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ROBERT V RIDDELL MD
NPI 1851353262
Internal Medicine - Cardiovascular Disease in Lafayette, IN

Active since April 03, 2006PECOS EnrolledAccepts Medicare Assignment
3900 ST FRANCIS WAY STE 205, LAFAYETTE, IN 47905(765) 428-2500 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2025, Aug 10, 2022 (2 updates tracked since 2022).

About Robert V Riddell Md NPPES

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

ROBERT V RIDDELL MD (NPI 1851353262) is an individual cardiovascular disease provider in Lafayette, Indiana, licensed in Indiana (01031936A) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Lafayette, and is a graduate of Indiana University School Of Medicine (1982).

NPPES Registry Identity

NPI1851353262
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameROBERT V RIDDELLCredential: MD
Location Address3900 ST FRANCIS WAY STE 205Lafayette, IN 47905-4939
Mailing Address3900 St Francis Way Ste 205Lafayette, IN 47905-4939
Phone(765) 428-2500
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1982
Enumeration DateApril 3, 2006
Last NPPES UpdateSeptember 8, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
✔ NPI 1851353262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in IN · 01031936A
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Other Identifiers 1

Medicaid100340650IN

Accepted Insurance

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

Robert V Riddell 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 ID1456249143
PECOS Enrollment IDI20040305000009
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 13

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 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.
648 services506 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.
109 services96 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
90 services81 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
78 services77 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
39 services39 patients
Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451
This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.
30 services29 patients

Hospital Affiliations CMS Care Compare 3

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

Franciscan Health Lafayette

Acute Care Hospitals · Lafayette, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150109
Location1701 S Creasy LnLafayette, IN 47905 · Tippecanoe County
Emergency services Birthing friendly

Indiana University Health Arnett Hospital

Acute Care Hospitals · Lafayette, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150173
Location5165 Mccarty LnLafayette, IN 47905 · Tippecanoe County
Emergency services Birthing friendly

Pulaski Memorial Hospital

Critical Access Hospitals · Winamac, IN
OwnershipVoluntary non-profit - Other
CMS Certification Number151305
Location616 E 13th StWinamac, IN 46996 · Pulaski County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47905 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
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
3%238 patients1/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
3%127 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
4%624 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,876 patients5/55-star benchmark: 100%
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.
96%3,803 patients4/55-star benchmark: 99%
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.
100%229 patients5/55-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.
23%1,286 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
23%1,300 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 63% · 447 patients
57%447 patients3/55-star benchmark: 98%
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…
86%1,286 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…
95%1,286 patients5/55-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.
31%1,286 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.

Other Providers at the Same Location NPPES 4

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

SAM HANSEN MD
Internal Medicine (Cardiovascular Disease)
3900 ST FRANCIS WAY STE 205
LAFAYETTE, IN 47905
Tippecanoe County (765) 428-2500
GEORGE KLINE BRODELL MD
Internal Medicine (Interventional Cardiology)
3900 ST FRANCIS WAY STE 205
LAFAYETTE, IN 47905
Tippecanoe County (765) 428-2500
JAY D SCHLAIFER MD
Internal Medicine (Interventional Cardiology)
3900 ST FRANCIS WAY STE 205
LAFAYETTE, IN 47905
Tippecanoe County (765) 428-2500
DR. DONALD R. WESTERHAUSEN JR. M.D.
Internal Medicine (Cardiovascular Disease)
3900 ST FRANCIS WAY STE 205
LAFAYETTE, IN 47905
Tippecanoe County (765) 428-2500

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 Robert Riddell's NPI number?

The NPI number for Robert Riddell is 1851353262. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Robert Riddell located?

Robert Riddell practices at 3900 St Francis Way Ste 205, Lafayette, IN 47905. The listed phone number is (765) 428-2500.

What is Robert Riddell's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Robert Riddell enrolled in Medicare?

Yes. Robert Riddell 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 Robert Riddell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Robert Riddell 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 Robert Riddell affiliated with any hospitals?

According to CMS data, Robert Riddell is affiliated with Franciscan Health Lafayette, Indiana University Health Arnett Hospital and Pulaski Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Robert Riddell was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.