RYAN TIMOTHY BLY (MD) – Surgery Physician, NPI 1295170231

RYAN TIMOTHY BLY (MD) is a healthcare provider. based in Neenah, Wisconsin. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 69044 (WI). The NPI Number for RYAN TIMOTHY BLY (MD) is 1295170231

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
RYAN TIMOTHY BLY (MD)
NPI
1295170231
Phone
(920) 725-4527
Address
100 THEDA CLARK MEDICAL PLZ
Enumeration Date
3 May 2013
Last Update Date
13 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9207254527
Graduation Year
2012 (14 years ago)
PAC ID
1951531953
Group Practice PAC ID
4486625258
Professional Enrollment ID
I20180801002515
Address ID
WI549562763NE100XXPLZX504
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,444 GENERAL SURGERY in MI

Provider Addresses for RYAN TIMOTHY BLY (MD)

  • 100 THEDA CLARK MEDICAL PLZ

    STE 400

    NEENAH, WI 549562763

    Phone: (920) 725-4527

    Fax: (920) 729-2378

    Type: Mailing

  • 1000 OAKLAND DR

    KALAMAZOO, MI 490081282

    Phone: (269) 337-4400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 45 Open Payments records for all available years, with a total value of $19,974.

Total Amount is formed as General ($19,974) + Research ($0) + Ownership ($0) = $19,974.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($17,620).

Total Amount

$19,974

General + Research + Ownership

Payments

45

Total payment records

General Amount

$19,974

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

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: 2018-08-01

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
I20180801002515IGeneral SurgeryWITBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4423$0
99213Established patient office or other outpatient visit, 20-29 minutes2220$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare1919$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope1616$0
99203New patient office or other outpatient visit, 30-44 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 54956)

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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: 4486625258View full group profile
NameSpecialtyState
General SurgeryWV
Physician AssistantWI
Nurse PractitionerWI
Physician AssistantWI
General Surgery, Colorectal Surgery (Proctology), Surgical Oncology, Thoracic Surgery, Vascular SurgeryWI
Nurse PractitionerWI
Nurse PractitionerWI
Nurse PractitionerWI
General SurgeryWI
Nurse PractitionerWI

Reviews

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Frequently asked questions

What number should I use to identify RYAN TIMOTHY BLY (MD) for billing?
Administrative and clinical systems typically use NPI 1295170231 for RYAN TIMOTHY BLY (MD).
Is RYAN TIMOTHY BLY (MD) currently accepting referrals based on NPI status?
Registry metadata lists RYAN TIMOTHY BLY (MD) as active.
What type of care does RYAN TIMOTHY BLY (MD) provide?
RYAN TIMOTHY BLY (MD)'s profile centers on Surgery Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to RYAN TIMOTHY BLY (MD)?
RYAN TIMOTHY BLY (MD) is associated with Neenah, Wisconsin in the same public data insurers reference.
Who maintains RYAN TIMOTHY BLY (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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