DR. RYAN GLENN MIYAMOTO (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1497923288

DR. RYAN GLENN MIYAMOTO (M.D.) is a healthcare provider. based in Fairfax, Virginia. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 0101245582 (VA). The NPI Number for DR. RYAN GLENN MIYAMOTO (M.D.) is 1497923288

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. RYAN GLENN MIYAMOTO (M.D.)
NPI
1497923288
Phone
(703) 391-0111
Address
3620 JOSEPH SIEWICK DR STE 201
Enumeration Date
14 February 2008
Last Update Date
12 January 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Secondary Phone
7034356604
Graduation Year
2003 (23 years ago)
PAC ID
6204996390
Group Practice PAC ID
9335048966
Professional Enrollment ID
I20160413001657
Address ID
VA201477518AS44095PLZX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

843 ORTHOPEDIC SURGERY in VA

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Provider Addresses for DR. RYAN GLENN MIYAMOTO (M.D.)

  • Joseph Siewick Drive, Chantilly, Fairfax (city), Virginia, 22033, United States

    FAIRFAX, VA 220331758

    Phone: (703) 391-0111

    Fax: (703) 391-2945

    Type: Mailing

  • 1860 TOWN CENTER DR STE 300

    RESTON, VA 201905900

    Phone: (703) 435-6604

    Fax: (703) 662-4506

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $4,206.

Total Amount is formed as General ($4,206) + Research ($0) + Ownership ($0) = $4,206.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Arthrex, Inc. ($1,250).

Total Amount

$4,206

General + Research + Ownership

Payments

30

Total payment records

General Amount

$4,206

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

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: 2016-04-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20091208000285IOrthopedic SurgeryDCTBD
I20160413001657IOrthopedic SurgeryVATBD

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
J7332Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg3,02038$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,952182$0
99213Established patient office or other outpatient visit, 20-29 minutes355238$0
20610Aspiration and/or injection of fluid from large joint354195$0
73030X-ray of shoulder, minimum of 2 views275184$0
View full utilization report →

Insurance plans in this area (ZIP 22033)

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Provider's Procedures

DR. RYAN GLENN MIYAMOTO (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYCO20610Aspiration and/or injection of large joint or joint capsule209137

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: 9335048966View full group profile
NameSpecialtyState
Nurse PractitionerVA
Physical Therapist In Private PracticeVA
Physician AssistantDC
-VA
Occupational Therapist In Private PracticeMD
Pain ManagementVA
Sports Medicine, Orthopedic Surgery, Sports MedicineVA
Orthopedic SurgeryVA
Occupational Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA

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Frequently asked questions

What is DR. RYAN GLENN MIYAMOTO (M.D.)'s NPI number?
DR. RYAN GLENN MIYAMOTO (M.D.)'s NPI is 1497923288 — the number used across U.S. healthcare to identify this provider.
Is DR. RYAN GLENN MIYAMOTO (M.D.) shown as active in public data?
Registry records indicate DR. RYAN GLENN MIYAMOTO (M.D.) maintains an active NPI.
What clinical focus is listed for DR. RYAN GLENN MIYAMOTO (M.D.)?
At a glance, DR. RYAN GLENN MIYAMOTO (M.D.) is tied to Sports Medicine (Orthopaedic Surgery) Physician. Clinical services aligned with this taxonomy classification.
Is DR. RYAN GLENN MIYAMOTO (M.D.) associated with Fairfax?
Public fields place DR. RYAN GLENN MIYAMOTO (M.D.) around Fairfax, Virginia. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. RYAN GLENN MIYAMOTO (M.D.) is noted as February 14, 2008 where the registry provides it.

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