Active NPI 1538329446 Individual Practitioner Male Practitioner

Dr. Paul F Rider , MD

Colon & Rectal Surgery • Mobile, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Rider, MD is a certified Colon & Rectal Surgery practicing in Mobile, AL. With approximately 23 years of clinical experience since graduating from University Of South Alabama College Of Medicine in 2003, Dr. Rider delivers high-quality medical care to the local community at 2451 UNIVERSITY HOSPITAL DR.

Dr. Rider is affiliated with Usa Health Physician Billing Services Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2451 University Hospital Dr
Mastin 101

Mobile, AL 366172300

Telephone 2514458282

Fax 2514458281

Associated Practice Facility / Clinic

🏢 University Of South Alabama Facility NPI 1063468072

Medicare Profile & Education

Medical School

University Of South Alabama College Of Medicine

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Mobile, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +4.5 yrs vs City Avg

City Avg: 18.5 Yrs

State Avg: 18.4 Yrs

Regional Practice Density

5 Specialists

Practicing in Mobile, AL (25 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rider (23 Years) 23 Yrs

Mobile Specialty Average (18.5 Years) 18.5 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	33	24	$175.00	$82.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	17	$257.00	$113.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	17	$106.00	$50.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$345.00	$165.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	29	22	$175.00	$82.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	16	$106.00	$50.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	11	$210.00	$75.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	15	$257.00	$119.80
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$489.00	$194.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$345.00	$168.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	12	$210.00	$68.48
99213 Established patient office or other outpatient visit, typically 15 minutes	36	28	$175.00	$85.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	23	$257.00	$118.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	19	$106.00	$52.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$345.00	$170.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$388.00	$160.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	34	24	$175.00	$88.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	26	$257.00	$125.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	19	$106.00	$53.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	11	$210.00	$69.98
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$1220.00	$204.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$388.00	$162.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$254.00	$108.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	34	$257.00	$104.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	19	$210.00	$70.70
99213 Established patient office or other outpatient visit, typically 15 minutes	44	32	$176.80	$70.32
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	34	16	$300.00	$101.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	12	$114.00	$38.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$388.00	$152.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$254.00	$102.95
52332 Insertion of stent in urinary duct (ureter) using an endoscope	11	11	$1682.55	$125.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	62	42	$136.53	$69.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	34	$210.14	$100.88
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	18	$82.24	$37.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$216.87	$97.61
46600 Diagnostic examination of the anus using an endoscope	20	19	$174.60	$87.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$330.50	$149.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	78	47	$122.12	$67.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	73	29	$124.27	$67.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	31	$181.60	$100.22
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	15	$70.08	$37.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$182.41	$99.79
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	14	12	$107.36	$11.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	94	44	$118.00	$67.62
99231 Follow-up hospital inpatient care per day, typically 15 minutes	55	17	$67.00	$37.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	12	$120.00	$68.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	23	$175.00	$99.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$269.00	$152.20

Medical Specialties & State Licenses

CMS Verified: 2021-03-03

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License AL 29627

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Surgery

NUCC Taxonomy Code: 208600000X

State License AL 29627

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Usa Health Physician Billing Services Llc

21950 State Hwy 181, Fairhope, AL 365324393

Phone: 2514105437

Usa Health Physician Billing Services Llc

2451 University Hospital Dr, Mobile, AL 366172300

Phone: 2514717000

Usa Health Physician Billing Services Llc

75 S University Blvd, Mobile, AL 366083274

Phone: 2516605555

Usa Health Physician Billing Services Llc

21950, Fairhope, AL 365324393

Phone: 2519299492

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Alexander Mcnally , MD

Surgery

NPI 1003401464

Doctor of Medicine (M.D.)

Wesley Dees , CRNP

Nurse Practitioner - Family

NPI 1003452558

Certified Registered Nurse Practitioner

Dr. Jongin Baek , MD

Surgery

NPI 1023645827

Doctor of Medicine (M.D.)

Dr. Frederick Silver , MD

Otolaryngology - Plastic Surgery within the Head & Neck

NPI 1053350710

Doctor of Medicine (M.D.)

Dr. Francesca Perez , MD

Pediatrics

NPI 1053970012

Doctor of Medicine (M.D.)

Aubrey White

Obstetrics & Gynecology

NPI 1073074456

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location March 03, 2021

Registered at 2451 UNIVERSITY HOSPITAL DR, MASTIN 101, MOBILE, AL 366172300 (Tel: 2514458282)

✅

NPI Profile Active May 12, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location May 12, 2015

Registered at 2451 FILLINGIM ST, MASTIN 101, MOBILE, AL 366172238 (Tel: 2514458282)

📍

Updated Business Mailing Address May 12, 2015

Registered at PO BOX 40480, MOBILE, AL 366400480 (Tel: 2514458282)

👤

Provider Name / Credentials Updated May 12, 2015

Recorded as PAUL RIDER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2015

Surgery (License #29627 in AL)

🟢

Initial NPI Registration & Enumeration June 13, 2008

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: 1538329446

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 13, 2008

Last Update: March 03, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 40480

Mobile, AL 366400480

Phone: 2514343626

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.