JEFFREY THOMAS RIORDEN FNP
NPI 1235623554
Nurse Practitioner - Family in Fayetteville, NC

Active since June 20, 2018PECOS EnrolledAccepts Medicare Assignment
78.91/100
CMS Quality Rating
405 OWEN DR, FAYETTEVILLE, NC 28304(910) 323-3183 Get Directions Write a Review

NPPES record last updated: June 26, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 26, 2018, Jun 20, 2018 (2 updates tracked since 2018).

About Jeffrey Thomas Riorden Fnp NPPES

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

JEFFREY THOMAS RIORDEN FNP (NPI 1235623554) is an individual family provider in Fayetteville, North Carolina, licensed in North Carolina (5010625) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Firsthealth Moore Regional Hospital, and is a graduate of Duke University School Of Medicine.

NPPES Registry Identity

NPI1235623554
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJEFFREY THOMAS RIORDENCredential: FNP
Location Address405 OWEN DRFayetteville, NC 28304
Mailing Address405 Owen DrFayetteville, NC 28304-3411 · (984) 234-2369
Sole ProprietorNo
Medical School CMSDuke University School Of Medicine
Enumeration DateJune 20, 2018
Last NPPES UpdateJune 26, 20182 updates tracked since enumeration
NPI 1235623554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 5010625
405 OWEN DR, Fayetteville, NC 28304

Other Identifiers 1

Medicaid1215996103NC

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

Jeffrey Thomas Riorden Fnp 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 ID3870841125
PECOS Enrollment IDI20180802003791
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 13

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.
230 services196 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
57 services57 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
50 services12 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
48 services24 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
45 services45 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
34 services32 patients

Hospital Affiliations CMS Care Compare

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

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 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.

78.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.01
Promoting Interoperability98
Improvement Activities40
Cost57.38

Other Providers at the Same Location NPPES 16

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

Family Medicine
405 OWEN DR
FAYETTEVILLE, NC 28304
Nurse Practitioner (Family)
405 OWEN DR
FAYETTEVILLE, NC 28304
Family Medicine
405 OWEN DR
FAYETTEVILLE, NC 28304
Physician Assistant
405 OWEN DR
FAYETTEVILLE, NC 28304
Family Medicine
405 OWEN DR
FAYETTEVILLE, NC 28304
Physician Assistant
405 OWEN DR
FAYETTEVILLE, NC 28304
Physician Assistant
405 OWEN DR
FAYETTEVILLE, NC 28304
Family Medicine
405 OWEN DR
FAYETTEVILLE, NC 28304

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 Jeffrey Riorden's NPI number?

The NPI number for Jeffrey Riorden is 1235623554. It was assigned to this individual provider in the NPPES registry on June 20, 2018.

Where is Jeffrey Riorden located?

Jeffrey Riorden practices at 405 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 323-3183.

What is Jeffrey Riorden's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jeffrey Riorden enrolled in Medicare?

Yes. Jeffrey Riorden 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 Jeffrey Riorden accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare list Jeffrey Riorden 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 Jeffrey Riorden affiliated with any hospitals?

According to CMS data, Jeffrey Riorden is affiliated with Firsthealth Moore Regional Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Riorden was last updated on June 26, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.