KEVIN RIEDEL (OD) – Optometrist, NPI 1609101781

KEVIN RIEDEL (OD) is a healthcare provider. based in Portland, Oregon. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3402ATI (OR). The NPI Number for KEVIN RIEDEL (OD) is 1609101781

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN RIEDEL (OD)
NPI
1609101781
Phone
(503) 558-7372
Address
PO BOX 22009
Enumeration Date
7 October 2009
Last Update Date
20 June 2023

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5032310166
Graduation Year
2011 (15 years ago)
PAC ID
3779755178
Group Practice PAC ID
9234039926
Professional Enrollment ID
I20111006000808
Address ID
OR972132984PO5050XSTXX406
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

672 OPTOMETRY in OR

Provider Addresses for KEVIN RIEDEL (OD)

  • PO BOX 22009

    PORTLAND, OR 972692009

    Phone: (503) 558-7372

    Fax: (503) 344-5140

    Type: Mailing

  • 5050 NE HOYT ST STE 445

    PORTLAND, OR 972132984

    Phone: (503) 231-0166

    Fax: (503) 231-2720

    Type: Location

  • 9 Monroe Pkwy Ste 160

    Lake Oswego, OR 970358863

    Phone: (503) 636-2551

    Type: Location

  • South Macadam Avenue, Portland, Metro, Multnomah County, Oregon, 97202, United States

    PORTLAND, OR 972393517

    Phone: (503) 244-8601

    Type: Mailing

  • Southwest 65th Avenue, Tualatin, Metro, Washington County, Oregon, 97062, United States

    TUALATIN, OR 97062

    Phone: (503) 692-3630

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $243.

Total Amount is formed as General ($243) + Research ($0) + Ownership ($0) = $243.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Thea Pharma Inc. ($63).

Total Amount

$243

General + Research + Ownership

Payments

14

Total payment records

General Amount

$243

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

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: 2011-10-06

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
I20111006000808IOptometryORTBD

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 system9797$0
92012Established patient problem focused exam of visual system4645$0
92004New patient complete exam of visual system3737$0
99213Established patient office or other outpatient visit, 20-29 minutes1717$0
92134Imaging of retina1111$0
View full utilization report →

Insurance plans in this area (ZIP 97269)

Loading plans...

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: 9234039926View full group profile
NameSpecialtyState
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YWA
O P T O M E T R YOR
O P T O M E T R YOR
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YCA
-OR
O P H T H A L M O L O G YOR
-OR
O P H T H A L M O L O G YOR

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.

Frequently asked questions

How do I look up KEVIN RIEDEL (OD) by NPI?
Use NPI 1609101781 when you need to reference KEVIN RIEDEL (OD) in forms, claims, or directories.
Does this profile mean KEVIN RIEDEL (OD) is currently active?
Yes — KEVIN RIEDEL (OD) appears active in the national provider directory.
Does KEVIN RIEDEL (OD) list a primary specialty?
If you are matching referrals, note Optometrist for KEVIN RIEDEL (OD). Clinical services aligned with this taxonomy classification.
What location shows for KEVIN RIEDEL (OD)?
We surface Portland, Oregon for KEVIN RIEDEL (OD) based on available NPPES addresses.
Is KEVIN RIEDEL (OD) a real provider?
This page reflects official NPPES data for NPI 1609101781. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

Moreland Vision Source, 6539, Southeast Milwaukie Avenue, Westmoreland, Sellwood-Moreland, Portland, Metro, Multnomah County, Oregon, 97202, United States
NPI: 1164425948
Northwest Outpatient Medical Center, 10330, Meridian Avenue North, Northgate, Seattle, King County, Washington, 98133, United States
NPI: 1821097056
PO BOX 6989
NPI: 1679572812

Northwest Eye Surgeons

Ophthalmology Physician
PO BOX 6989
NPI: 1487654331

Northwest Eye Surgeons

Ophthalmology Physician
PO BOX 6989
NPI: 1689674517

Northwest Eye Surgeons

Ophthalmology Physician
PO BOX 6989
NPI: 1275533127
South Macadam Avenue, Portland, Metro, Multnomah County, Oregon, 97202, United States
NPI: 1346242997
South Macadam Avenue, Portland, Metro, Multnomah County, Oregon, 97202, United States
NPI: 1639171135

Northwest Eye Surgeons

Ophthalmology Physician
PO BOX 6989
NPI: 1134121593