DR. DUSTIN DAVID RIDDLE (DC,DPM,MHA) – Chiropractor, NPI 1972617629

DR. DUSTIN DAVID RIDDLE (DC,DPM,MHA) is a healthcare provider. based in Appleton, Wisconsin. specializing in PODIATRY. They hold the professional credentials DC,DPM,MHA. They hold a License No. 3880-012 (WI). The NPI Number for DR. DUSTIN DAVID RIDDLE (DC,DPM,MHA) is 1972617629

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. DUSTIN DAVID RIDDLE (DC,DPM,MHA)
NPI
1972617629
Phone
Not provided
Address
W2654 COUNTY ROAD KK
Enumeration Date
19 August 2006
Last Update Date
26 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4064542171
Graduation Year
2015 (11 years ago)
PAC ID
9638270697
Group Practice PAC ID
8325944499
Professional Enrollment ID
I20200214001677
Address ID
MT594055240GR3000XSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

1,038 PODIATRY in IL

Provider Addresses for DR. DUSTIN DAVID RIDDLE (DC,DPM,MHA)

  • Valley Road, Appleton, Winnebago County, Wisconsin, 54915, United States

    APPLETON, WI 549159468

    Phone:

    Type: Mailing

  • 2900 N Lake Shore Dr

    Chicago, IL 606575640

    Phone: (414) 687-5432

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $13,027.

Total Amount is formed as General ($13,027) + Research ($0) + Ownership ($0) = $13,027.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: MedShape, Inc. ($7,460).

Total Amount

$13,027

General + Research + Ownership

Payments

20

Total payment records

General Amount

$13,027

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

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: 2020-02-14

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
I20200214001677IPodiatryMTTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes496266$0
11721Removal of fingernails or toenails, 6 or more nails256103$0
J1100Injection, dexamethasone sodium phosphate, 1 mg22219$0
99203New patient office or other outpatient visit, 30-44 minutes219219$0
99214Established patient office or other outpatient visit, 30-39 minutes9474$0
View full utilization report →

Insurance plans in this area (ZIP 54915)

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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: 8325944499View full group profile
NameSpecialtyState
Internal Medicine, GastroenterologyUT
Nurse PractitionerMT
O P H T H A L M O L O G YPA
-MT
Nurse PractitionerMT
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology)MT
Internal Medicine, Internal Medicine, Infectious Disease, Infectious DiseaseNM
U R O L O G YMT
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
-MT

Reviews

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Frequently asked questions

What identifier follows DR. DUSTIN DAVID RIDDLE (DC,DPM,MHA) across health systems?
The NPI 1972617629 uniquely identifies DR. DUSTIN DAVID RIDDLE (DC,DPM,MHA) in U.S. healthcare data.
Quick check: is DR. DUSTIN DAVID RIDDLE (DC,DPM,MHA) active?
Public NPPES data shows DR. DUSTIN DAVID RIDDLE (DC,DPM,MHA) with an active NPI status right now.
What type of care does DR. DUSTIN DAVID RIDDLE (DC,DPM,MHA) provide?
DR. DUSTIN DAVID RIDDLE (DC,DPM,MHA)'s profile centers on Chiropractor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. DUSTIN DAVID RIDDLE (DC,DPM,MHA)?
DR. DUSTIN DAVID RIDDLE (DC,DPM,MHA) is associated with Appleton, Wisconsin in the same public data insurers reference.
Why is information missing for DR. DUSTIN DAVID RIDDLE (DC,DPM,MHA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.