TERRI LEA RIDDIFORD (MD) – Family Medicine Physician, NPI 1649279498

TERRI LEA RIDDIFORD (MD) is a healthcare provider. based in Dayton, Ohio. specializing in GENERAL PRACTICE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 35064414 (OH). The NPI Number for TERRI LEA RIDDIFORD (MD) is 1649279498

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
TERRI LEA RIDDIFORD (MD)
NPI
1649279498
Phone
(937) 396-2880
Address
9505 CUTLERS TRCE
Enumeration Date
14 July 2005
Last Update Date
1 November 2024

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
8882029960
Graduation Year
1991 (35 years ago)
PAC ID
9931173911
Group Practice PAC ID
3870992670
Professional Enrollment ID
I20230124002791
Address ID
MI482263282DE607XXSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,034 GENERAL PRACTICE in CA

Provider Addresses for TERRI LEA RIDDIFORD (MD)

  • 9505 CUTLERS TRCE

    DAYTON, OH 454589161

    Phone: (937) 396-2880

    Fax: (937) 395-2205

    Type: Mailing

  • 13280 EVENING CREEK DR S STE 225

    SAN DIEGO, CA 921284664

    Phone: (937) 396-2880

    Fax: (937) 395-2205

    Type: Mailing

  • 8701 Old Troy Pike

    Suite 240

    Huber Heights, OH 454241066

    Phone: (937) 396-2880

    Fax: (937) 396-2205

    Type: Location

  • 8701, Old Troy Pike, Huber Heights, Montgomery County, Ohio, 45424, United States

    SUITE 240

    HUBER HEIGHTS, OH 454241066

    Phone: (937) 396-2880

    Fax: (937) 396-2205

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2024-01-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 12 Medicare enrollment records; no due dates published yet.

Enrollment records

12

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
I20040825000111IFamily PracticeOHTBD
I20230124002791IFamily PracticeMITBD
I20230201000615IFamily PracticeILTBD
I20230419002451IFamily PracticeALTBD
I20230421001950IFamily PracticeWITBD
I20230422000075IFamily PracticeLATBD
I20230606000592IFamily PracticeTXTBD
I20230911003735IFamily PracticeFLTBD
I20231002000487IFamily PracticeNYTBD
I20231004002691IFamily PracticePATBD
I20231101001440IGeneral PracticeDCTBD
I20240102004128IFamily PracticeCATBD

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
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month1,324392$0
99458Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes1,187227$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes1,132279$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days894240$0
99203New patient office or other outpatient visit, 30-44 minutes441441$0
View full utilization report →

Insurance plans in this area (ZIP 45458)

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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: 3870992670View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerOK
Nurse PractitionerNY
Nurse PractitionerCT
Nurse PractitionerKY
Nurse PractitionerCA
Nurse PractitionerTX

Reviews

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Frequently asked questions

Where can patients find TERRI LEA RIDDIFORD (MD)'s NPI?
You can confirm TERRI LEA RIDDIFORD (MD) with NPI 1649279498; it appears in the national provider directory.
Is TERRI LEA RIDDIFORD (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does TERRI LEA RIDDIFORD (MD) work in?
You can think of TERRI LEA RIDDIFORD (MD) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for TERRI LEA RIDDIFORD (MD)?
The page summarizes Dayton, Ohio for TERRI LEA RIDDIFORD (MD); expand the address list for detail.
What if Dayton, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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