Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700105046 Individual Practitioner Male Practitioner

Dr. Ryan D Kearney , MD

Pediatrics • Prineville, OR

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Kearney, MD is a registered healthcare professional specializing in Pediatrics in Prineville, OR. Practice services are available at 757 E 1ST ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

757 E 1st St

Prineville, OR 977542005

Telephone 5413833005
Fax 5413831883
Associated Practice Facility / Clinic
🏢 Mosaic Community Health Facility NPI 1316285760

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Prineville, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Prineville, OR (880 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-18
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OR MD203745

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500719609 (OR)

Secondary Practice Locations

2084 Ne Professional Ct

Bend, OR 977016077

Phone: 5413833005

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Wendy Dryden , MD

Family Medicine

NPI 1003252354

Doctor of Medicine (M.D.)

Christopher Russell , PA-C

Physician Assistant

NPI 1003864927

Physician Assistant (Certified)

Sierra Hopper , MSN

Counselor - Mental Health

NPI 1013756725

Master of Science in Nursing

Paisley Pijuan , LCSW

Social Worker - Clinical

NPI 1043837578

Licensed Clinical Social Worker

Siena Falzon , QMHA

Counselor - Mental Health

NPI 1043948524
Dr. Haley Maurer , DDS

Dentist - General Practice

NPI 1053186494

Doctor of Dental Surgery

Career & Practice History Timeline

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

17 Historical Events
📍
Updated Practice Location September 18, 2024

Registered at 757 E 1ST ST, PRINEVILLE, OR 977542005 (Tel: 5413833005)

📍
Updated Business Mailing Address September 18, 2024

Registered at PO BOX 4228, PORTLAND, OR 972084228 (Tel: 5413833005)

📍
Updated Practice Location December 21, 2021

Registered at 2400 NE NEFF RD, STE B, BEND, OR 977016752 (Tel: 5413824900)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2021

Pediatrics (License #MD203745 in OR)

📍
Updated Business Mailing Address June 04, 2021

Registered at 2400 NE NEFF RD, STE B, BEND, OR 977016752 (Tel: 5413824900)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2021

Pediatrics (License #60363627 in WA)

📍
Updated Practice Location August 06, 2019

Registered at 193 LOCUST ST STE 2, NORTHAMPTON, MA 010602065 (Tel: 4135848700)

📍
Updated Business Mailing Address August 06, 2019

Registered at 193 LOCUST ST STE 2, NORTHAMPTON, MA 010602065 (Tel: 4135865770)

👤
Provider Name / Credentials Updated August 06, 2019

Recorded as RYAN KEARNEY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2019

Pediatrics (License #278925 in MA)

📍
Updated Practice Location August 15, 2018

Registered at 4500 SAND POINT WAY NE, SEATTLE, WA 98105 (Tel: 7742544464)

NPI Profile Active July 23, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2013

Registered at 4500 SAND POINT WAY NE, SEATTLE, WA 981053900 (Tel: 7742544464)

📍
Updated Business Mailing Address July 23, 2013

Registered at 4500 SAND POINT WAY NE, SEATTLE, WA 981053900 (Tel: 7742544464)

👤
Provider Name / Credentials Updated July 23, 2013

Recorded as RYAN KEARNEY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2013

Pediatrics (License #60363627 in WA)

🟢
Initial NPI Registration & Enumeration May 26, 2010

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: 1700105046
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 26, 2010
Last Update: September 18, 2024
Sole Proprietor: No

Mailing Address

Po Box 4228

Portland, OR 972084228

Phone: 5413833005

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.