Dr Ryan P Gallivan, MD - Medicare Otolaryngology in Bend, OR

Dr Ryan P Gallivan, MD is a medicare enrolled "Otolaryngology" physician in Bend, Oregon. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 1996 and has 28 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Central Oregon Ent Llc - Ear Nose Throat And Facial Plastic Surgey and his current practice location is 2450 Ne Mary Rose Pl, Suite 120, Bend, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 382-3100.

Dr Ryan P Gallivan is licensed to practice in Oregon (license number 23746) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043292196.

Contact Information

Dr Ryan P Gallivan, MD
2450 Ne Mary Rose Pl, Suite 120,
Bend, OR 97701-7132
(541) 382-3100
(541) 312-7050

Map and Direction




Physician's Profile

Full NameDr Ryan P Gallivan
GenderMale
SpecialityOtolaryngology
Experience28 Years
Location2450 Ne Mary Rose Pl, Bend, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ryan P Gallivan attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 1996
  NPI Data:
  • NPI Number: 1043292196
  • Provider Enumeration Date: 11/15/2005
  • Last Update Date: 03/10/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 0749363950
  • Enrollment ID: I20080212000121

Medical Identifiers

Medical identifiers for Dr Ryan P Gallivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043292196NPI-NPPES
286590MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 23746 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Charles Medical Center - BendBend, ORHospital
Sky Lakes Medical CenterKlamath falls, ORHospital
St Charles PrinevillePrineville, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Central Oregon Ent Llc - Ear Nose Throat And Facial Plastic Surgey741693995411

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ryan P Gallivan allows following entities to bill medicare on his behalf.
Entity NameCentral Oregon Ent Llc - Ear Nose Throat And Facial Plastic Surgey
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902813884
PECOS PAC ID: 7416939954
Enrollment ID: O20040607001059

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ryan P Gallivan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ryan P Gallivan, MD
2450 Ne Mary Rose Pl, Suite 120,
Bend, OR 97701-7132

Ph: (541) 382-3100
Dr Ryan P Gallivan, MD
2450 Ne Mary Rose Pl, Suite 120,
Bend, OR 97701-7132

Ph: (541) 382-3100

Reviews and Comments


Otolaryngology Doctors in Bend, OR

Michael E Villano, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 431 Ne Revere Ave, Suite B, Bend, OR 97701
Phone: 541-312-1145    
Matthew L Hinsley, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 2450 Ne Mary Rose Pl Ste 120, Bend, OR 97701
Phone: 505-661-4147    
Kenneth Arthur Bagwell, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 2450 Ne Mary Rose Pl Ste 120, Bend, OR 97701
Phone: 203-688-2259    Fax: 203-688-5599
J David Wood, MD
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 2450 Ne Mary Rose Pl, Suite 120, Bend, OR 97701
Phone: 541-312-6799    Fax: 541-312-7050
Dr. Andrew James Johnson, MD
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 2450 Ne Mary Rose Pl Ste 120, Bend, OR 97701
Phone: 541-312-7056    Fax: 541-385-4935
Dr. C Christian Friess, MD
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 2450 Ne Mary Rose Pl, Ste 120, Bend, OR 97701
Phone: 541-382-3100    Fax: 541-312-7050

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.