DR. BRENT RIDDER (M.D.) – Family Medicine Physician, NPI 1730120163

DR. BRENT RIDDER (M.D.) is a healthcare provider. based in Laguna hills, California. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. A80485 (CA). The NPI Number for DR. BRENT RIDDER (M.D.) is 1730120163

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRENT RIDDER (M.D.)
NPI
1730120163
Phone
(949) 206-4633
Address
23961 CALLE DE LA MAGDALENA
Enumeration Date
9 June 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
9494170272
Graduation Year
1998 (28 years ago)
PAC ID
9537123088
Group Practice PAC ID
9436223781
Professional Enrollment ID
I20041115001337
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. BRENT RIDDER (M.D.)

  • 23961, Calle de la Magdalena, Laguna Hills, Orange County, California, 92653, United States

    #115

    LAGUNA HILLS, CA 926533616

    Phone: (949) 206-4633

    Fax: (949) 855-2314

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-11-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041115001337IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1212$0
99204New patient office or other outpatient visit, 45-59 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 92653)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436223781View full group profile
NameSpecialtyState
-CA

Reviews

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Frequently asked questions

What is DR. BRENT RIDDER (M.D.)'s NPI number?
DR. BRENT RIDDER (M.D.)'s NPI is 1730120163 — the number used across U.S. healthcare to identify this provider.
Would DR. BRENT RIDDER (M.D.) appear as active to a payer?
You can treat DR. BRENT RIDDER (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. BRENT RIDDER (M.D.)?
DR. BRENT RIDDER (M.D.)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. BRENT RIDDER (M.D.) associated with Laguna Hills?
Public fields place DR. BRENT RIDDER (M.D.) around Laguna Hills, California. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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