DR. ERIC DAVID RIDEMAN (D.O.) – Surgery Physician, NPI 1396057394

DR. ERIC DAVID RIDEMAN (D.O.) is a healthcare provider. based in Lake mary, Florida. specializing in Surgery Physician. They hold the professional credentials D.O.. They hold a License No. OS13629 (FL). The NPI Number for DR. ERIC DAVID RIDEMAN (D.O.) is 1396057394

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. ERIC DAVID RIDEMAN (D.O.)
NPI
1396057394
Phone
(407) 833-9195
Address
4106 W LAKE MARY BLVD STE 330
Enumeration Date
7 July 2010
Last Update Date
23 June 2016

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
4073035214
Graduation Year
2010 (16 years ago)
PAC ID
0749592442
Group Practice PAC ID
0749186153
Professional Enrollment ID
I20160718001540
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for DR. ERIC DAVID RIDEMAN (D.O.)

  • 4106 W LAKE MARY BLVD STE 330

    LAKE MARY, FL 327463383

    Phone: (407) 833-9195

    Fax: (407) 833-9308

    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)

CMS reports 23 Open Payments records for all available years, with a total value of $3,069.

Total Amount is formed as General ($3,069) + Research ($0) + Ownership ($0) = $3,069.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($2,998).

Total Amount

$3,069

General + Research + Ownership

Payments

23

Total payment records

General Amount

$3,069

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

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: 2016-07-18

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
I20160718001540IGeneral SurgeryFLTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes8551$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes8480$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4630$0
99204New patient office or other outpatient visit, 45-59 minutes3737$0
99212Established patient office or other outpatient visit, 10-19 minutes1911$0
View full utilization report →

Insurance plans in this area (ZIP 32746)

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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: 0749186153View full group profile
NameSpecialtyState
H E M A T O L O G YPA
Nurse PractitionerFL
Physician AssistantPA
Physician AssistantFL
-FL
N E U R O S U R G E R YFL
G A S T R O E N T E R O L O G YFL
-FL
-FL
Cardiovascular Disease (Cardiology)VA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. ERIC DAVID RIDEMAN (D.O.)'s NPI?
Yes. DR. ERIC DAVID RIDEMAN (D.O.) is listed with NPI 1396057394 in the public NPI dataset.
Can I rely on DR. ERIC DAVID RIDEMAN (D.O.) being an active provider?
As of the registry snapshot, DR. ERIC DAVID RIDEMAN (D.O.) is marked active.
What is DR. ERIC DAVID RIDEMAN (D.O.)'s primary classification?
Surgery Physician is the headline specialty for DR. ERIC DAVID RIDEMAN (D.O.) here. Clinical services aligned with this taxonomy classification.
Does DR. ERIC DAVID RIDEMAN (D.O.) list a practice location?
Patients near Lake Mary, Florida may find DR. ERIC DAVID RIDEMAN (D.O.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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