MR. DAVID ROBERT RIEDEL (MD) – Gastroenterology Physician, NPI 1073505004
Gastroenterology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. DAVID ROBERT RIEDEL (MD)
670, Mason Ridge Center Drive, Town and Country, Saint Louis County, Missouri, 63141, United States
STE 300
SAINT LOUIS, MO 631418573
Phone: (618) 462-3200
Fax: (618) 463-5003
Type: Mailing
3550, College Avenue, Milton, Alton, Madison County, Illinois, 62002, United States
SUITE B
ALTON, IL 620025008
Phone: (618) 462-3200
Fax: (618) 463-5003
Type: Location
3550 College Ave
Suite B
Alton, IL 620025008
Phone: (618) 462-3200
Fax: (618) 463-5003
Type: Location
4 MEMORIAL DR STE 230
ALTON, IL 620026704
Phone: (618) 463-7874
Fax: (618) 463-7846
Type: Mailing
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 $37.
Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.
Last reported payment date: 2023-07-27 • Largest payer in this snapshot: ABBVIE INC. ($19).
Total Amount
$37
General + Research + Ownership
Payments
2
Total payment records
General Amount
$37
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $19 |
| Janssen Biotech, Inc. | $18 |
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: 2009-11-18
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 |
|---|---|---|---|---|
| I20091118000600 | I | Gastroenterology | IL | 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 |
|---|---|---|---|---|
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 128 | 128 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 70 | 70 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 68 | 58 | $0 |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 56 | 56 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 46 | 46 | $0 |
Insurance plans in this area (ZIP 63141)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Family Practice | IL | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| G A S T R O E N T E R O L O G Y | GA | |
| Physician Assistant | IL | |
| Gastroenterology, Gastroenterology, Internal Medicine | OH | |
| Nurse Practitioner | IL |
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