Individual provider

Ryan Gallivan, MD

Otolaryngology Physician Medicare enrolled

Ryan Gallivan, MD is an Otolaryngology Physician in Bend, OR, registered under NPI 1043292196.

Getting there

The practice address on file is 2450 NE MARY ROSE PL SUITE 120, Bend, OR 97701. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2450 NE MARY ROSE PL SUITE 120, Bend, OR 97701 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
23746 OR Otolaryngology Physician primary

This provider holds licence 23746 issued in OR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Otolaryngology
PAC ID
0749363950
Enrollment ID
I20080212000121

Medicare enrolment is recorded as approved under the provider type Practitioner - Otolaryngology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Otolaryngology covers

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. NUCC Health Care Provider Taxonomy, code 207Y00000X
Allopathic & Osteopathic Physicians Otolaryngology

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1043292196 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateNov 15, 2005
Last updatedMar 10, 2008
StatusActive
Sole proprietorNo
CredentialMD
Practice address 2450 NE MARY ROSE PL
SUITE 120
Bend, OR 97701
(541) 382-3100
Fax (541) 312-7050
Other identifiers 286590 · Medicaid (OR)
This record was last updated on Mar 10, 2008, roughly 18 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1043292196 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 4 3 2 9 2 1 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 8 3 4 9 4 1 9

Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1043292196?
NPI 1043292196 is the National Provider Identifier assigned to Ryan Gallivan, MD in Bend, OR. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Otolaryngology Physician cover?
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or…
How do I contact Ryan Gallivan, MD?
The phone number on file with NPPES is (541) 382-3100, last updated Mar 10, 2008. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Ryan Gallivan, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1043292196 a valid number?
Yes. 1043292196 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.