KENNETH D RIDDER (O.D.) – Optometrist, NPI 1790734663

KENNETH D RIDDER (O.D.) is a healthcare provider. based in Highlands ranch, Colorado. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1566 (CO). The NPI Number for KENNETH D RIDDER (O.D.) is 1790734663

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH D RIDDER (O.D.)
NPI
1790734663
Phone
(303) 794-2433
Address
934 COUNTRYBRIAR LN
Enumeration Date
9 May 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3032989410
Graduation Year
1988 (38 years ago)
PAC ID
4082809975
Group Practice PAC ID
7113359415
Professional Enrollment ID
I20101117001286
Address ID
CO802651050DE1050XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

851 OPTOMETRY in CO

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Provider Addresses for KENNETH D RIDDER (O.D.)

  • 934, Countrybriar Lane, Weatherstone, Highlands Ranch, Douglas County, Colorado, 80129, United States

    HIGHLANDS RANCH, CO 801291810

    Phone: (303) 794-2433

    Fax: (303) 751-2020

    Type: Mailing

  • East County Line Road, Centennial, Arapahoe County, Colorado, 80122, United States

    150

    HIGHLANDS RANCH, CO 801292360

    Phone: (303) 794-2433

    Fax: (303) 751-2020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $937.

Total Amount is formed as General ($937) + Research ($0) + Ownership ($0) = $937.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Alcon Vision LLC ($313).

Total Amount

$937

General + Research + Ownership

Payments

29

Total payment records

General Amount

$937

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

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: 2010-11-17

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
I20101117001286IOptometryCOTBD

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
92014Established patient complete exam of visual system8987$0
99213Established patient office or other outpatient visit, 20-29 minutes4436$0
92134Imaging of retina3126$0
92133Imaging of optic nerve1312$0
View full utilization report →

Insurance plans in this area (ZIP 80129)

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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: 7113359415View full group profile
NameSpecialtyState
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YVA
O P T O M E T R YCO
O P T O M E T R YVA

Reviews

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Frequently asked questions

Is there an official ID for KENNETH D RIDDER (O.D.) in U.S. healthcare records?
The official identifier for KENNETH D RIDDER (O.D.) is NPI 1790734663.
Is there an active status for KENNETH D RIDDER (O.D.)?
For scheduling context, KENNETH D RIDDER (O.D.) is shown as active in the registry.
What expertise is attributed to KENNETH D RIDDER (O.D.)?
KENNETH D RIDDER (O.D.)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Is KENNETH D RIDDER (O.D.) located near Highlands Ranch?
KENNETH D RIDDER (O.D.) currently maps to Highlands Ranch, Colorado in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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