ANNE T RIORDAN (MD) – Dermatology Physician, NPI 1609985290
Dermatology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
337 DERMATOLOGY in MO
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Provider Addresses for ANNE T RIORDAN (MD)
801, York Street, Manitowoc, Manitowoc County, Wisconsin, 54220, United States
MANITOWOC, WI 542204630
Phone: (920) 663-9016
Fax: (920) 684-1439
Type: Mailing
16516, Manchester Road, Wildwood, Saint Louis County, Missouri, 63040, United States
WILDWOOD, MO 630401217
Phone: (636) 458-8400
Fax: (636) 458-8404
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 65 Open Payments records for all available years, with a total value of $1,914.
Total Amount is formed as General ($1,914) + Research ($0) + Ownership ($0) = $1,914.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($479).
Total Amount
$1,914
General + Research + Ownership
Payments
65
Total payment records
General Amount
$1,914
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $479 |
| Galderma Laboratories, L.P. | $320 |
| Amgen Inc. | $197 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $156 |
| ABBVIE INC. | $140 |
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: 2006-01-11
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 |
|---|---|---|---|---|
| I20060111000687 | I | Dermatology | MO | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,028 | 157 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 486 | 328 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 279 | 211 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 202 | 164 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 164 | 135 | $0 |
Insurance plans in this area (ZIP 54220)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Micrographic Dermatologic Surgery (Mds), Dermatology | MO | |
| D E R M A T O L O G Y | MO | |
| D E R M A T O L O G Y | CA | |
| Nurse Practitioner | MO | |
| D E R M A T O L O G Y | MO | |
| - | MO | |
| - | MO | |
| Nurse Practitioner | IL | |
| D E R M A T O L O G Y | MO | |
| - | MO |
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