RYAN B ISRAELSEN (M.D.) – Allergy & Immunology Physician, NPI 1487910766

RYAN B ISRAELSEN (M.D.) is a healthcare provider. based in Medford, Oregon. specializing in INTERNAL MEDICINE, PEDIATRIC MEDICINE, ALLERGY/IMMUNOLOGY. They hold the professional credentials M.D.. They hold a License No. MD187596 (OR). The NPI Number for RYAN B ISRAELSEN (M.D.) is 1487910766

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
RYAN B ISRAELSEN (M.D.)
NPI
1487910766
Phone
(541) 858-1018
Address
3121 SIGNATURE CT
Enumeration Date
11 April 2012
Last Update Date
27 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
5418581003
Graduation Year
2012 (14 years ago)
PAC ID
0648499525
Group Practice PAC ID
1355449141
Professional Enrollment ID
I20180515001905
Address ID
OR975049741ME3860XAVEX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:14State licenses:1Digital endpointsOther names

2,475 INTERNAL MEDICINE in OR

Provider Addresses for RYAN B ISRAELSEN (M.D.)

  • 3121 SIGNATURE CT

    MEDFORD, OR 975047738

    Phone: (541) 858-1018

    Type: Mailing

  • 3860 CRATER LAKE AVE # A

    MEDFORD, OR 975049741

    Phone: (541) 858-1003

    Type: Mailing

  • 3860 CRATER LAKE AVE

    MEDFORD, OR 97504

    Phone: (541) 858-1003

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $70.

Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.

Last reported payment date: 2024-05-02 • Largest payer in this snapshot: GENZYME CORPORATION ($52).

Total Amount

$70

General + Research + Ownership

Payments

2

Total payment records

General Amount

$70

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-02

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: 2018-05-15

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
I20180515001905IAllergy/ImmunologyORTBD

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
95004Test for allergy using allergenic extract1,24224$0
95165Professional service for preparation and provision of 1 or more antigens57915$0
95117Professional service for multiple injections of allergen29489$0
99214Established patient office or other outpatient visit, 30-39 minutes8071$0
99213Established patient office or other outpatient visit, 20-29 minutes6156$0
View full utilization report →

Insurance plans in this area (ZIP 97504)

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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: 1355449141View full group profile
NameSpecialtyState
-OR
Allergy/Immunology, Internal MedicineOR
Nurse PractitionerOR
A L L E R G Y/ I M M U N O L O G YOR
Physician AssistantNM
Allergy/Immunology, Internal MedicineOR
-OR

Reviews

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Frequently asked questions

Can I cross-check RYAN B ISRAELSEN (M.D.) using NPI 1487910766?
NPI 1487910766 belongs to RYAN B ISRAELSEN (M.D.); compare other details if you need extra assurance.
Is RYAN B ISRAELSEN (M.D.) shown as active in public data?
Registry records indicate RYAN B ISRAELSEN (M.D.) maintains an active NPI.
What clinical focus is listed for RYAN B ISRAELSEN (M.D.)?
At a glance, RYAN B ISRAELSEN (M.D.) is tied to Allergy & Immunology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with RYAN B ISRAELSEN (M.D.)?
Directory geography for RYAN B ISRAELSEN (M.D.) centers on Medford, Oregon.
When was this NPI issued?
Enumeration for RYAN B ISRAELSEN (M.D.) is noted as April 11, 2012 where the registry provides it.

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