DR. RODNEY TYSON RIEDEL (MD) – Family Medicine Physician, NPI 1366426405

DR. RODNEY TYSON RIEDEL (MD) is a healthcare provider. based in Maple valley, Washington. specializing in FAMILY PRACTICE, SPORTS MEDICINE. They hold the professional credentials MD. They hold a License No. MD00042699 (WA). The NPI Number for DR. RODNEY TYSON RIEDEL (MD) is 1366426405

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. RODNEY TYSON RIEDEL (MD)
NPI
1366426405
Phone
(425) 656-5577
Address
26458 MAPLE VALLEY BLACK DIAMOND RD SE
Enumeration Date
2 December 2005
Last Update Date
11 December 2017

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
4256565577
Graduation Year
2001 (25 years ago)
PAC ID
4587694021
Group Practice PAC ID
4183753965
Professional Enrollment ID
I20150917001081
Address ID
WA980388350MA26458SEXX700
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

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Provider Addresses for DR. RODNEY TYSON RIEDEL (MD)

  • Valley Medical Center - Maple Valley Clinic, 26458, Maple Valley Black Diamond Road Southeast, Danville, Maple Valley, King County, Washington, 98038, United States

    MAPLE VALLEY, WA 980388350

    Phone: (425) 656-5577

    Fax: (425) 656-5595

    Type: Location

  • PO BOX 34876

    RENTON, WA 98055

    Phone: (425) 656-5412

    Fax: (425) 656-4096

    Type: Mailing

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: 2015-09-17

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
I20150917001081IFamily PracticeWATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes314180$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit148148$0
99213Established patient office or other outpatient visit, 20-29 minutes5043$0
99215Established patient office or other outpatient visit, 40-54 minutes2723$0
View full utilization report →

Insurance plans in this area (ZIP 98038)

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Provider's Procedures

DR. RODNEY TYSON RIEDEL (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEWA20610Aspiration and/or injection of large joint or joint capsule1913

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: 4183753965View full group profile
NameSpecialtyState
Family PracticeWA
Physical Therapist In Private PracticeWA
Internal Medicine, HospitalistWA
P S Y C H I A T R YWA
Hospice/Palliative Care, Internal MedicineWA
Internal Medicine, HospitalistCA
Family PracticeWA
Family Practice, Emergency MedicineWA
-WA
-WA

Reviews

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Frequently asked questions

What number should I use to identify DR. RODNEY TYSON RIEDEL (MD) for billing?
Administrative and clinical systems typically use NPI 1366426405 for DR. RODNEY TYSON RIEDEL (MD).
Is DR. RODNEY TYSON RIEDEL (MD)'s NPI status active today?
Active status means DR. RODNEY TYSON RIEDEL (MD)'s NPI record is not deactivated in the public file.
What type of care does DR. RODNEY TYSON RIEDEL (MD) provide?
DR. RODNEY TYSON RIEDEL (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. RODNEY TYSON RIEDEL (MD)?
DR. RODNEY TYSON RIEDEL (MD) is associated with Maple Valley, Washington in the same public data insurers reference.
Can I export DR. RODNEY TYSON RIEDEL (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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