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ROBBY C RIDDLE MD
NPI 1942293055
Family Medicine in Nine Mile Falls, WA

Active since August 24, 2005PECOS EnrolledAccepts Medicare Assignment
5952 BLACKSTONE WAY, NINE MILE FALLS, WA 99026(509) 464-3627(509) 466-9517 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Robby C Riddle Md NPPES

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

ROBBY C RIDDLE MD (NPI 1942293055) is an individual family medicine provider in Nine Mile Falls, Washington, licensed in Washington (MD00041763) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp., and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1995).

NPPES Registry Identity

NPI1942293055
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBBY C RIDDLECredential: MD
Location Address5952 BLACKSTONE WAYNine Mile Falls, WA 99026-4900
Mailing Address3600 Lind Ave Sw, Ste 100Renton, WA 98057-4934 · (425) 656-5412 · Fax (425) 656-4079
Phone(509) 464-3627
Fax(509) 466-9517
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1995
Enumeration DateAugust 24, 2005
Last NPPES UpdateJuly 14, 2021
NPPES CertifiedJuly 14, 2021
✔ NPI 1942293055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00041763
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.
5952 BLACKSTONE WAY, Nine Mile Falls, WA 99026
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robby C 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 ID9931141256
PECOS Enrollment IDI20180707000131
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Robby Riddle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New Health Programs Association
Same address
Federally Qualified Health Center (FQHC)
5952 BLACKSTONE WAY
Nine Mile Falls, WA 99026
  • Reassigned Medicare billing, Washington enrollment
  • 17 clinicians in this Medicare group
NPI 1831214329 (509) 464-3627
Community Health Association Of Spokane
9.5 mi
Federally Qualified Health Center (FQHC)
505 E STONEWALL AVE
Spokane, WA 99208
  • Reassigned Medicare billing, Washington enrollment
  • 278 clinicians in this Medicare group
NPI 1720296783 (509) 444-8888

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Hemoglobin a1c level, by device for home use 83037
A Hemoglobin A1c device for home use allows you to check your average blood sugar levels over the past 3 months. It's a simple, painless test that provides immediate results, helping you manage your diabetes more effectively.
181 services96 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
70 services50 patients
Urine microalbumin (protein) level 82043
The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.
68 services63 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
39 services24 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
27 services26 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
14 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Prov Sacred Hrt Med Ctr & Childs Hosp.

Acute Care Hospitals · Spokane, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500054
Location101 West 8th AvenueSpokane, WA 99204 · Spokane County
Emergency services Birthing friendly

Providence Holy Family Hospital

Acute Care Hospitals · Spokane, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500077
Location5633 North LidgerwoodSpokane, WA 99208 · Spokane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99026 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$16.03 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers14 claims14 services$33.65 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers31 claims31 services$83.81 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$29.84 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers23 claims23 services$197.81 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 9

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

DR. EVONN LB O'NEILL M.D.
Family Medicine
5952 BLACKSTONE WAY
NINE MILE FALLS, WA 99026
Spokane County (509) 464-3627
MATTHEW PETER DINSMORE ARNP
Nurse Practitioner
5952 BLACKSTONE WAY
NINE MILE FALLS, WA 99026
Spokane County (509) 464-3627
DR. JUNE S GOLDMAN M.D.
Family Medicine
5952 BLACKSTONE WAY, LAKE SPOKANE COMMUNITY HEALTH CENTER
NINE MILE FALLS, WA 99026
Spokane County (509) 464-3627
MARELDA M WHITMARSH ARPN, MN, RN NP-C
Nurse Practitioner (Family)
5952 BLACKSTONE WAY
NINE MILE FALLS, WA 99026
Spokane County (509) 464-3627
NEW HEALTH PROGRAMS ASSOCIATION
Pharmacy
5952 BLACKSTONE WAY
NINE MILE FALLS, WA 99026
Spokane County (509) 464-3627
DUSTIN NORMAN
Physician Assistant
5952 BLACKSTONE WAY
NINE MILE FALLS, WA 99026
Spokane County (509) 464-3627
MS. ELAINA FAITH-XIAOQI ADAMS PA-C
Physician Assistant
5952 BLACKSTONE WAY
NINE MILE FALLS, WA 99026
Spokane County (509) 935-6004
NEW HEALTH PROGRAMS ASSOCIATION
Clinic/Center (Federally Qualified Health Center (FQHC))
5952 BLACKSTONE WAY
NINE MILE FALLS, WA 99026
Spokane County (509) 464-3627

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 Robby Riddle's NPI number?

The NPI number for Robby Riddle is 1942293055. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Robby Riddle located?

Robby Riddle practices at 5952 Blackstone Way, Nine Mile Falls, WA 99026. The listed phone number is (509) 464-3627.

What is Robby Riddle's specialty?

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

Is Robby Riddle enrolled in Medicare?

Yes. Robby 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.

Which organizations bill Medicare for Robby Riddle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robby Riddle reassigns Medicare benefits to 2 organizations: New Health Programs Association (Nine Mile Falls, WA) and Community Health Association Of Spokane (Spokane, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robby Riddle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robby Riddle accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and Select Health list Robby 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 Robby Riddle affiliated with any hospitals?

According to CMS data, Robby Riddle is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp. and Providence Holy Family Hospital.

When was this NPI record last updated?

The NPPES record for Robby Riddle was last updated on July 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.