DR. TRACY LYNNE RIDDLE (D.O.) – Physical Medicine & Rehabilitation Physician, NPI 1669594024
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
565 PHYSICAL MEDICINE AND REHABILITATION in MI
Provider Addresses for DR. TRACY LYNNE RIDDLE (D.O.)
3988 W ROYAL DR
TRAVERSE CITY, MI 496849200
Phone: (231) 935-0860
Fax: (231) 935-0930
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 21 Open Payments records for all available years, with a total value of $631.
Total Amount is formed as General ($631) + Research ($0) + Ownership ($0) = $631.
Last reported payment date: 2024-08-28 • Largest payer in this snapshot: ABBVIE INC. ($348).
Total Amount
$631
General + Research + Ownership
Payments
21
Total payment records
General Amount
$631
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $348 |
| SI-BONE, INC. | $198 |
| PIRAMAL CRITICAL CARE | $44 |
| Stryker Corporation | $42 |
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: 2010-11-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101118000309 | I | Physical Medicine And Rehabilitation | 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 |
|---|---|---|---|---|
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 1,135 | 77 | $0 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 537 | 119 | $0 |
| 27096 | Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 160 | 70 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 126 | 57 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 126 | 40 | $0 |
Insurance plans in this area (ZIP 49684)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Pain Management, Physical Medicine And Rehabilitation | MI | |
| Physical Medicine And Rehabilitation | MI | |
| Physical Medicine And Rehabilitation | MI |
Reviews
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