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ADAM RIDLEY MD
NPI 1326508383
Family Medicine - Sports Medicine in Worcester, MA

Active since March 24, 2019PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
279 LINCOLN ST, WORCESTER, MA 01605(508) 334-1352(508) 334-5146 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 30, 2023, Jul 7, 2023, Jun 22, 2020 and 1 more (4 updates tracked since 2019).

About Adam Ridley Md NPPES

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

ADAM RIDLEY MD (NPI 1326508383) is an individual sports medicine provider in Worcester, Massachusetts, licensed in Massachusetts (1016759) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of Medical University Of South Carolina College Of Medicine (2019).

NPPES Registry Identity

NPI1326508383
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameADAM RIDLEYCredential: MD
Location Address279 LINCOLN STWorcester, MA 01605-2120
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Phone(508) 334-1352
Fax(508) 334-5146
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2019
Enumeration DateMarch 24, 2019
Last NPPES UpdateAugust 30, 20234 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
✔ NPI 1326508383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in MA · 1016759
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
279 LINCOLN ST, Worcester, MA 01605
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.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

Adam Ridley Md 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 ID7911237623
PECOS Enrollment IDI20230913002223
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 Reassignment

Medicare enrollment records show Adam Ridley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Umass Memorial Medical Group Inc
1.9 mi
Internal Medicine
55 LAKE AVE N
Worcester, MA 01655
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group
NPI 1760445373 (508) 334-1000

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 10

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.

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
106 services51 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.
86 services56 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.
81 services56 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
55 services36 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.
53 services38 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.
51 services36 patients

Hospital Affiliations CMS Care Compare 2

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
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.

DANIELLE NICOLE CODERRE
Student in an Organized Health Care Education/Training Program
279 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1000
DANIEL J. KIRSCH M.D.
Psychiatry & Neurology (Psychiatry)
279 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-2537
OPEOLUWA OLUWAFUNMILAYO OLUKOREDE MD
Student in an Organized Health Care Education/Training Program
279 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1000
SABRINA ELIZABETH GEMME AU.D.
Audiologist
279 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-8830
CHRISTOPHER WOO M.D.
Family Medicine
279 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1000
ABIRAMI RAVEENDRAN M.D.
Student in an Organized Health Care Education/Training Program
279 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1000
DR. RONALD N ADLER M.D.
Family Medicine
279 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-8830
MR. GREGORY SEWARD LADC-I, LSW
Counselor (Addiction (Substance Use Disorder))
279 LINCOLN ST, AMBULATORY PSYCHIATRY SERVICE
WORCESTER, MA 01605
Worcester County (774) 443-0376

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 Adam Ridley's NPI number?

The NPI number for Adam Ridley is 1326508383. It was assigned to this individual provider in the NPPES registry on March 24, 2019.

Where is Adam Ridley located?

Adam Ridley practices at 279 Lincoln St, Worcester, MA 01605. The listed phone number is (508) 334-1352.

What is Adam Ridley's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Adam Ridley enrolled in Medicare?

Yes. Adam Ridley 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 organization bills Medicare for Adam Ridley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Ridley reassigns Medicare benefits to Umass Memorial Medical Group Inc (Worcester, MA). The 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 Adam Ridley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Ridley accept?

Health plans from Taro Health list Adam Ridley 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 Adam Ridley affiliated with any hospitals?

According to CMS data, Adam Ridley is affiliated with Umass Memorial Healthalliance Hospitals and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Adam Ridley was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.