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DR. PAUL M RIDKER MD
NPI 1063478261
Internal Medicine - Cardiovascular Disease in Boston, MA

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
900 COMMONWEALTH AVE EAST, BRIGHAM AND WOMENS HOSPITAL PREVENTIVE MEDICINE DIV, BOSTON, MA 02215(617) 278-0869 Get Directions Write a Review

NPPES record last updated: July 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul M Ridker Md NPPES

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

DR. PAUL M RIDKER MD (NPI 1063478261) is an individual cardiovascular disease provider in Boston, Massachusetts, licensed in Massachusetts (60007) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Brigham And Women's Hospital, and is a graduate of Harvard Medical School (1986).

NPPES Registry Identity

NPI1063478261
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. PAUL M RIDKERCredential: MD
Location Address900 COMMONWEALTH AVE EAST, BRIGHAM AND WOMENS HOSPITAL PREVENTIVE MEDICINE DIVBoston, MA 02215
Mailing Address900 Commonwealth Ave East, Brigham And Womens Hospital Preventive Medicine DivBoston, MA 02215 · (617) 278-0869
Phone(617) 278-0869
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1986
Enumeration DateApril 25, 2006
Last NPPES UpdateJuly 19, 2012
✔ NPI 1063478261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MA · 60007
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
900 COMMONWEALTH AVE EAST, Boston, MA 02215
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Paul M Ridker Md 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 ID7911944475
PECOS Enrollment IDI20050415000330
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 7

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
224 services217 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
104 services100 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
57 services56 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
25 services22 patients
Ultrasound of heart blood flow, valves and chambers, follow-up 93321
This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.
21 services20 patients
Ultrasound of heart with color-depicted blood flow, rate and valve function 93325
An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.
21 services20 patients

Hospital Affiliations CMS Care Compare

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

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02215 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

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 Paul Ridker's NPI number?

The NPI number for Paul Ridker is 1063478261. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Paul Ridker located?

Paul Ridker practices at 900 Commonwealth Ave East Brigham And Womens Hospital Preventive Medicine Div, Boston, MA 02215. The listed phone number is (617) 278-0869.

What is Paul Ridker's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Paul Ridker enrolled in Medicare?

Yes. Paul Ridker 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 Paul Ridker accept?

Health plans from Anthem Blue Cross and Blue Shield list Paul Ridker 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 Paul Ridker affiliated with any hospitals?

According to CMS data, Paul Ridker is affiliated with Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Paul Ridker was last updated on July 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.