TANYA NICOLE RIDDLE (M.D.) – Dermatology Physician, NPI 1497010250

TANYA NICOLE RIDDLE (M.D.) is a healthcare provider. based in Castle rock, Colorado. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. DR.0059031 (CO). The NPI Number for TANYA NICOLE RIDDLE (M.D.) is 1497010250

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
TANYA NICOLE RIDDLE (M.D.)
NPI
1497010250
Phone
(303) 761-7797
Address
2356 Meadows Blvd Ste 340
Enumeration Date
9 July 2012
Last Update Date
20 May 2019

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
4062949515
Graduation Year
2011 (15 years ago)
PAC ID
0345554721
Group Practice PAC ID
1951718170
Professional Enrollment ID
I20200608001242
Address ID
WY824013531WO400XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

364 DERMATOLOGY in CO

Provider Addresses for TANYA NICOLE RIDDLE (M.D.)

  • 2356 Meadows Blvd Ste 340

    Castle Rock, CO 801098410

    Phone: (303) 761-7797

    Fax: (303) 789-2995

    Type: Location

  • 1001 E Johnson St

    Holyoke, CO 807341854

    Phone: (303) 761-7797

    Fax: (303) 789-2995

    Type: Location

  • 255 S Routt St Ste 350

    Lakewood, CO 802282271

    Phone: (303) 761-7797

    Fax: (303) 789-2995

    Type: Location

  • 1017 W 7th St

    Wray, CO 807581420

    Phone: (303) 761-7797

    Fax: (303) 789-2995

    Type: Location

  • 801 YORK ST

    MANITOWOC, WI 542204630

    Phone: (920) 663-9008

    Fax: (920) 684-1439

    Type: Mailing

  • 3701 S CLARKSON ST STE 400

    ENGLEWOOD, CO 801133960

    Phone: (303) 761-7797

    Fax: (303) 789-2995

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 88 Open Payments records for all available years, with a total value of $1,578.

Total Amount is formed as General ($1,578) + Research ($0) + Ownership ($0) = $1,578.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($745).

Total Amount

$1,578

General + Research + Ownership

Payments

88

Total payment records

General Amount

$1,578

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2020-06-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200505000493IDermatologyMTTBD
I20200608001242IDermatologyWYTBD

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
J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg35,600134$0
88305Pathology examination of tissue using a microscope, intermediate complexity1,030681$0
17003Destruction of precancer skin growth, 2-14 growths907209$0
99213Established patient office or other outpatient visit, 20-29 minutes513425$0
99214Established patient office or other outpatient visit, 30-39 minutes441338$0
View full utilization report →

Insurance plans in this area (ZIP 80109)

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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: 1951718170View full group profile
NameSpecialtyState
Physician AssistantIN
Physician AssistantND
Physician AssistantCA

Reviews

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Frequently asked questions

What unique ID ties claims to TANYA NICOLE RIDDLE (M.D.)?
NPI 1497010250 is assigned to TANYA NICOLE RIDDLE (M.D.) under the national enumeration system.
Is TANYA NICOLE RIDDLE (M.D.) active in the national directory?
TANYA NICOLE RIDDLE (M.D.)'s public NPI profile is in an active state.
Does TANYA NICOLE RIDDLE (M.D.) list a primary specialty?
If you are matching referrals, note Dermatology Physician for TANYA NICOLE RIDDLE (M.D.). Clinical services aligned with this taxonomy classification.
Where is TANYA NICOLE RIDDLE (M.D.)'s primary listing?
We display Castle Rock, Colorado because that is what the record indicates for TANYA NICOLE RIDDLE (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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