LAUREN RIDDLE MD
NPI 1710368105
Family Medicine in Waco, TX

Active since June 11, 2015PECOS EnrolledAccepts Medicare Assignment
74.33/100
CMS Quality Rating
5100 FRANKLIN AVE, WACO, TX 76710(254) 865-2166(254) 248-6306 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2024, Nov 11, 2024, Aug 10, 2018 and 1 more (4 updates tracked since 2015).

About Lauren Riddle Md NPPES

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

LAUREN RIDDLE MD (NPI 1710368105) is an individual family medicine provider in Waco, Texas, licensed in Texas (R1136) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1710368105
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLAUREN RIDDLECredential: MD
Location Address5100 FRANKLIN AVEWaco, TX 76710-6922
Mailing Address1507 W Main StGatesville, TX 76528-1024 · (254) 865-2166 · Fax (254) 248-6306
Fax(254) 248-6306
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2015
Enumeration DateJune 11, 2015
Last NPPES UpdateNovember 25, 20244 updates tracked since enumeration
NPPES CertifiedNovember 25, 2024
NPI 1710368105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in TX · R1136 Licensed in TX · BP10054658
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.
5100 FRANKLIN AVE, Waco, TX 76710

Other Names 1

Former Name (1)Lauren Storbakken Md

Secondary Practice Locations 2

Location 1215 N Main StMcGregor, TX 76657-1236 · Phone (254) 865-2166 · Fax (254) 248-6306
Location 21507 W Main StGatesville, TX 76528-1024 · Phone (254) 865-2166 · Fax (254) 248-6306

Accepted 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

Lauren Riddle 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 ID2668722679
PECOS Enrollment IDI20180912000487
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 3

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.
176 services83 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
49 services49 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 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension Providence

Acute Care Hospitals · Waco, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450042
Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County
Emergency services Birthing friendly

Baylor Scott & White Medical Center Hillcrest

Acute Care Hospitals · Waco, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450101
Location100 Hillcrest Medical BlvdWaco, TX 76712 · Mc Lennan County
Emergency services Birthing friendly

Coryell Memorial Hospital

Critical Access Hospitals · Gatesville, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451379
Location1507 W Main StreetGatesville, TX 76528 · Coryell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76710 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

74.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.69
Promoting Interoperability100
Improvement Activities40
Cost41.75

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%787 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
66%128 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
96%165 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
75%630 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
90%630 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
53%630 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
65%630 patients
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers15 claims30 services$4.87 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers12 claims12 services$0.76 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier19 claims1,376 services$0.03 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 7

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

Podiatrist (Foot & Ankle Surgery)
5100 FRANKLIN AVE, SUITE C
WACO, TX 76710
Physical Therapist
5100 FRANKLIN AVE, SUITE C
WACO, TX 76710
Physical Therapist (Orthopedic)
5100 FRANKLIN AVE
WACO, TX 76710
Family Medicine
5100 FRANKLIN AVE
WACO, TX 76710
Orthopaedic Surgery (Foot and Ankle Surgery)
5100 FRANKLIN AVE
WACO, TX 76710
Orthopaedic Surgery (Foot and Ankle Surgery)
5100 FRANKLIN AVE
WACO, TX 76710
Podiatrist (Foot & Ankle Surgery)
5100 FRANKLIN AVE
WACO, TX 76710

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 Lauren Riddle's NPI number?

The NPI number for Lauren Riddle is 1710368105. It was assigned to this individual provider in the NPPES registry on June 11, 2015. The provider is also known as Lauren Storbakken MD.

Where is Lauren Riddle located?

Lauren Riddle practices at 5100 Franklin Ave, Waco, TX 76710. The listed phone number is (254) 865-2166.

What is Lauren Riddle's specialty?

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

Is Lauren Riddle enrolled in Medicare?

Yes. Lauren 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 Lauren Riddle accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Sendero Health Plans, Local Nonprofit list Lauren 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 Lauren Riddle affiliated with any hospitals?

According to CMS data, Lauren Riddle is affiliated with Ascension Providence, Baylor Scott & White Medical Center Hillcrest and Coryell Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lauren Riddle was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.