DR. MAL S. RIDDELL D.O.
NPI 1083613210
Family Medicine in Grenada, MS

Active since July 19, 2005PECOS Enrolled
69.83/100
CMS Quality Rating
1300 SUNSET DR, SUITE B, GRENADA, MS 38901(662) 226-6430(662) 226-0018 Get Directions Write a Review

NPPES record last updated: January 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mal S. Riddell D.o. NPPES

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

DR. MAL S. RIDDELL D.O. (NPI 1083613210) is an individual family medicine provider in Grenada, Mississippi, licensed in Mississippi (08590) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083613210
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MAL S. RIDDELLCredential: D.O.
Location Address1300 SUNSET DR, SUITE BGrenada, MS 38901-4086
Mailing AddressPo Box 1263Grenada, MS 38902-1263 · (662) 226-6430 · Fax (662) 226-0018
Fax(662) 226-0018
Sole ProprietorYes
Enumeration DateJuly 19, 2005
Last NPPES UpdateJanuary 6, 2017
NPI 1083613210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MS · 08590
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.
1300 SUNSET DR, Grenada, MS 38901

Other Identifiers 2

Medicaid00018828MS
Medicare UPINB64658MS

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mal S. Riddell D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
56 services12 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.
29 services24 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
24 services18 patients
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.
17 services16 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38901 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

69.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.08
Promoting Interoperability83
Improvement Activities40
Cost48.31

Referred Medical Equipment & Supplies CMS DME claims 18

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
7 suppliers35 claims82 services$6.03 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers13 claims13 services$1.08 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers28 claims55 services$1.95 avg. paid by Medicare
Small volume nonfiltered pneumatic nebulizer, disposable A7004
DME-Other DME · category DE000N
1 supplier13 claims26 services$1.22 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
3 suppliers52 claims52 services$20.49 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier14 claims14 services$783.32 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.

Otolaryngology
1300 SUNSET DR, SUITE R
GRENADA, MS 38901
Internal Medicine (Cardiovascular Disease)
1300 SUNSET DR, STE W
GRENADA, MS 38901
Surgery
1300 SUNSET DR, SUITE R
GRENADA, MS 38901
Nurse Practitioner
1300 SUNSET DR, STE Q
GRENADA, MS 38901
Clinic/Center
1300 SUNSET DR, SUITE U
GRENADA, MS 38901
Physical Therapist
1300 SUNSET DR, STE G
GRENADA, MS 38901
Internal Medicine (Cardiovascular Disease)
1300 SUNSET DR, SUITE W
GRENADA, MS 38901
Nurse Practitioner (Family)
1300 SUNSET DR, STE Q
GRENADA, MS 38901

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 Mal Riddell's NPI number?

The NPI number for Mal Riddell is 1083613210. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Mal Riddell located?

Mal Riddell practices at 1300 Sunset Dr Suite B, Grenada, MS 38901. The listed phone number is (662) 226-6430.

What is Mal Riddell's specialty?

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

Is Mal Riddell enrolled in Medicare?

Yes. Mal Riddell is registered in the Medicare PECOS enrollment system.

What insurance does Mal Riddell accept?

Health plans from Molina Healthcare list Mal Riddell 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.

When was this NPI record last updated?

The NPPES record for Mal Riddell was last updated on January 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.