RYAN M GUILLORY (MD) – Otolaryngology Physician, NPI 1104947175

RYAN M GUILLORY (MD) is a healthcare provider. based in Dallas, Texas. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. N8298 (TX). The NPI Number for RYAN M GUILLORY (MD) is 1104947175

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
RYAN M GUILLORY (MD)
NPI
1104947175
Phone
(903) 237-1800
Address
PO BOX 847176
Enumeration Date
3 April 2007
Last Update Date
30 November 2021

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
9032129456
Graduation Year
2006 (20 years ago)
PAC ID
5294904611
Group Practice PAC ID
1254608771
Professional Enrollment ID
I20110801000620
Address ID
TX756055052LO912XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

892 OTOLARYNGOLOGY in TX

Provider Addresses for RYAN M GUILLORY (MD)

  • PO BOX 847176

    DALLAS, TX 752847176

    Phone: (903) 237-1800

    Fax: (903) 237-1810

    Type: Mailing

  • 709 HOLLYBROOK DR

    SUITE 5605

    LONGVIEW, TX 756052411

    Phone: (903) 291-6053

    Fax: (903) 291-6054

    Type: Location

  • 912 WALNUT HILL DR

    LONGVIEW, TX 756055052

    Phone: (903) 291-6300

    Fax: (903) 291-6305

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $151.

Total Amount is formed as General ($151) + Research ($0) + Ownership ($0) = $151.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: AERIN MEDICAL INC. ($57).

Total Amount

$151

General + Research + Ownership

Payments

7

Total payment records

General Amount

$151

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

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: 2011-08-01

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
I20110801000620IOtolaryngologyTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes964606$0
69210Removal of impacted ear wax497365$0
95117Professional service for multiple injections of allergen47314$0
95165Professional service for preparation and provision of 1 or more antigens47014$0
99203New patient office or other outpatient visit, 30-44 minutes281281$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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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: 1254608771View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YAL
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Nurse PractitionerTX
-TX
-TX
Pediatric MedicineTX

Reviews

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Frequently asked questions

Is RYAN M GUILLORY (MD) listed with a National Provider Identifier?
Yes — RYAN M GUILLORY (MD) has NPI 1104947175 on file in the registry.
Is RYAN M GUILLORY (MD) shown as active in public data?
Registry records indicate RYAN M GUILLORY (MD) maintains an active NPI.
What clinical focus is listed for RYAN M GUILLORY (MD)?
At a glance, RYAN M GUILLORY (MD) is tied to Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for RYAN M GUILLORY (MD)?
Travel planning: use Dallas, Texas as the reference point for RYAN M GUILLORY (MD), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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