Jared Ridenour, PA
NPI 1619441177 · Physician Assistant · Tulsa, OK
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jared Ridenour, PA is a Physician Assistant provider in Tulsa, OK (NPI 1619441177).
Provider details
- NPI number
- 1619441177
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 3021 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
7 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
649 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 103 | $71 |
| Insertion of Cage Or Mesh Device to Spine Bone and Disc Space During Spine Fusion22853 | 62 | $32 |
| X-Ray of Lower and Sacral Spine, 2-3 Views72100 | 60 | $30 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 60 | $130 |
| Fusion of Additional Segment of Spine22614 | 59 | $49 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 51 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,007 across 14 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-01-17
- Last updated
- 2022-01-06
- Certified
- 2022-01-06
Frequently asked questions
- What is Jared Ridenour's NPI number?
- Jared Ridenour's National Provider Identifier (NPI) is 1619441177, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jared Ridenour's specialty?
- Jared Ridenour is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jared Ridenour located?
- Jared Ridenour's practice location on file with NPPES is 6802 S Olympia Ave Ste 300, Tulsa, OK 74132-1826.
- What is Jared Ridenour's phone number?
- The practice phone number listed in the NPPES registry for Jared Ridenour is (918) 749-0762.
- Does Jared Ridenour accept Medicare?
- Jared Ridenour is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jared Ridenour's NPI active?
- Yes — Jared Ridenour's NPI (1619441177) is active in the NPPES registry as of the last update on 2022-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.