Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801938394 Individual Practitioner Female Practitioner

Kelli Knox Riddle , PA

Physician Assistant • Auburn, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kelli Riddle, PA is a certified Physician Assistant practicing in Auburn, AL. With approximately 21 years of clinical experience since completing medical education in 2005, Kelli Riddle delivers high-quality medical care to the local community at 1543 PROFESSIONAL PKWY.

Kelli Riddle is affiliated with Mark D. Herron, M.D. L.L.C. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1543 Professional Pkwy

Auburn, AL 368302858

Telephone 3348219308
Fax 8505228354

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Auburn, AL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs +11.7 yrs vs City Avg
City Avg: 9.3 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
11 Specialists

Practicing in Auburn, AL (1153 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
38.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Riddle (21 Years) 21 Yrs
Auburn Specialty Average (9.3 Years) 9.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
654 460 $105.02 $70.54
17003 Destruction of precancer skin growth, 2-14 growths
340 142 $35.00 $5.01
17000 Destruction of skin growth
291 237 $85.00 $39.34
11102 Tangential biopsy of single skin lesion
289 257 $137.00 $71.16
11103 Biopsy of related skin growth, each additional growth
186 103 $64.00 $38.29
17110 Destruction of up to 14 skin growths
162 142 $120.00 $84.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
140 140 $120.00 $85.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
13 13 $130.00 $94.56

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AL PA440

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
529920250 (AL)
Medicaid State Provider ID
009913716 (AL)
Medicaid State Provider ID
009913717 (AL)

Hospital & Practice Group Affiliations

Mark D. Herron, M.d. L.l.c.

7260 Halcyon Summit Dr, Montgomer, AL 361177047

Phone: 3342773332

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Sophia Georges , AGNP-C

Nurse Practitioner

NPI 1003668971

Adult-Gerontology Nurse Practitioner (Certified)

Angela Pearson , NP

Nurse Practitioner

NPI 1013267608

Nurse Practitioner

Dr. Jeffrey Stricker , DO

Dermatology - MOHS-Micrographic Surgery

NPI 1013973692

Doctor of Osteopathic Medicine (D.O.)

Holly Vezertzis , CRNP

Nurse Practitioner - Adult Health

NPI 1033532874

Certified Registered Nurse Practitioner

Tricia Berry , ARNP

Nurse Practitioner

NPI 1043370240

Advanced Registered Nurse Practitioner

Elizabeth Dylewski

Physician Assistant

NPI 1053136945

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 08, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 08, 2013

Registered at 1543 PROFESSIONAL PKWY, AUBURN, AL 368302858 (Tel: 3348219308)

📍
Updated Business Mailing Address February 08, 2013

Registered at 1543 PROFESSIONAL PKWY, AUBURN, AL 368302858 (Tel: 3348219308)

👤
Provider Name / Credentials Updated February 08, 2013

Recorded as KELLI RIDDLE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2013

Physician Assistant (License #PA440 in AL)

🟢
Initial NPI Registration & Enumeration February 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801938394
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2007
Last Update: February 08, 2013
Sole Proprietor: No

Mailing Address

1543 Professional Pkwy

Auburn, AL 368302858

Phone: 3348219308

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.