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DR. SETH ALLRED RIDDLE M.D.
NPI 1598701955
Otolaryngology in Provo, UT

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment
1055 N 300 W, SUITE 401, PROVO, UT 84604(801) 357-7499(801) 373-5980 Get Directions Write a Review

NPPES record last updated: January 23, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Seth Allred Riddle M.d. NPPES

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

DR. SETH ALLRED RIDDLE M.D. (NPI 1598701955) is an individual otolaryngology provider in Provo, Utah, licensed in Utah (357240-1205) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and is a graduate of University Of Utah School Of Medicine (1993).

NPPES Registry Identity

NPI1598701955
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. SETH ALLRED RIDDLECredential: M.D.
Location Address1055 N 300 W, SUITE 401Provo, UT 84604-3344
Mailing Address1055 N 300 W, Suite 401Provo, UT 84604-3344 · (801) 357-7499 · Fax (801) 373-5980
Phone(801) 357-7499
Fax(801) 373-5980
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1993
Enumeration DateJune 22, 2006
Last NPPES UpdateJanuary 23, 2012
✔ NPI 1598701955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in UT · 357240-1205
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X · License 357240-1205 (UT)
1055 N 300 W, Provo, UT 84604
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Other Identifiers 2

Medicare UPING70833UT
Medicare PIN000065803UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare 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. Seth Allred Riddle M.d. 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 ID2567443963
PECOS Enrollment IDI20040531000002
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 7

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.

Ct scan of face without contrast 70486
A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.
86 services52 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.
77 services52 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.
34 services27 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
29 services23 patients
Biopsy or removal of nasal polyp or tissue using an endoscope 31237
A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.
18 services13 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
73%120 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

UTAH SLEEP MEDICINE CENTER
Clinic/Center (Sleep Disorder Diagnostic)
1055 N 300 W, SUITE 402
PROVO, UT 84604
Utah County (801) 357-7878
JAMES THOMAS DANE MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1055 N 300 W, #110
PROVO, UT 84604
Utah County (801) 357-7081
DR. MAX FORD MCBRIDE PH.D.
Psychologist (Clinical)
1055 N 300 W, SUITE 414
PROVO, UT 84604
Utah County (801) 357-7757
INTERMOUNTAIN VEIN CENTER
Specialist
1055 N 300 W, #308
PROVO, UT 84604
Utah County (801) 379-6700
DR. PHILLIP LEE CHAFFIN JR. MD
Otolaryngology (Pediatric Otolaryngology)
1055 N 300 W, STE 401
PROVO, UT 84604
Utah County (801) 357-7499
GEORGE C GOURLEY, DO
Obstetrics & Gynecology (Gynecology)
1055 N 300 W, SUITE 305
PROVO, UT 84604
Utah County (801) 357-7190
CURTIS G THOMAS AUD
Audiologist
1055 N 300 W, STE 401
PROVO, UT 84604
Utah County (801) 357-7499
JENNY COY NP
Nurse Practitioner
1055 N 300 W, STE 401
PROVO, UT 84604
Utah County (801) 357-7499

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 Seth Riddle's NPI number?

The NPI number for Seth Riddle is 1598701955. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Seth Riddle located?

Seth Riddle practices at 1055 N 300 W Suite 401, Provo, UT 84604. The listed phone number is (801) 357-7499.

What is Seth Riddle's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Seth Riddle enrolled in Medicare?

Yes. Seth 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 Seth Riddle accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Seth 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 Seth Riddle affiliated with any hospitals?

According to CMS data, Seth Riddle is affiliated with Utah Valley Hospital.

When was this NPI record last updated?

The NPPES record for Seth Riddle was last updated on January 23, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.