrast | 481 | 411 | $0 |
| 71045 | X-ray of chest, 1 view | 467 | 439 | $0 |
| 70553 | Mri scan of brain before and after contrast | 406 | 257 | $0 |
Insurance plans in this area (ZIP 97701)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | NV | 62311 | Injections of substances into lower or sacral spine | 33 | 30 |
| DIAGNOSTIC RADIOLOGY | NV | 73140 | X-ray of fingers, minimum of 2 views | 12 | 12 |
| DIAGNOSTIC RADIOLOGY | NV | 73562 | X-ray of knee, 3 views | 73 | 65 |
| DIAGNOSTIC RADIOLOGY | NV | 74177 | CT scan of abdomen and pelvis with contrast | 177 | 171 |
| DIAGNOSTIC RADIOLOGY | NV | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 21 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | OR | |
| General Surgery, Thoracic Surgery | OR | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | OR | |
| Nurse Practitioner | OR | |
| - | OR |
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