PHILLIP PATRICK RIDEOUT MD
NPI 1093153116
Surgery - Vascular Surgery in Gainesville, GA

Active since June 11, 2013PECOS EnrolledAccepts Medicare Assignment
82.55/100
CMS Quality Rating
200 S ENOTA DR NE STE 360, GAINESVILLE, GA 30501(770) 219-4000 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 22, 2021, Jul 9, 2020, Jun 14, 2018 (3 updates tracked since 2018).

About Phillip Patrick Rideout Md NPPES

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

PHILLIP PATRICK RIDEOUT MD (NPI 1093153116) is an individual vascular surgery provider in Gainesville, Georgia, licensed in Georgia (73048) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1093153116
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NamePHILLIP PATRICK RIDEOUTCredential: MD
Location Address200 S ENOTA DR NE STE 360Gainesville, GA 30501-3466
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2013
Enumeration DateJune 11, 2013
Last NPPES UpdateJanuary 22, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2021
NPI 1093153116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in GA · 73048
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License 6088 (GA)
200 S ENOTA DR NE STE 360, Gainesville, GA 30501

Secondary Practice Location 1

Location 11924 Alcoa Hwy # U-11Knoxville, TN 37920 · Phone (865) 305-9006

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 and accepts Medicare assignment

Phillip Patrick Rideout 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 ID9133448632
PECOS Enrollment IDI20200720000718
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 29

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 study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
244 services234 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
212 services210 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
154 services149 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.
144 services117 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.
130 services111 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
115 services100 patients

Hospital Affiliations CMS Care Compare 5

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Northeast Georgia Medical Center Habersham

Acute Care Hospitals · Demorest, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110041
Location541 Historic Highway 441-NorthDemorest, GA 30535 · Habersham County
Emergency services Birthing friendly

Ngmc Barrow, LLC

Acute Care Hospitals · Winder, GA
OwnershipProprietary
CMS Certification Number110045
Location316 North Broad StreetWinder, GA 30680 · Barrow County
Emergency services

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Northeast Georgia Medical Center Lumpkin

Acute Care Hospitals · Dahlonega, GA
OwnershipVoluntary non-profit - Other
CMS Certification Number110237
Location495 Highway 400 NorthDahlonega, GA 30533 · Lumpkin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

82.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.14
Promoting Interoperability100
Improvement Activities40
Cost60.7

Referred Medical Equipment & Supplies CMS DME claims 2

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

Pneumatic compressor, segmental home model without calibrated gradient pressure E0651
DME-Other DME · category DE000N
1 supplier13 claims13 services$882.29 avg. paid by Medicare
Segmental pneumatic appliance for use with pneumatic compressor, full leg E0667
DME-Other DME · category DE000N
1 supplier14 claims28 services$311.00 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 10

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

Physician Assistant
200 S ENOTA DR NE STE 360
GAINESVILLE, GA 30501
Physician Assistant
200 S ENOTA DR NE STE 360
GAINESVILLE, GA 30501
Surgery (Vascular Surgery)
200 S ENOTA DR NE STE 360
GAINESVILLE, GA 30501
Nurse Practitioner (Acute Care)
200 S ENOTA DR NE STE 360
GAINESVILLE, GA 30501
Nurse Practitioner (Gerontology)
200 S ENOTA DR NE STE 360
GAINESVILLE, GA 30501
Physician Assistant (Surgical)
200 S ENOTA DR NE STE 360
GAINESVILLE, GA 30501
Physician Assistant (Surgical)
200 S ENOTA DR NE STE 360
GAINESVILLE, GA 30501
Physician Assistant (Medical)
200 S ENOTA DR NE STE 360
GAINESVILLE, GA 30501

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 Phillip Rideout's NPI number?

The NPI number for Phillip Rideout is 1093153116. It was assigned to this individual provider in the NPPES registry on June 11, 2013.

Where is Phillip Rideout located?

Phillip Rideout practices at 200 S Enota Dr NE Ste 360, Gainesville, GA 30501. The listed phone number is (770) 219-4000.

What is Phillip Rideout's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Phillip Rideout enrolled in Medicare?

Yes. Phillip Rideout 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 Phillip Rideout accept?

Health plans from Alliant Health Plans, Inc. list Phillip Rideout 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 Phillip Rideout affiliated with any hospitals?

According to CMS data, Phillip Rideout is affiliated with Northeast Georgia Medical Center, Inc, Northeast Georgia Medical Center Habersham, Ngmc Barrow, LLC, Northside Hospital and Northeast Georgia Medical Center Lumpkin.

When was this NPI record last updated?

The NPPES record for Phillip Rideout was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.