Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Kathryn Ryan, PA-C, ATL

Individual provider Athletic Trainer · NPI 1083038582

Mary Kathryn Ryan, PA-C, ATL is a Physician Assistant in Renton, Washington. Qualified in 2021, 5 years ago. Practices with Proliance Surgeons Inc P S, a 394-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Michigan and Washington.

Years since qualifying
5
Licensed in
MI, WA
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4011 Talbot Rd S Ste 300
Renton, WA 98055-5791
Phone: (425) 656-5060
Fax: (425) 656-5047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1620 Lake Tapps Pkwy Se Ste 115, Auburn, WA 98092-8376 — (253) 246-2860
  • 27005 168th Pl Se Ste 201, Covington, WA 98042-4902 — (253) 630-3660
  • 24060 Se Kent Kangley Rd Ste D-100, Maple Valley, WA 98038-6851 — (425) 358-7708
  • 150 Andover Park W, Tukwila, WA 98188-2801 — (425) 979-2663

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA61227531 (WA)
Athletic Trainer Taxonomy 2255A2300X · Licence 2601001845 (MI)

Record details

NPI number1083038582
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , ATL
Sole proprietorNo
NPI enumeratedFebruary 5, 2014
Last updated in NPPESOctober 26, 2021
Certification dateOctober 26, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Proliance Surgeons Inc P S — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients217
Services billed 2,746 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $84 1 payment · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Canyon Vista Medical Center Hospital · Sierra Vista, AZ · listed as Valley Vista Medical Center
  • Valley Medical Center Hospital · Renton, WA

Colleagues at Proliance Surgeons Inc P S

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 394 clinicians in the practice; 12 are shown here.

Other providers in Renton