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JUSTIN WILLIAM RIEDERER MD
NPI 1073140281
Family Medicine in Asheville, NC

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
123 HENDERSONVILLE RD, ASHEVILLE, NC 28803(828) 257-4730(828) 257-4738 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Justin William Riederer Md NPPES

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

JUSTIN WILLIAM RIEDERER MD (NPI 1073140281) is an individual family medicine provider in Asheville, North Carolina, licensed in North Carolina (2021-03188) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1073140281
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJUSTIN WILLIAM RIEDERERCredential: MD
Location Address123 HENDERSONVILLE RDAsheville, NC 28803-2868
Mailing Address123 Hendersonville RdAsheville, NC 28803-2868 · (828) 257-4730 · Fax (828) 257-4738
Phone(828) 257-4730
Fax(828) 257-4738
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 26, 2020
Last NPPES UpdateNovember 30, 2023
NPPES CertifiedNovember 30, 2023
✔ NPI 1073140281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2021-03188
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.
123 HENDERSONVILLE RD, Asheville, NC 28803
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin William Riederer 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 ID9133540594
PECOS Enrollment IDI20230825000147
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 Justin Riederer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mountain Area Health Education Center, Inc.
Same address
Federally Qualified Health Center (FQHC)
123 HENDERSONVILLE RD
Asheville, NC 28803
  • Reassigned Medicare billing, North Carolina enrollment
  • 215 clinicians in this Medicare group
NPI 1093879363 (828) 252-4290

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
47 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
28 services14 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
14 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28803 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

93.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.23
Promoting Interoperability100
Improvement Activities40

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.

ALEXANDER STEFAN GOGGINS
Student in an Organized Health Care Education/Training Program
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Buncombe County (828) 771-3545
ALAN SOL BAUMGARTEN MD
Family Medicine
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Buncombe County (828) 257-4730
JULIE M BASS RANSOM PA-C
Physician Assistant
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Buncombe County (828) 257-4730
VALERIE LYN KRALL LCMHC
Counselor (Mental Health)
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Buncombe County (828) 257-4730
ELLIE SEAN HARTYE PA
Physician Assistant
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Buncombe County (828) 771-3500
GABRIELA DIAZ MCGINN LCMHCA, LCASA
Counselor (Mental Health)
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Buncombe County (828) 257-4730
ANDREA MARIA HODAPP MD
Student in an Organized Health Care Education/Training Program
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Buncombe County (828) 407-2415
DR. JESSICA ANN KNAPP DO
Family Medicine (Sports Medicine)
123 HENDERSONVILLE RD
ASHEVILLE, NC 28803
Buncombe County (828) 257-4730

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 Justin Riederer's NPI number?

The NPI number for Justin Riederer is 1073140281. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Justin Riederer located?

Justin Riederer practices at 123 Hendersonville Rd, Asheville, NC 28803. The listed phone number is (828) 257-4730.

What is Justin Riederer's specialty?

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

Is Justin Riederer enrolled in Medicare?

Yes. Justin Riederer 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.

Which organization bills Medicare for Justin Riederer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Riederer reassigns Medicare benefits to Mountain Area Health Education Center, Inc. (Asheville, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Riederer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Riederer accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Justin Riederer 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 Justin Riederer affiliated with any hospitals?

According to CMS data, Justin Riederer is affiliated with Memorial Mission Hospital And Asheville Surgery Ce.

When was this NPI record last updated?

The NPPES record for Justin Riederer was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.