NPI registry status
Active
2026 NPPES data Emergency Medicine Physician NPI 1861560476 MD
Verify on CMS → Ryan Pursley, MD
Emergency Medicine Physician in Spokane, Washington.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 66,293 in Emergency Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
237
Medicare Part D claims · 154 beneficiaries · Emergency Medicine Physician avg: 355
MIPS score
99.4/100
▲ 16 pts above national avg 83.5 · Exceptional
What the federal data shows
Ryan Pursley, MD reported a CMS MIPS final score of 99.4/100 - above the 83.5 national average - and filed 237 Medicare Part D claims in 2024.
- 99.4/100
- MIPS score · +16 vs avg
- 237
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥91st
- pct among measured MIPS (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Ryan Pursley, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1861560476), first enumerated 12/01/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 237 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 99.4/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- State context
State board disciplinary context
Washington statewide board action statistics are published annually — these figures describe aggregate state activity, not Ryan Pursley, MD's individual license status. Verify directly with the state medical board.
Source: WMC annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1861560476 · Emergency Medicine Physician
NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-ELITE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1861560476
- ENUM-LEGACY 2006
- TAX-MEGA 66K Emergency Medicine
- MIPS-ELITE 99.4/100
- RX-LIGHT 237
- BOOK-LIGHT 1,396 in Washington
- PHOTO-FINISH Geoffrey McKinzie, M… · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Amy Bloch, MD · …
Amy Bloch, MD
99.3 MIPS pts
- Pursley · this p…
Pursley · this provider
99.4 MIPS pts
- Jonathon Violett…
Jonathon Violetta, MD
99.4 MIPS pts
- Geoffrey McKinzi…
Geoffrey McKinzie, M.D.
99.4 MIPS pts
- Casey Patrick, M…
Casey Patrick, MD
99.4 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Ryan Pursley, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
99 ≥ 91st percentile 91% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Ryan Pursley, MD sits
This provider among emergency medicine physician peers
Across the 14,017 emergency medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Ryan Pursley, MD writes more Part D claims than 70% of them and scores higher on MIPS quality than 90% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one emergency medicine physician peer from a representative sample of 60; the gold marker is Ryan Pursley, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Ryan Pursley, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Ryan Pursley, MD?
High performer (top quartile)Primary specialty
Emergency Medicine Physician
Medicare Part D claims
237 33% vs specialty avg
MIPS final score
99.4/100 15.9 pts vs avg
Specialty distribution in Washington
How Emergency Medicine Physician compares to other specialties among Washington providers
Medicare quality performance, MIPS
Ryan Pursley, MD's 2023 MIPS final score plotted against the Emergency Medicine Physician national average
- MIPS Final Score
- 99.4/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1861560476 |
|---|---|
| Specialty | Emergency Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 12/01/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
99.3631
Final Score
Measured-score avg: 83.5
92.6837
Quality
Reporting: Group practice
Hospital and facility affiliations
Facilities where Ryan Pursley, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Spokane Emergency Physicians PS
Spokane, WA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Washington WMC 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~34K Washington medical licensees in 2023 - they are NOT specific to Ryan Pursley, MD. To verify Ryan Pursley, MD's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases
WMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
237
Total Claims
$4K
Total Drug Cost
154
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 242.133
- Total Day Supply
- 2,722
- Generic Drug Cost
- $3K
- Opioid Claims
- 50 (21.1% rate)
- Antibiotic Claims
- 51
Patient Demographics
- Average Patient Age
- 68.6 years
- Avg HCC Risk Score
- 2.02
- Gender Split
- 60% female / 40% male
- Age Distribution
- <65: 45, 65-74: 54, 75-84: 36, 85+: 19
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Ryan Pursley, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
40 claims
- Methylprednisolone
Methylprednisolone
17 claims
- Cephalexin 14
Cephalexin
14 claims
- Ondansetron Odt 13
Ondansetron Odt
13 claims
- Amoxicillin-Clavul… 11
Amoxicillin-Clavulanate Potass
11 claims
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 40 |
| Methylprednisolone | 17 |
| Cephalexin | 14 |
| Ondansetron Odt Ondansetron | 13 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Emergency Medicine Physician Overview
How Ryan Pursley, MD fits within the Emergency Medicine Physician landscape nationally.
66,293
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
355
Avg Claims per Provider
Ryan Pursley, MD's 237 claims are below the specialty average of 355.
Nationwide Emergency Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Pursley, both outside Washington so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (99.4 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Emergency Medicine Physician Providers in Washington
Other clinicians with the same primary specialty enrolled in Washington, drawn from the same CMS NPPES roster as Pursley.
One of 1,396 Emergency Medicine Physician providers enrolled in Washington, 5 are shown here.
Jeffrey Abrahams
Gig Harbor, WA
Amer Abu-Kwaik
Yakima, WA
Dr. Henry Ackerman
MD
Everett, WA
Dr. Colm Acuff
DO
Enumclaw, WA
Dr. Jan Adams
MD
Port Angeles, WA
Compare Emergency Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Ryan Pursley, MD's specialty? ▼
Ryan Pursley, MD specializes in Emergency Medicine Physician and practices in Spokane, Washington. Credentials: MD.
How much does Ryan Pursley, MD prescribe under Medicare Part D? ▼
In 2024, Ryan Pursley, MD wrote 237 Medicare Part D claims totaling $4K in drug costs for 154 beneficiaries.
What is Ryan Pursley, MD's Medicare quality score? ▼
Ryan Pursley, MD has a CMS MIPS Final Score of 99.4/100 (Quality: 92.7). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ryan Pursley, MD located? ▼
Ryan Pursley, MD is located at 101 W 8TH AVE, Spokane, WA, 99205. Phone: (509) 474-3131.
What is Ryan Pursley, MD's NPI number? ▼
Ryan Pursley, MD's National Provider Identifier (NPI) is 1861560476, issued on 12/01/2006.
Does Ryan Pursley, MD prescribe opioids? ▼
Yes, Ryan Pursley, MD had 50 opioid claims in 2024 with an opioid prescribing rate of 21.1%.
How many Emergency Medicine Physician providers are there in the US? ▼
There are 66,293 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 355 Medicare Part D claims per year.
What drugs does Ryan Pursley, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Ryan Pursley, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Methylprednisolone, Cephalexin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ryan Pursley, MD accept Medicare? ▼
Ryan Pursley, MD appears in CMS Medicare data with 237 Part D claims and 154 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ryan Pursley, MD's credentials? ▼
Ryan Pursley, MD's NPI is 1861560476 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.