DR. RYAN GARY PORTER (M.D.) – Obstetrics & Gynecology Physician, NPI 1235387218

DR. RYAN GARY PORTER (M.D.) is a healthcare provider. based in Riverton, Utah. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. R70627 (AZ). The NPI Number for DR. RYAN GARY PORTER (M.D.) is 1235387218

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. RYAN GARY PORTER (M.D.)
NPI
1235387218
Phone
(801) 285-4700
Address
3723 W 12600 S STE 360
Enumeration Date
3 September 2008
Last Update Date
1 February 2022

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
8012921422
Graduation Year
2008 (18 years ago)
PAC ID
0143484071
Group Practice PAC ID
0840776688
Professional Enrollment ID
I20120605000767
Address ID
UT840108925BO520XXDRXX301

Contacts

Secure Messaging
RYAN.PORTER@hca3.eclinicaldirectplus.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:17State licenses:2Other namesUpdated within 12 months

788 OBSTETRICS/GYNECOLOGY in AZ

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Provider Addresses for DR. RYAN GARY PORTER (M.D.)

  • West 12600 South, Riverton, Salt Lake County, Utah, 84096, United States

    SOUTHRIDGE OBSTETRICS AND GYNECOLOGY

    RIVERTON, UT 840657296

    Phone: (801) 285-4700

    Type: Mailing

  • Banner University Medical Center Tucson, 1501, North Campbell Avenue, North University, Tucson, Pima County, Arizona, 85724, United States

    OBSTETRICS AND GYNECOLOGY

    TUCSON, AZ 857240001

    Phone: (520) 694-6010

    Type: Location

  • 620 MEDICAL DR STE 340

    BOUNTIFUL, UT 840105171

    Phone: (801) 299-2229

    Fax: (801) 299-4174

    Type: Location

  • PO BOX 409836

    ATLANTA, GA 303849836

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $739.

Total Amount is formed as General ($739) + Research ($0) + Ownership ($0) = $739.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Astellas Pharma US Inc ($276).

Total Amount

$739

General + Research + Ownership

Payments

35

Total payment records

General Amount

$739

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2012-06-05

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
I20120605000767IObstetrics/GynecologyUTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84065)

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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: 0840776688View full group profile
NameSpecialtyState
Family PracticeUT
Physician AssistantUT
Physician AssistantUT
O B S T E T R I C S/ G Y N E C O L O G YUT
Internal MedicineUT
Family PracticeCO
Family PracticeUT
Family PracticeUT
Internal MedicineUT
Family PracticeUT

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. RYAN GARY PORTER (M.D.)?
DR. RYAN GARY PORTER (M.D.) — NPI 1235387218 — is the standard way to identify this listing.
Is DR. RYAN GARY PORTER (M.D.) still practicing?
DR. RYAN GARY PORTER (M.D.) is currently listed as active in the public NPI registry.
What is DR. RYAN GARY PORTER (M.D.)'s primary classification?
Obstetrics & Gynecology Physician is the headline specialty for DR. RYAN GARY PORTER (M.D.) here. Clinical services aligned with this taxonomy classification.
Does DR. RYAN GARY PORTER (M.D.) list a practice location?
Patients near Riverton, Utah may find DR. RYAN GARY PORTER (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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