TIM R RIDDER (OD) – Optometrist, NPI 1790752574

TIM R RIDDER (OD) is a healthcare provider. based in Wichita, Kansas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 13853 (KS). The NPI Number for TIM R RIDDER (OD) is 1790752574

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
TIM R RIDDER (OD)
NPI
1790752574
Phone
(316) 636-2010
Address
1851 N WEBB RD
Enumeration Date
1 March 2006
Last Update Date
5 December 2013

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
6206638700
Graduation Year
1992 (34 years ago)
PAC ID
0547274458
Group Practice PAC ID
7113321498
Professional Enrollment ID
I20060131000297
Address ID
KS675023479HU2701XSTXX400
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

532 OPTOMETRY in KS

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Provider Addresses for TIM R RIDDER (OD)

  • North Webb Road, Wichita, Sedgwick County, Kansas, 67206, United States

    ATTN FLR2

    WICHITA, KS 672063413

    Phone: (316) 636-2010

    Fax: (316) 858-3830

    Type: Mailing

  • 2701, North Main Street, Hutchinson, Reno County, Kansas, 67502, United States

    HUTCHINSON, KS 675023479

    Phone: (620) 663-8700

    Fax: (620) 663-8713

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $1,565.

Total Amount is formed as General ($1,565) + Research ($0) + Ownership ($0) = $1,565.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: BIOTISSUE HOLDINGS INC. ($284).

Total Amount

$1,565

General + Research + Ownership

Payments

24

Total payment records

General Amount

$1,565

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

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: 2006-01-31

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
I20060131000297IOptometryKSTBD

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 system461457$0
99214Established patient office or other outpatient visit, 30-39 minutes416407$0
99213Established patient office or other outpatient visit, 20-29 minutes279222$0
92134Imaging of retina9786$0
92083Exam of visual field with extended testing8277$0
View full utilization report →

Insurance plans in this area (ZIP 67206)

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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: 7113321498View full group profile
NameSpecialtyState
O P T O M E T R YKS
O P T O M E T R YKS
O P T O M E T R YKS
O P T O M E T R YKS
O P T O M E T R YKS
O P T O M E T R YKS
O P T O M E T R YKS
O P T O M E T R YKS
O P T O M E T R YKS
O P T O M E T R YKS

Reviews

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Frequently asked questions

What is the standard ID for TIM R RIDDER (OD) in the U.S.?
In the U.S., TIM R RIDDER (OD) is identified by NPI 1790752574.
Quick check: is TIM R RIDDER (OD) active?
Public NPPES data shows TIM R RIDDER (OD) with an active NPI status right now.
Which specialty label fits TIM R RIDDER (OD)?
NPPES ties TIM R RIDDER (OD) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is TIM R RIDDER (OD) tied to Wichita, Kansas?
If you are local to Wichita, Kansas, TIM R RIDDER (OD) may be relevant to your search.
Who maintains TIM R RIDDER (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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