GLENN A. RIDDER MD
NPI 1003816885
Family Medicine in Sioux Falls, SD

Q: What is Glenn Ridder's NPI number?

The NPI number for Glenn Ridder is 1003816885. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Q: What is Glenn Ridder's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Glenn Ridder was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 22, 2005PECOS Enrolled

76.69/100

CMS Quality Rating

6110 S MINNESOTA AVE, SIOUX FALLS, SD 57108(605) 328-5800(605) 328-5814 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Glenn A. Ridder Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENN A. RIDDER MD (NPI 1003816885) is an individual family medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (3483) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Pipestone County Medical Center, and is a graduate of University Of Nebraska College Of Medicine (1985).

NPPES Registry Identity

NPI1003816885

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameGLENN A. RIDDERCredential: MD

Location Address6110 S MINNESOTA AVESioux Falls, SD 57108-2549

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-9556 · Fax (605) 328-9501

Phone(605) 328-5800

Fax(605) 328-5814

Sole ProprietorNo

Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1985

Enumeration DateJuly 22, 2005

Last NPPES UpdateMarch 31, 2022

NPPES CertifiedMarch 31, 2022

✔ NPI 1003816885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in SD · 3483

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6110 S MINNESOTA AVE, Sioux Falls, SD 57108

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Other Identifiers 1

Medicaid5609275SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glenn A. Ridder Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214078294

PECOS Enrollment IDI20251208002749

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Glenn Ridder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pipestone County Medical Center Avera

40 mi

Obstetrics & Gynecology

920 4TH AVE SW, SUITE 210
Pipestone, MN 56164

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: Pipestone County Medical Center
Also billed through NPI 1598751240 (Minnesota)
71 clinicians in this Medicare group

NPI 1275946485 (507) 825-5811

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

94 services74 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

38 services34 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

36 services36 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Pipestone County Medical Center

Critical Access Hospitals · Pipestone, MN

OwnershipGovernment - Local

CMS Certification Number241374

Location916 4th Avenue SouthwestPipestone, MN 56164 · Pipestone County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$97.88 typical visit price

range $18.08 – $137.08

Typical copayment $24.47 (range $4.52 – $34.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.69/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.56

Promoting Interoperability

Improvement Activities

Cost

44.56

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

16 suppliers68 claims102 services$5.95 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers24 claims24 services$1.09 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

3 suppliers12 claims12 services$35.36 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

3 suppliers11 claims11 services$19.86 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$17.91 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

1 supplier12 claims12 services$88.17 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAITLYN SARAH ISAACSON CNP

Nurse Practitioner (Family)