JOHN RIEDINGER
NPI 1205283546
Psychiatry & Neurology - Neurology in Bismarck, ND

Active since May 17, 2016PECOS EnrolledAccepts Medicare Assignment
83.98/100
CMS Quality Rating
4535 NORTHERN SKY DR, BISMARCK, ND 58503(701) 323-8700 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 29, 2022, Apr 18, 2022, Nov 9, 2021 and 3 more (6 updates tracked since 2016).

About John Riedinger NPPES

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

JOHN RIEDINGER (NPI 1205283546) is an individual neurology provider in Bismarck, North Dakota, licensed in North Dakota (17605) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of University Of North Dakota School Of Medicine (2016).

NPPES Registry Identity

NPI1205283546
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameJOHN RIEDINGER
Location Address4535 NORTHERN SKY DRBismarck, ND 58503-8538
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585 · Fax (605) 312-9802
Sole ProprietorYes
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2016
Enumeration DateMay 17, 2016
Last NPPES UpdateApril 29, 20226 updates tracked since enumeration
NPPES CertifiedApril 29, 2022
NPI 1205283546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in ND · 17605 Licensed in MN · 67329
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 67329 (MN)
4535 NORTHERN SKY DR, Bismarck, ND 58503

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

John Riedinger 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 ID7911291448
PECOS Enrollment IDI20211201000186
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 12

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 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.
82 services68 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
81 services63 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
68 services61 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.
56 services51 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
38 services34 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
23 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Sanford Medical Center Bismarck

Acute Care Hospitals · Bismarck, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350015
Location300 N 7th StBismarck, ND 58506 · Burleigh County
Emergency services Birthing friendly

Smp Health St Aloisius

Critical Access Hospitals · Harvey, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351327
Location325 E Brewster StHarvey, ND 58341 · Wells County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58503 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
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

83.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability99
Improvement Activities40
Cost68.15

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner (Family)
4535 NORTHERN SKY DR
BISMARCK, ND 58503
Registered Nurse (Diabetes Educator)
4535 NORTHERN SKY DR
BISMARCK, ND 58503
Internal Medicine (Rheumatology)
4535 NORTHERN SKY DR
BISMARCK, ND 58503
Family Medicine
4535 NORTHERN SKY DR
BISMARCK, ND 58503
Nurse Practitioner (Family)
4535 NORTHERN SKY DR
BISMARCK, ND 58503
Psychiatry & Neurology (Neurology)
4535 NORTHERN SKY DR
BISMARCK, ND 58503
Internal Medicine (Rheumatology)
4535 NORTHERN SKY DR
BISMARCK, ND 58503
Family Medicine
4535 NORTHERN SKY DR
BISMARCK, ND 58503

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 Riedinger's NPI number?

The NPI number for John Riedinger is 1205283546. It was assigned to this individual provider in the NPPES registry on May 17, 2016.

Where is John Riedinger located?

John Riedinger practices at 4535 Northern Sky Dr, Bismarck, ND 58503. The listed phone number is (701) 323-8700.

What is John Riedinger's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is John Riedinger enrolled in Medicare?

Yes. John Riedinger 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 Riedinger accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and Security Health Plan list John Riedinger 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 Riedinger affiliated with any hospitals?

According to CMS data, John Riedinger is affiliated with Sanford Medical Center Fargo, Sanford Medical Center Bismarck and Smp Health St Aloisius.

When was this NPI record last updated?

The NPPES record for John Riedinger was last updated on April 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.