Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144606229 Individual Practitioner Male Practitioner

Ryan Fairley

Surgery • Portland, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ryan Fairley is a certified Surgery practicing in Portland, OR. With approximately 11 years of clinical experience since completing medical education in 2015, Ryan Fairley delivers high-quality medical care to the local community at 1040 NW 22ND AVE STE 520.

Ryan Fairley is affiliated with Mcv Associated Physicians and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1040 Nw 22nd Ave Ste 520

Portland, OR 972103097

Telephone 5034137557
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Portland, OR

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -9.9 yrs vs City Avg
City Avg: 20.9 Yrs
State Avg: 23.3 Yrs
Regional Practice Density
177 Specialists

Practicing in Portland, OR (555 Statewide)

Telehealth Adoption Rate
23.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
82.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fairley (11 Years) 11 Yrs
Portland Specialty Average (20.9 Years) 20.9 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
25 25 $307.00 $98.98
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
21 21 $1432.00 $131.20
99213 Established patient office or other outpatient visit, typically 15 minutes
13 11 $205.00 $87.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
11 11 $307.00 $78.39

Medical Specialties & State Licenses

CMS Verified: 2020-07-08
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OR DO197810

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
PENDING (OR)

Hospital & Practice Group Affiliations

Mcv Associated Physicians

1001 E Leigh St, Richmond, VA 232985004

Phone: 8048287929

Practice Associates & Co-Workers

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

20 Associated Practitioners
Megan Antosik , MS, RD, LD

Dietitian, Registered

NPI 1184052169

Master of Science, Registered Dietitian, Licensed Dietitian

NPI 1265056246

Doctor of Osteopathic Medicine (D.O.)

NPI 1346727971

Doctor of Psychology (Psy.D.)

Claire Hanway , NP

Nurse Practitioner - Adult Health

NPI 1427436971

Nurse Practitioner

Pamela Evans , MS, RD, LD

Dietitian, Registered

NPI 1437445889

Master of Science, Registered Dietitian, Licensed Dietitian

Dr. Marcos Barnatan , MD

Surgery - Vascular Surgery

NPI 1477512051

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 08, 2020

Registered at 1040 NW 22ND AVE STE 520, PORTLAND, OR 972103097 (Tel: 5034137557)

📍
Updated Business Mailing Address July 08, 2020

Registered at PO BOX 3808, PORTLAND, OR 972083808

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2020

Surgery (License #DO197810 in OR)

NPI Profile Active July 30, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 30, 2015

Registered at 147 N BRENT ST, VENTURA, CA 930032809 (Tel: 3086602801)

📍
Updated Business Mailing Address July 30, 2015

Registered at 147 N BRENT ST, VENTURA, CA 930032809 (Tel: 3086602801)

👤
Provider Name / Credentials Updated July 30, 2015

Recorded as RYAN FAIRLEY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 30, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144606229
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2015
Last Update: July 08, 2020
Sole Proprietor: Yes

Mailing Address

Po Box 3808

Portland, OR 972083808

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.