STEPHEN J RIDENOUR DDS - NPI 1619391869

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

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About Stephen J Ridenour Dds NPPES

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

STEPHEN J RIDENOUR DDS (NPI 1619391869) is an individual oral and maxillofacial surgery provider in Altoona, Wisconsin, licensed in Wisconsin (1001741) and active in the NPI registry since February 2014. He has opted out of Medicare through April 27, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1619391869

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameSTEPHEN J RIDENOURCredential: DDS

Location Address788 OAKLEAF WAYAltoona, WI 54720

Mailing AddressPo Box 1224Eau Claire, WI 54702-1224 · (715) 834-8414 · Fax (715) 834-3557

Phone(715) 834-8414

Fax(715) 834-3557

Sole ProprietorNo

Enumeration DateFebruary 7, 2014

Last NPPES UpdateFebruary 3, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2021

✔ NPI 1619391869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in WI · 1001741

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

788 OAKLEAF WAY, Altoona, WI 54720

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Stephen J Ridenour Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 27, 2021 through April 27, 2027.

Opt-Out Effective DateApril 27, 2021

Opt-Out In Effect ThroughApril 27, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54720 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

Other Providers at the Same Location NPPES 6

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

ORAL AND MAXILLOFACIAL SURGERY ASSO OF EAU CLAIRE SC

Oral & Maxillofacial Surgery