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JULIA ANNE RIDDLE D.O.
NPI 1275785578
Family Medicine in Traverse City, MI

Active since October 17, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1200 SIXTH ST, STE 400, TRAVERSE CITY, MI 49684(231) 392-0655(231) 392-0665 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 19, 2021, Dec 29, 2020 (2 updates tracked since 2020).

About Julia Anne Riddle D.o. NPPES

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

JULIA ANNE RIDDLE D.O. (NPI 1275785578) is an individual family medicine provider in Traverse City, Michigan, licensed in Michigan (5101017286) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Cadillac Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2007).

NPPES Registry Identity

NPI1275785578
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJULIA ANNE RIDDLECredential: D.O.
Location Address1200 SIXTH ST, STE 400Traverse City, MI 49684-2369
Mailing Address1200 Sixth St, Ste 400Traverse City, MI 49684-2369 · (231) 392-0655 · Fax (231) 392-0665
Phone(231) 392-0655
Fax(231) 392-0665
Sole ProprietorYes
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2007
Enumeration DateOctober 17, 2008
Last NPPES UpdateFebruary 19, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2021
✔ NPI 1275785578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101017286
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.
1200 SIXTH ST, Traverse City, MI 49684
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Julia Anne Riddle D.o. 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 ID244363224
PECOS Enrollment IDI20100727000938
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 2

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.
38 services16 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.
13 services12 patients

Hospital Affiliations CMS Care Compare 3

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

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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
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.

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.

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

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.

ANNE M HEPNER M.D.
Internal Medicine (Cardiovascular Disease)
1200 SIXTH ST, SUITE 200
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5800
DANIEL L BONIFACIO D.O.
Internal Medicine (Cardiovascular Disease)
1200 SIXTH ST, SUITE 200
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5800
MEGHAN VISNICK DAVIS CNMW
Nurse Practitioner (Women's Health)
1200 SIXTH ST, STE 400
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 392-0650
DR. MICHAEL HOWE M.D.
Internal Medicine (Cardiovascular Disease)
1200 SIXTH ST, SUITE 200
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5800
JANICE L MCALLISTER CNM
Midwife
1200 SIXTH ST, STE 400
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 392-0650
TODD R ADAMS DO
Internal Medicine (Cardiovascular Disease)
1200 SIXTH ST, SUITE 200
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5800
DR. STEVEN T MAST MD
Internal Medicine (Interventional Cardiology)
1200 SIXTH ST, SUITE 200
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5800
MARK A ELLIOTT M.D.
Internal Medicine (Cardiovascular Disease)
1200 SIXTH ST, SUITE 200
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5800

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 Julia Riddle's NPI number?

The NPI number for Julia Riddle is 1275785578. It was assigned to this individual provider in the NPPES registry on October 17, 2008.

Where is Julia Riddle located?

Julia Riddle practices at 1200 Sixth St Ste 400, Traverse City, MI 49684. The listed phone number is (231) 392-0655.

What is Julia Riddle's specialty?

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

Is Julia Riddle enrolled in Medicare?

Yes. Julia 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.

What insurance does Julia Riddle accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Julia 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 Julia Riddle affiliated with any hospitals?

According to CMS data, Julia Riddle is affiliated with Munson Healthcare Cadillac Hospital, Munson Medical Center and Paul Oliver Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Julia Riddle was last updated on February 19, 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.