DR. ANDREW JEROME RIDDLE (DO) – Hematology & Oncology Physician, NPI 1215059670
Hematology & Oncology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
476 HEMATOLOGY/ONCOLOGY in MI
Provider Addresses for DR. ANDREW JEROME RIDDLE (DO)
2513 MOMENTUM PL
CHICAGO, IL 606895325
Phone: (231) 935-6080
Fax: (231) 935-6081
Type: Mailing
14700 Lake Shore Dr
Charlevoix, MI 497201931
Phone: (231) 547-4024
Type: Location
8881 M 119
Harbor Springs, MI 497409816
Phone: (231) 487-2270
Type: Location
1105 SIXTH ST
TRAVERSE CITY, MI 496842345
Phone: (231) 935-5000
Type: Mailing
217 S MADISON STREET
TRAVERSE, MI 49684
Phone: (231) 392-8400
Fax: (231) 935-7888
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2012-11-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121107000119 | I | Hematology/Oncology | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 254 | 123 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 125 | 99 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 48 | 38 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 25 | 25 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 60689)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MI | |
| Family Practice | MI | |
| U R O L O G Y | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Family Practice | MI | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| Physician Assistant | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.