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DR. LEE MCCADE RIDDLE D.O.
NPI 1295149532
Internal Medicine in New Albany, IN

Active since June 15, 2014PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1850 STATE ST, NEW ALBANY, IN 47150(812) 944-7701(812) 981-6505 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 23, 2024, Jul 21, 2022, Jun 5, 2017 (3 updates tracked since 2017).

About Dr. Lee Mccade Riddle D.o. NPPES

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

DR. LEE MCCADE RIDDLE D.O. (NPI 1295149532) is an individual internal medicine provider in New Albany, Indiana, licensed in Indiana (02005066A) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with The Medical Center (bowling Green), and maintains a secondary practice location in Shepherdsville.

NPPES Registry Identity

NPI1295149532
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. LEE MCCADE RIDDLECredential: D.O.
Location Address1850 STATE STNew Albany, IN 47150-4990
Mailing Address350 Hospital Way Ste 101Somerset, KY 42503-2872 · (606) 451-5092
Phone(812) 944-7701
Fax(812) 981-6505
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 15, 2014
Last NPPES UpdateJuly 23, 20243 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
✔ NPI 1295149532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IN · 02005066A✔ Licensed in KY · 04005
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1850 STATE ST, New Albany, IN 47150
Open in Google Maps ↗

Secondary Practice Location 1

Location 11903 W Hebron LnShepherdsville, KY 40165-7425 · Phone (502) 367-3360

Other Identifiers 2

Medicaid7100548180KY
OtherIN1189177IN · In Medciare

Accepted Insurance

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

Dr. Lee Mccade 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 ID749580975
PECOS Enrollment IDI20160516002348
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
427 services187 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
166 services166 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
62 services29 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
42 services42 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
31 services31 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
29 services29 patients

Hospital Affiliations CMS Care Compare 4

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

The Medical Center (bowling Green)

Acute Care Hospitals · Bowling Green, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180013
Location250 Park StreetBowling Green, KY 42101 · Warren County
Emergency services Birthing friendly

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

The Medical Center At Scottsville

Critical Access Hospitals · Scottsville, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181324
Location456 Burnley RoadScottsville, KY 42164 · Allen County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47150 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers71 claims71 services$15.81 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers25 claims25 services$3.00 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers83 claims83 services$71.89 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 20

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

MR. SHANTHARAM H SHETTY MD
Anesthesiology
1850 STATE ST
NEW ALBANY, IN 47150
Floyd County (502) 625-5584
MR. GARRY LEE POSEY JR. RN
Nurse Anesthetist, Certified Registered
1850 STATE ST
NEW ALBANY, IN 47150
Floyd County (812) 944-7701
DR. WALTER D JONES MD
Pathology (Anatomic Pathology & Clinical Pathology)
1850 STATE ST, PATHOLOGY DEPT
NEW ALBANY, IN 47150
Floyd County (812) 948-7408
FMMG PAIN MANAGEMENT LLC
Anesthesiology
1850 STATE ST
NEW ALBANY, IN 47150
Floyd County (812) 949-5790
DR. MARTIN BRIESCHKE MD
Anesthesiology
1850 STATE ST
NEW ALBANY, IN 47150
Floyd County (502) 625-5584
MRS. ELAINE MARIE DUNCAN RPH
Pharmacist
1850 STATE ST
NEW ALBANY, IN 47150
Floyd County (812) 948-7404
DR. KELLI G HALL M.D.
Hospitalist
1850 STATE ST
NEW ALBANY, IN 47150
Floyd County (812) 944-7701
MICHELLE N. BINGHAM
Nurse Practitioner (Family)
1850 STATE ST
NEW ALBANY, IN 47150
Floyd County (812) 944-7701

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 Lee Riddle's NPI number?

The NPI number for Lee Riddle is 1295149532. It was assigned to this individual provider in the NPPES registry on June 15, 2014.

Where is Lee Riddle located?

Lee Riddle practices at 1850 State St, New Albany, IN 47150. The listed phone number is (812) 944-7701.

What is Lee Riddle's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lee Riddle enrolled in Medicare?

Yes. Lee 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 Lee Riddle accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Lee 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 Lee Riddle affiliated with any hospitals?

According to CMS data, Lee Riddle is affiliated with The Medical Center (bowling Green), Jewish Hospital & St Mary's Healthcare, Baptist Health Lagrange and The Medical Center At Scottsville.

When was this NPI record last updated?

The NPPES record for Lee Riddle was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.