NOAH RIDINGS CONVERSE (DO) – Neurological Surgery Physician, NPI 1073749644

NOAH RIDINGS CONVERSE (DO) is a healthcare provider. based in Fort walton beach, Florida. specializing in NEUROSURGERY. They hold the professional credentials DO. They hold a License No. OS13347 (FL). The NPI Number for NOAH RIDINGS CONVERSE (DO) is 1073749644

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
NOAH RIDINGS CONVERSE (DO)
NPI
1073749644
Phone
(850) 863-3463
Address
1032 MAR WALT DR UNIT 250
Enumeration Date
9 June 2009
Last Update Date
23 February 2026

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
8506269626
Graduation Year
2009 (17 years ago)
PAC ID
3476792516
Group Practice PAC ID
9638215734
Professional Enrollment ID
I20150817002139
Address ID
FL325032254PE125XXWAYX307

Contacts

Secure Messaging
NOAH.CONVERSE@hca5.eclinicaldirectplus.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness95
Years active:16State licenses:1Other names

567 NEUROSURGERY in FL

Provider Addresses for NOAH RIDINGS CONVERSE (DO)

  • 1032 MAR WALT DR UNIT 250

    FORT WALTON BEACH, FL 325476663

    Phone: (850) 863-3463

    Fax: (850) 315-6051

    Type: Mailing

  • PO BOX 95590

    SOUTH JORDAN, UT 840950590

    Phone: (801) 784-0954

    Fax: (801) 352-7976

    Type: Mailing

  • 125 BAPTIST WAY STE 4C

    PENSACOLA, FL 325032274

    Phone: (448) 227-6320

    Type: Location

  • 123 Baptist Way

    Pensacola, FL 325032254

    Phone: (448) 227-8478

    Fax: (448) 227-2100

    Type: Location

  • PO BOX 3810

    JOPLIN, MO 648033810

    Phone: (417) 347-4662

    Fax: (417) 347-9172

    Type: Mailing

  • 3401 MCINTOSH CIR STE 100

    JOPLIN, MO 648043651

    Phone: (417) 347-7200

    Fax: (417) 347-7236

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $116.

Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.

Last reported payment date: 2024-09-30 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($73).

Total Amount

$116

General + Research + Ownership

Payments

2

Total payment records

General Amount

$116

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-30

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-10-20

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
I20150817002139INeurosurgeryFLTBD
I20231020001621INeurosurgeryMOTBD

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 minutes5347$0
99204New patient office or other outpatient visit, 45-59 minutes3939$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3015$0
99213Established patient office or other outpatient visit, 20-29 minutes2725$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 32547)

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Provider's Procedures

NOAH RIDINGS CONVERSE (DO) performs procedures in NEUROSURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEUROSURGERYFL63048Partial removal of spine bone with release of spinal cord and/or nerves3022

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: 9638215734View full group profile

Reviews

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Frequently asked questions

What is the standard ID for NOAH RIDINGS CONVERSE (DO) in the U.S.?
In the U.S., NOAH RIDINGS CONVERSE (DO) is identified by NPI 1073749644.
Is NOAH RIDINGS CONVERSE (DO)'s NPI status active today?
Active status means NOAH RIDINGS CONVERSE (DO)'s NPI record is not deactivated in the public file.
How should patients interpret NOAH RIDINGS CONVERSE (DO)'s specialty?
The extract shows Neurological Surgery Physician for NOAH RIDINGS CONVERSE (DO). Clinical services aligned with this taxonomy classification.
Is NOAH RIDINGS CONVERSE (DO) tied to Fort Walton Beach, Florida?
If you are local to Fort Walton Beach, Florida, NOAH RIDINGS CONVERSE (DO) may be relevant to your search.
Who maintains NOAH RIDINGS CONVERSE (DO)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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