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Active NPI 1891557575 Individual Practitioner Female Practitioner

Desyrae Eliza Ridenour

Physician Assistant • Springfield, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Desyrae Ridenour is a certified Physician Assistant practicing in Springfield, MO. With approximately 3 years of clinical experience since completing medical education in 2023, Desyrae Ridenour delivers high-quality medical care to the local community at 960 E WALNUT LAWN ST STE 201.

Desyrae Ridenour is affiliated with Lester E Cox Medical Centers and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, denosumab, 1 mg, established patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

960 E Walnut Lawn St Ste 201

Springfield, MO 658077865

Telephone 4172694450
Fax 4172694470
Associated Practice Facility / Clinic
🏢 Lester E Cox Medical Centers Facility NPI 1851481501

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Springfield, MO

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -6.8 yrs vs City Avg
City Avg: 9.8 Yrs
State Avg: 10.3 Yrs
Regional Practice Density
235 Specialists

Practicing in Springfield, MO (1802 Statewide)

Telehealth Adoption Rate
11.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ridenour (3 Years) 3 Yrs
Springfield Specialty Average (9.8 Years) 9.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J0897 Injection, denosumab, 1 mg
720 12 $75.48 $26.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
161 128 $310.04 $99.44
36415 Insertion of needle into vein for collection of blood sample
59 51 $14.40 $8.65
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report
35 31 $135.24 $27.51
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
30 20 $68.92 $10.98
80048 Blood test, basic group of blood chemicals (calcium, total)
28 25 $42.70 $8.29
83036 Hemoglobin A1C level
27 24 $48.95 $9.52
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
21 20 $52.80 $13.08
84443 Blood test, thyroid stimulating hormone (TSH)
19 16 $84.74 $16.46
99213 Established patient office or other outpatient visit, typically 15 minutes
16 16 $205.65 $70.72
84439 Thyroxine (thyroid chemical), free
16 14 $45.50 $8.84

Medical Specialties & State Licenses

CMS Verified: 2024-04-30
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MO 2024003095

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.

Hospital & Practice Group Affiliations

Lester E Cox Medical Centers

960 E Walnut Lawn, Springfield, MO 658077865

Phone: 4172694450

Lester E Cox Medical Centers

3801 S National Ave 9th Fl, Springfield, MO 658075210

Phone: 4172695158

Practice Associates & Co-Workers

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

32 Associated Practitioners
Stacy Gholz , FNP-C

Nurse Practitioner

NPI 1083382915

Family Nurse Practitioner (Certified)

Belinda Kesterson , PC-A

Physician Assistant - Medical

NPI 1124347752

PCA

Dr. Nicola Gathaiya , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1154513752

Doctor of Medicine (M.D.)

Megan Quella , NP

Nurse Practitioner - Family

NPI 1194356535

Nurse Practitioner

Dr. Muriel Tania Go , MD, MBA

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1205219821

Doctor of Medicine (M.D.), Master of Business Administration

Dr. Donna Steward , MD

Internal Medicine

NPI 1215933163

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address April 30, 2024

Registered at PO BOX 505673, SAINT LOUIS, MO 631505673 (Tel: 4177306430)

NPI Profile Active January 29, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location January 29, 2024

Registered at 960 E WALNUT LAWN ST STE 201, SPRINGFIELD, MO 658077865 (Tel: 4172694450)

📍
Updated Business Mailing Address January 29, 2024

Registered at 235 N CEDAR AVE APT B103, REPUBLIC, MO 657381423 (Tel: 5733304925)

👤
Provider Name / Credentials Updated January 29, 2024

Recorded as DESYRAE RIDENOUR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2024

Physician Assistant (License #2024003095 in MO)

🟢
Initial NPI Registration & Enumeration January 29, 2024

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: 1891557575
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 29, 2024
Last Update: April 30, 2024
Sole Proprietor: No

Mailing Address

Po Box 505673

Saint Louis, MO 631505673

Phone: 4177306430

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.