1. Home
  2. Directory
  3. West Virginia
  4. Martinsburg
  5. Urology
  6. NPI Profile

DR. JOHN FRANCIS RIORDAN M.D.
NPI 1033381108
Urology in Martinsburg, WV

Active since March 29, 2008PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
880 N TENNESSEE AVE STE 105, MARTINSBURG, WV 25401(304) 596-5757(304) 596-5758 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 7, 2022, Jan 8, 2021 (2 updates tracked since 2021).

About Dr. John Francis Riordan M.d. NPPES

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

DR. JOHN FRANCIS RIORDAN M.D. (NPI 1033381108) is an individual urology provider in Martinsburg, West Virginia, licensed in West Virginia (25963) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1033381108
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. JOHN FRANCIS RIORDANCredential: M.D.
Location Address880 N TENNESSEE AVE STE 105Martinsburg, WV 25401-9401
Mailing Address2500 Foundation WayMartinsburg, WV 25401-9000 · (304) 264-9202 · Fax (304) 264-9042
Phone(304) 596-5757
Fax(304) 596-5758
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 29, 2008
Last NPPES UpdateApril 7, 20222 updates tracked since enumeration
NPPES CertifiedApril 7, 2022
✔ NPI 1033381108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in WV · 25963✔ Licensed in MO · 2008011487
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
880 N TENNESSEE AVE STE 105, Martinsburg, WV 25401
Open in Google Maps ↗

Other Identifiers 3

Other1033381108MO · Medicaid-st. Francis Hospital
Medicaid3810027652WV
OtherE26000017MO · Medicare-st. Francis

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John Francis Riordan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143394908
PECOS Enrollment IDI20140917001414
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.

Areas of Expertise CMS Part B claims 9

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 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.
536 services362 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
109 services109 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
59 services53 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
26 services25 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
19 services19 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510008
Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County
Emergency services Birthing friendly

Jefferson Medical Center

Critical Access Hospitals · Ranson, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511319
Location300 South Preston StreetRanson, WV 25438 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25401 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers11 claims1,470 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers15 claims2,910 services$1.58 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
4 suppliers43 claims8,350 services$5.24 avg. paid by Medicare
Intermittent urinary catheter, with insertion supplies A4353
DME-Orthotic Devices · category DF008N
1 supplier11 claims1,240 services$6.77 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
5 suppliers14 claims32 services$8.50 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 4

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

DR. ERIC J WHITMAN M.D.
Urology
880 N TENNESSEE AVE STE 105
MARTINSBURG, WV 25401
Berkeley County (304) 596-5757
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Psychologist
880 N TENNESSEE AVE STE 105
MARTINSBURG, WV 25401
Berkeley County (304) 264-8603
MRS. KORIE LIPPAI DNP, FNP-C
Nurse Practitioner
880 N TENNESSEE AVE STE 105
MARTINSBURG, WV 25401
Berkeley County (708) 305-2346
WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Obstetrics & Gynecology
880 N TENNESSEE AVE STE 105
MARTINSBURG, WV 25401
Berkeley County (304) 264-8603

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Riordan's NPI number?

The NPI number for John Riordan is 1033381108. It was assigned to this individual provider in the NPPES registry on March 29, 2008.

Where is John Riordan located?

John Riordan practices at 880 N Tennessee Ave Ste 105, Martinsburg, WV 25401. The listed phone number is (304) 596-5757.

What is John Riordan's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is John Riordan enrolled in Medicare?

Yes. John Riordan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Riordan accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list John Riordan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Riordan affiliated with any hospitals?

According to CMS data, John Riordan is affiliated with Berkeley Medical Center and Jefferson Medical Center.

When was this NPI record last updated?

The NPPES record for John Riordan was last updated on April 7, 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.