DR. COURTNEY KATHERINE RYAN (MD) – Family Medicine Physician, NPI 1083608954
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,488 FAMILY PRACTICE in MD
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Provider Addresses for DR. COURTNEY KATHERINE RYAN (MD)
5645, Stone Road, Centreville, Virginia, 20120, United States
CENTREVILLE, VA 201201618
Phone: (703) 266-2442
Fax: (703) 266-7158
Type: Mailing
111, West High Street, Elkton Heights, Elkton, Cecil County, Maryland, 21921, United States
SUITE 200
ELKTON, MD 21921
Phone: (410) 996-9490
Fax: (410) 996-9493
Type: Location
5645 STONE RD
CENTREVILLE, VA 201201618
Phone: (703) 266-2442
Fax: (703) 266-7158
Type: Location
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.
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: 2017-12-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171201001925 | I | Family Practice | DC | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 111 | 89 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 59 | 44 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 29 | 29 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 18 | 18 | $0 |
| 99497 | Advance care planning, first 30 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 20120)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| Family Practice | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Family Practice | VA |
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