Active NPI 1043292196 Individual Practitioner Male Practitioner

Dr. Ryan P Gallivan , MD

Otolaryngology • Bend, OR

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Gallivan, MD is a certified Otolaryngology practicing in Bend, OR. With approximately 30 years of clinical experience since graduating from Jefferson Medical College Of Thomas Jefferson University in 1996, Dr. Gallivan delivers high-quality medical care to the local community at 2450 NE MARY ROSE PL.

Dr. Gallivan is affiliated with Central Oregon Ent Llc - Ear Nose Throat And Facial Plastic Surgey and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, diagnostic examination of nasal passages using an endoscope, removal of impacted ear wax. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2450 Ne Mary Rose Pl
Suite 120

Bend, OR 977017132

Telephone 5413823100

Fax 5413127050

Associated Practice Facility / Clinic

🏢 Bend Ob-Gyn Llc Facility NPI 1730138777

Medicare Profile & Education

Medical School

Jefferson Medical College Of Thomas Jefferson University

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Bend, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +12.0 yrs vs City Avg

City Avg: 18.0 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

12 Specialists

Practicing in Bend, OR (171 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

62.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gallivan (30 Years) 30 Yrs

Bend Specialty Average (18.0 Years) 18.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	272	215	$220.00	$87.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	219	178	$311.00	$122.35
31231 Diagnostic examination of nasal passages using an endoscope	202	155	$511.00	$179.91
69210 Removal of impacted ear wax	120	84	$148.00	$44.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$427.00	$160.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$283.00	$106.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	44	$138.00	$54.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	38	$436.00	$173.31
31575 Diagnostic exam of voice box using a flexible endoscope	40	37	$322.00	$123.67
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	25	25	$128.00	$49.91
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$535.00	$211.50
92504 Exam of ear using a microscope	12	12	$85.00	$28.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	316	249	$214.96	$86.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	201	164	$305.08	$121.48
69210 Removal of impacted ear wax	129	98	$139.88	$44.97
31231 Diagnostic examination of nasal passages using an endoscope	128	105	$511.00	$182.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$282.91	$107.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$427.00	$159.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	61	44	$420.52	$172.09
31575 Diagnostic exam of voice box using a flexible endoscope	44	43	$322.00	$123.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	39	$134.23	$54.31
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	33	33	$128.00	$50.40
31237 Biopsy or removal of nasal polyp or tissue using an endoscope	23	20	$757.87	$300.65
70486 CT scan of face	20	19	$590.80	$124.58
31267 Removal of nasal sinus tissue using an endoscope	19	19	$779.11	$252.43
61782 Computer-assisted procedure outside membrane covering brain	18	18	$495.00	$163.39
30930 Therapeutic fracture of nasal passages	17	17	$323.00	$56.73
92557 Comprehensive hearing and speech recognition test	16	16	$106.00	$35.93
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$535.00	$199.45
92504 Exam of ear using a microscope	11	11	$84.27	$28.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	391	279	$193.21	$86.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	170	138	$282.00	$122.51
31231 Diagnostic examination of nasal passages using an endoscope	142	110	$511.00	$180.60
69210 Removal of impacted ear wax	105	77	$127.92	$44.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$282.24	$106.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$427.00	$160.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	40	$120.00	$54.15
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	44	43	$128.00	$49.69
92557 Comprehensive hearing and speech recognition test	44	44	$105.64	$36.31
31575 Diagnostic exam of voice box using a flexible endoscope	39	38	$322.00	$124.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	31	$377.00	$170.01
70486 CT scan of face	34	31	$634.00	$129.36
92567 Eardrum testing using ear probe	25	25	$45.36	$15.56
61782 Computer-assisted procedure outside membrane covering brain	13	13	$495.00	$159.18
31267 Removal of nasal sinus tissue using an endoscope	12	12	$697.00	$220.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	497	337	$185.00	$88.41
31231 Diagnostic examination of nasal passages using an endoscope	151	118	$503.00	$188.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	128	128	$275.00	$108.61
69210 Removal of impacted ear wax	118	96	$120.00	$44.64
92557 Comprehensive hearing and speech recognition test	102	102	$98.00	$37.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	86	$274.00	$125.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	65	$112.00	$54.48
92567 Eardrum testing using ear probe	53	52	$38.00	$16.10
31575 Diagnostic exam of voice box using a flexible endoscope	47	43	$311.47	$124.22
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	46	46	$120.00	$49.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$419.00	$162.53
70486 CT scan of face	28	28	$626.00	$134.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	21	$369.00	$175.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	451	312	$187.92	$73.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	146	118	$274.88	$107.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	133	133	$273.92	$105.70
69210 Removal of impacted ear wax	122	97	$120.32	$47.09
31231 Diagnostic examination of nasal passages using an endoscope	91	70	$503.00	$189.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	56	$114.00	$44.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$415.73	$161.67
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	38	37	$131.29	$49.80
70486 CT scan of face	30	29	$626.00	$137.32
31575 Diagnostic exam of voice box using a flexible endoscope	28	27	$297.00	$121.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	19	$369.00	$144.74
92504 Exam of ear using a microscope	16	15	$77.00	$28.67
31237 Biopsy or removal of nasal polyp or tissue using an endoscope	13	11	$1040.77	$336.94
61782 Computer-assisted procedure outside membrane covering brain	13	13	$487.00	$174.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	540	361	$176.00	$72.82
31231 Diagnostic examination of nasal passages using an endoscope	181	140	$503.00	$195.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	121	$260.00	$107.31
69210 Removal of impacted ear wax	128	101	$133.00	$45.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	121	121	$263.00	$106.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	63	$106.00	$44.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$401.00	$162.18
31575 Diagnostic exam of voice box using a flexible endoscope	47	44	$274.00	$115.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	27	$349.00	$143.78
70486 CT scan of face	28	28	$626.00	$136.61
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	25	25	$133.00	$48.71
95117 Professional service for multiple injections of allergen	25	11	$30.00	$10.35
92504 Exam of ear using a microscope	15	15	$77.00	$28.94
61782 Computer-assisted procedure outside membrane covering brain	11	11	$487.00	$174.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	578	389	$176.00	$71.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	206	206	$263.00	$105.28
31231 Diagnostic examination of nasal passages using an endoscope	174	142	$494.53	$204.49
69210 Removal of impacted ear wax	144	113	$133.00	$47.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	107	101	$106.00	$42.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	96	$260.00	$105.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$401.00	$159.36
31575 Diagnostic exam of voice box using a flexible endoscope	61	58	$290.23	$109.93
92504 Exam of ear using a microscope	32	31	$77.00	$28.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	27	$349.00	$142.16
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	22	22	$133.00	$50.89
70486 CT scan of face	22	22	$626.00	$135.64
61782 Computer-assisted procedure outside membrane covering brain	16	16	$487.00	$172.14
31237 Biopsy or removal of nasal polyp or tissue using an endoscope	13	13	$891.92	$313.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	532	360	$176.00	$70.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	167	132	$260.00	$104.59
31231 Diagnostic examination of nasal passages using an endoscope	160	117	$492.00	$201.11
69210 Removal of impacted ear wax	157	121	$133.00	$47.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	156	156	$263.00	$103.78
95117 Professional service for multiple injections of allergen	122	13	$30.00	$9.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	94	85	$106.00	$42.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$401.00	$159.54
31575 Diagnostic exam of voice box using a flexible endoscope	66	65	$292.00	$110.04
92504 Exam of ear using a microscope	55	50	$77.00	$28.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	23	$349.00	$140.61
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	22	22	$133.00	$51.32
70486 CT scan of face	18	18	$626.00	$134.73
61782 Computer-assisted procedure outside membrane covering brain	18	18	$487.00	$173.02
31237 Biopsy or removal of nasal polyp or tissue using an endoscope	14	13	$938.14	$294.77
31267 Removal of nasal sinus tissue using an endoscope	12	12	$1141.33	$219.82

Medical Specialties & State Licenses

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License OR 23746

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

286590 (OR)

Hospital & Practice Group Affiliations

Central Oregon Ent Llc - Ear Nose Throat And Facial Plastic Surgey

1734 Lark St, Klamath Falls, OR 976014346

Phone: 5418592924

Central Oregon Ent Llc - Ear Nose Throat And Facial Plastic Surgey

2855 Nw Crossing Dr, Bend, OR 977037049

Phone: 5413823100

Central Oregon Ent Llc - Ear Nose Throat And Facial Plastic Surgey

2450 Ne Mary Rose Pl, Bend, OR 977017132

Phone: 5413823100

Central Oregon Ent Llc - Ear Nose Throat And Facial Plastic Surgey

1020 Sw Indian Ave, Redmond, OR 977563037

Phone: 5413823100

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners

Dr. Rebecca Frank , AuD

Audiologist

NPI 1255813713

Doctor of Audiology

Myra Baker , PA-C

Physician Assistant

NPI 1346315868

Physician Assistant (Certified)

Emilie Hart-Hutter

Audiologist

NPI 1457524985

Dr. J Wood , MD

Otolaryngology

NPI 1487664538

Doctor of Medicine (M.D.)

Marya Van Kessel , BSC

Hearing Instrument Specialist

NPI 1508172826

Dr. Jordan Thompson , MD

Otolaryngology

NPI 1518595685

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 10, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location March 10, 2008

Registered at 2450 NE MARY ROSE PL, SUITE 120, BEND, OR 977017132 (Tel: 5413823100)

📍

Updated Business Mailing Address March 10, 2008

Registered at 2450 NE MARY ROSE PL, SUITE 120, BEND, OR 977017132 (Tel: 5413823100)

👤

Provider Name / Credentials Updated March 10, 2008

Recorded as RYAN GALLIVAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2008

Otolaryngology (License #23746 in OR)

🟢

Initial NPI Registration & Enumeration November 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Ryan Gallivan. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1043292196

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 15, 2005

Last Update: March 10, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2450 Ne Mary Rose Pl, Suite 120

Bend, OR 977017132

Phone: 5413823100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.