Active NPI 1043246887 Individual Practitioner Male Practitioner

Dr. Herbert W. Ridyard , MD

Surgery • Jefferson City, TN

Professional Overview & Biography Verified Profile Summary

Dr. Herbert Ridyard, MD is a registered healthcare professional specializing in Surgery in Jefferson City, TN. Practice services are available at 120 HOSPITAL DR STE 260 under active NPI credentials.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, established patient outpatient office visit, initial hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

120 Hospital Dr Ste 260

Jefferson City, TN 377605283

Telephone 8654712250

Fax 8654712251

Associated Practice Facility / Clinic

🏢 Genesis Heart And Vascular Associates, Pllc Facility NPI 1376916932

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Jefferson City, TN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

4 Specialists

Practicing in Jefferson City, TN (682 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$348.00	$132.96
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$182.00	$71.11
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$256.00	$97.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$348.00	$125.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$414.00	$150.37
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$256.00	$95.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$270.00	$102.04
47562 Removal of gallbladder using an endoscope	13	13	$1878.00	$615.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	32	$348.00	$129.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	15	$185.00	$69.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$414.00	$147.19
99221 Initial hospital inpatient care per day, typically 30 minutes	18	17	$256.00	$95.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$270.00	$100.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$270.00	$100.46
49505 Repair of groin hernia (5 years or older)	11	11	$1306.55	$504.79
47562 Removal of gallbladder using an endoscope	11	11	$1878.00	$611.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$414.00	$146.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	34	$348.00	$125.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$270.00	$100.19
47562 Removal of gallbladder using an endoscope	16	16	$1936.69	$558.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	11	$185.00	$68.56
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$182.00	$67.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	11	$100.00	$37.17

Medical Specialties & State Licenses

CMS Verified: 2020-09-08

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TN MD52380

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License CT 023949

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

001239490 (CT)

Commercial Insurance / Payer ID Connecticare

757224 (CT)

Commercial Insurance / Payer ID Blue Care Family Plan

001239490 (CT)

Commercial Insurance / Payer ID Anthem Blue Cross / Blue

010023949CT03 (CT)

Commercial Insurance / Payer ID Aetna/us Healthcare

0782058 (CT)

Commercial Insurance / Payer ID Oxford Health Plan

WIS019 (CT)

Commercial Insurance / Payer ID Chn

P02114 (CT)

Commercial Insurance / Payer ID Healthnet

051357 (CT)

Commercial Insurance / Payer ID Cigna

1280734005 (CT)

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Evan Foulke , MD

Surgery

NPI 1376064634

Doctor of Medicine (M.D.)

Rachel Savoy , APN

Nurse Practitioner

NPI 1396088399

Advanced Practice Nurse

Dr. Allison Farris , MD

Surgery

NPI 1679849814

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location September 08, 2020

Registered at 120 HOSPITAL DR STE 260, JEFFERSON CITY, TN 377605283 (Tel: 8654712250)

📍

Updated Business Mailing Address September 08, 2020

Registered at 120 HOSPITAL DR STE 260, JEFFERSON CITY, TN 377605283 (Tel: 8654712250)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2020

Surgery (License #MD52380 in TN)

✅

NPI Profile Active May 24, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 24, 2012

Registered at 162 B MANSFIELD AVE., WILLIMANTIC, CT 06226 (Tel: 8604235000)

📍

Updated Business Mailing Address May 24, 2012

Registered at 162 MANSFIELD AVE., SUITE B, WILLIMANTIC, CT 06226 (Tel: 8604235000)

👤

Provider Name / Credentials Updated May 24, 2012

Recorded as HERBERT RIDYARD, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2012

Surgery (License #023949 in CT)

🟢

Initial NPI Registration & Enumeration June 23, 2006

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: 1043246887

Entity Type:

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

Enumeration Date: June 23, 2006

Last Update: September 08, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

120 Hospital Dr Ste 260

Jefferson City, TN 377605283

Phone: 8654712250

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.