MR. JOHN FRANKLIN PRIDDY MD
NPI 1891783122
Orthopaedic Surgery - Foot and Ankle Surgery in Tyler, TX

Active since October 11, 2005PECOS EnrolledAccepts Medicare Assignment
78.36/100
CMS Quality Rating
3414 GOLDEN RD, TYLER, TX 75701(903) 939-7500(903) 939-7728 Get Directions Write a Review

NPPES record last updated: January 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. John Franklin Priddy Md NPPES

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

MR. JOHN FRANKLIN PRIDDY MD (NPI 1891783122) is an individual foot and ankle surgery provider in Tyler, Texas, licensed in Texas (L6147) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of Louisiana State University School Of Medicine In Shreveport (1997).

NPPES Registry Identity

NPI1891783122
Entity TypeIndividualMale
Primary Taxonomy207XX0004X
Provider Legal NameMR. JOHN FRANKLIN PRIDDYCredential: MD
Location Address3414 GOLDEN RDTyler, TX 75701-8336
Mailing AddressPo Box 130189Tyler, TX 75713-0189 · (903) 939-7500 · Fax (903) 939-7728
Fax(903) 939-7728
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1997
Enumeration DateOctober 11, 2005
Last NPPES UpdateJanuary 21, 2015
NPI 1891783122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Foot and Ankle SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XX0004X
License Licensed in TX · L6147
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
3414 GOLDEN RD, Tyler, TX 75701

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

Mr. John Franklin Priddy 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 ID547292591
PECOS Enrollment IDI20100715000394
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 20

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
547 services79 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
449 services291 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.
268 services194 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
252 services178 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.
236 services212 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
216 services26 patients

Hospital Affiliations CMS Care Compare 3

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

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450083
Location1000 South Beckham AveTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Baylor Scott & White Texas Spine & Joint Hospital

Acute Care Hospitals · Tyler, TX
OwnershipPhysician
CMS Certification Number450864
Location1814 Roseland BoulevardTyler, TX 75701 · Smith County
Emergency services

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.

78.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality61.74
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

Advance Care Plan
59%779 patients3/55-star benchmark: 100%
Breast Cancer Screening
57%617 patients3/55-star benchmark: 93%
Cervical Cancer Screening
35%523 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
63%125 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
51%1,120 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
25%53 patients2/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
79%170 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%2,558 patients4/55-star benchmark: 100%
e-Prescribing
99%199 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
56%743 patients3/55-star benchmark: 100%
Osteoporosis Management in Women Who Had a Fracture
10%108 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
17%1,608 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
8%1,892 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 59% · 1,246 patients
Patients screened: 66% · 1,246 patients
11%90 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
87%772 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
49%464 patients3/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
70%230 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 792 patients
Patients totalRate: 3% · 792 patients
2%792 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers11 claims11 services$22.62 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
3 suppliers23 claims24 services$45.25 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
3 suppliers15 claims16 services$9.61 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
3 suppliers33 claims33 services$195.44 avg. paid by Medicare
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf L4397
DME-Orthotic Devices · category DF000N
2 suppliers16 claims17 services$139.08 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 20

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

Nurse Practitioner (Family)
3414 GOLDEN RD
TYLER, TX 75701
Pain Medicine (Interventional Pain Medicine)
3414 GOLDEN RD
TYLER, TX 75701
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
3414 GOLDEN RD
TYLER, TX 75701
Orthopaedic Surgery
3414 GOLDEN RD
TYLER, TX 75701
Physical Therapist
3414 GOLDEN RD
TYLER, TX 75701
Physical Therapist
3414 GOLDEN RD
TYLER, TX 75701
Physician Assistant (Surgical)
3414 GOLDEN RD
TYLER, TX 75701
Physical Medicine & Rehabilitation
3414 GOLDEN RD
TYLER, TX 75701

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 John Priddy's NPI number?

The NPI number for John Priddy is 1891783122. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is John Priddy located?

John Priddy practices at 3414 Golden Rd, Tyler, TX 75701. The listed phone number is (903) 939-7500.

What is John Priddy's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Is John Priddy enrolled in Medicare?

Yes. John Priddy 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 John Priddy accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list John Priddy 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 John Priddy affiliated with any hospitals?

According to CMS data, John Priddy is affiliated with Ut Health East Texas Tyler Regional Hospital, Christus Mother Frances Hospital and Baylor Scott & White Texas Spine & Joint Hospital.

When was this NPI record last updated?

The NPPES record for John Priddy was last updated on January 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.