DR. ANDREW JEROME RIDDLE DO
NPI 1215059670
Internal Medicine - Hematology & Oncology in Traverse, MI

Active since April 05, 2007PECOS EnrolledAccepts Medicare Assignment
217 S MADISON STREET, TRAVERSE, MI 49684(231) 392-8400(231) 935-7888 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 15, 2025, Dec 29, 2020, Aug 16, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Andrew Jerome Riddle Do NPPES

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

DR. ANDREW JEROME RIDDLE DO (NPI 1215059670) is an individual hematology & oncology provider in Traverse, Michigan, licensed in Michigan (5101016771) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Cadillac Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1215059670
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. ANDREW JEROME RIDDLECredential: DO
Location Address217 S MADISON STREETTraverse, MI 49684
Mailing Address1105 Sixth StTraverse City, MI 49684-2345 · (231) 935-5000
Fax(231) 935-7888
Sole ProprietorYes
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2006
Enumeration DateApril 5, 2007
Last NPPES UpdateAugust 15, 20254 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
✔ NPI 1215059670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in MI · 5101016771
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
217 S MADISON STREET, Traverse, MI 49684

Secondary Practice Locations 2

Location 114700 Lake Shore DrCharlevoix, MI 49720-1931 · Phone (231) 547-4024
Location 28881 M 119Harbor Springs, MI 49740-9816 · Phone (231) 487-2270

Accepted 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

Dr. Andrew Jerome Riddle Do 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 ID8527219286
PECOS Enrollment IDI20121107000119
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 Reassignments

3

Medicare enrollment records show Andrew Riddle reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hematology & Oncology
217 S MADISON STREET, STE 2
Traverse City, MI 49684
  • Reassigned Medicare billing, Michigan enrollment
  • 492 clinicians in this Medicare group
Psychiatry
1105 SIXTH ST STE D6
Traverse City, MI 49684
  • Reassigned Medicare billing, Michigan enrollment
  • 156 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
14734 PARK AVE
Charlevoix, MI 49720
  • Reassigned Medicare billing, Michigan enrollment
  • 96 clinicians in this Medicare group

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.

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.
155 services93 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.
49 services44 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.
17 services17 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Munson Healthcare Cadillac Hospital

Acute Care Hospitals · Cadillac, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230081
Location400 Hobart StCadillac, MI 49601 · Wexford County
Emergency services Birthing friendly

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Paul Oliver Memorial Hospital

Critical Access Hospitals · Frankfort, MI
OwnershipGovernment - Local
CMS Certification Number231300
Location224 Park AvenueFrankfort, MI 49635 · Benzie County
Emergency services

Kalkaska Memorial Health Center

Critical Access Hospitals · Kalkaska, MI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number231301
Location419 S CoralKalkaska, MI 49646 · Kalkaska County
Emergency services

Charlevoix Area Hospital

Critical Access Hospitals · Charlevoix, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number231322
Location14700 Lakeshore DriveCharlevoix, MI 49720 · Charlevoix County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers14 claims1,456 services$0.83 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
4 suppliers13 claims13 services$12.57 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 15

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

Internal Medicine (Hematology & Oncology)
217 S MADISON STREET, STE 2
TRAVERSE CITY, MI 49684
Nurse Practitioner (Family)
217 S MADISON STREET
TRAVERSE CITY, MI 49684
Internal Medicine (Hematology & Oncology)
217 S MADISON STREET
TRAVERSE CITY, MI 49684
Internal Medicine (Hematology & Oncology)
217 S MADISON STREET
TRAVERSE CITY, MI 49684
Nurse Practitioner (Adult Health)
217 S MADISON STREET
TRAVERSE CITY, MI 49684
Nurse Practitioner
217 S MADISON STREET
TRAVERSE CITY, MI 49684
Nurse Practitioner (Adult Health)
217 S MADISON STREET
TRAVERSE CITY, MI 49684
Internal Medicine (Hematology & Oncology)
217 S MADISON STREET
TRAVERSE CITY, MI 49684

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 Andrew Riddle's NPI number?

The NPI number for Andrew Riddle is 1215059670. It was assigned to this individual provider in the NPPES registry on April 5, 2007.

Where is Andrew Riddle located?

Andrew Riddle practices at 217 S Madison Street, Traverse, MI 49684. The listed phone number is (231) 392-8400.

What is Andrew Riddle's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Andrew Riddle enrolled in Medicare?

Yes. Andrew Riddle 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 organizations bill Medicare for Andrew Riddle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Riddle reassigns Medicare benefits to 3 organizations: Munson Medical Center (Traverse City, MI), Munson Healthcare Cadillac (Traverse City, MI) and Munson Healthcare Charlevoix Hospital (Charlevoix, MI). Each 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 Andrew Riddle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Riddle accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Andrew Riddle 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 Andrew Riddle affiliated with any hospitals?

According to CMS data, Andrew Riddle is affiliated with Munson Healthcare Cadillac Hospital, Munson Medical Center, Paul Oliver Memorial Hospital, Kalkaska Memorial Health Center and Charlevoix Area Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Riddle was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.