Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Desyrae Eliza Ridenour

Physician Assistant โ€ข Springfield, MO

Active NPI 1891557575 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

960 E Walnut Lawn St Ste 201
Springfield, MO 658077865

Call 4172694450 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

960 E Walnut Lawn St Ste 201

Springfield, MO 658077865

Telephone 4172694450
Fax 4172694470
Organization at the Same NPPES Address or Phone
Lester E Cox Medical Centers Facility NPI 1164595153

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Lester E Cox Medical Centers. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2023

Medicare patients

146 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $39,184 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $31,722 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

453 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$171,399 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $1,172.38 across 58 records.

By nature of payment

  • Food and Beverage: $1,172.38 across 58 records.

Reporting-company totals (3 largest of 21)

  • Novo Nordisk Inc: $169.66 across 9 records.
  • Insulet Corporation: $122.13 across 5 records.
  • Abbott Laboratories: $101.85 across 5 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

3 years (graduated 2023)

CMS Doctors and Clinicians data list 2023 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Desyrae Ridenour has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Desyrae Ridenour as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Springfield and Missouri

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Springfield, MO (2024, 135 clinicians with data). Median for this group: 241. Middle half: 103 to 553.

More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Missouri (2024, 944 clinicians with data). Median for this group: 229. Middle half: 96 to 567.

Medicare-allowed amount

A higher Medicare-allowed amount than 80% of clinicians listed under Physician Assistant in Springfield, MO (2024, 135 clinicians with data). Median for this group: $15,991. Middle half: $5,876 to $30,846.

A higher Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Missouri (2024, 944 clinicians with data). Median for this group: $16,486. Middle half: $7,632 to $33,529.

Paid by Medicare

A higher Medicare payment amount than 80% of clinicians listed under Physician Assistant in Springfield, MO (2024, 135 clinicians with data). Median for this group: $12,105. Middle half: $4,297 to $21,178.

A higher Medicare payment amount than 80% of clinicians listed under Physician Assistant in Missouri (2024, 944 clinicians with data). Median for this group: $12,171. Middle half: $5,565 to $25,556.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Physician Assistant in Springfield, MO (2024, 124 clinicians with data). Median for this group: 295. Middle half: 68 to 923.

Close to the middle for clinicians listed under Physician Assistant in Missouri (2024, 900 clinicians with data). Median for this group: 219. Middle half: 73 to 682.

Part D drug cost

A higher Part D drug cost than 85% of clinicians listed under Physician Assistant in Springfield, MO (2024, 124 clinicians with data). Median for this group: $5,369. Middle half: $553 to $67,984.

A higher Part D drug cost than 85% of clinicians listed under Physician Assistant in Missouri (2024, 900 clinicians with data). Median for this group: $2,647. Middle half: $562 to $57,833.

234 active clinicians are listed under Physician Assistant with a practice address in Springfield, MO (1,791 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

12% of these 234 clinicians have the CMS telehealth indicator.

73.1% of these 234 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): 58 records totaling $1,172.38.

Manufacturer Payment Nature Product Type Amount ($)
CeQur Corporation
Food and Beverage
Cash or cash equivalent
CeQur Simplicity General $36.66
RECORDATI_RARE_DISEASES_INC.
Food and Beverage
In-kind items and services
ISTURISA General $31.60
RECORDATI_RARE_DISEASES_INC.
Food and Beverage
In-kind items and services
ISTURISA General $30.27
Radius Health, Inc.
Food and Beverage
In-kind items and services
Tymlos General $29.01
Neurocrine BioSciences, Inc.
Food and Beverage
In-kind items and services
CRENESSITY General $27.76
Insulet Corporation
Food and Beverage
Cash or cash equivalent
Omnipod General $27.62
Radius Health, Inc.
Food and Beverage
In-kind items and services
Tymlos General $27.29
Insulet Corporation
Food and Beverage
Cash or cash equivalent
Omnipod General $25.98
Insulet Corporation
Food and Beverage
Cash or cash equivalent
Omnipod General $25.93
Ascendis Pharma Endocrinology Inc
Food and Beverage
In-kind items and services
Yorvipath General $25.09
Chiesi USA, Inc.
Food and Beverage
Cash or cash equivalent
MYCAPSSA General $24.73
KYOWA KIRIN, INC.
Food and Beverage
In-kind items and services
CRYSVITA General $24.31
Chiesi USA, Inc.
Food and Beverage
Cash or cash equivalent
MYCAPSSA General $23.22
Radius Health, Inc.
Food and Beverage
In-kind items and services
Tymlos General $23.03
Averitas Pharma Inc.
Food and Beverage
In-kind items and services
QUTENZA General $22.32
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Wegovy General $21.70
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Wegovy General $21.43
Insulet Corporation
Food and Beverage
Cash or cash equivalent
Omnipod General $21.42
Insulet Corporation
Food and Beverage
Cash or cash equivalent
Omnipod General $21.18
Abbott Laboratories
Food and Beverage
In-kind items and services
FREESTYLE LIBRE General $21.15
Abbott Laboratories
Food and Beverage
In-kind items and services
FREESTYLE LIBRE General $21.06
Dexcom, Inc.
Food and Beverage
In-kind items and services
Dexcom G6 Transmitter General $20.97
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
LEQVIO General $20.97
Dexcom, Inc.
Food and Beverage
In-kind items and services
Dexcom G6 Transmitter General $20.84
Abbott Laboratories
Food and Beverage
In-kind items and services
FREESTYLE LIBRE General $20.79

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code 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 of drug or substance under skin or into muscle
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
84439 Thyroxine (thyroid chemical), free
16 14 $45.50 $8.84
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
16 16 $205.65 $70.72

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Mounjaro Tirzepatide 49 1,374 $49,496.71 16
Levothyroxine Sodium Levothyroxine Sodium 41 2,548 $334.34 24
Ozempic Semaglutide 38 1,352 $42,597.41 17
Lantus Solostar Insulin Glargine,hum.Rec.Anlog 33 1,378 $4,904.14 18
Trulicity Dulaglutide 26 952 $32,432.30 โ€”
Glimepiride Glimepiride 20 1,012 $117.29 โ€”
Alendronate Sodium Alendronate Sodium 14 840 $125.18 โ€”
Soliqua 100-33 Insulin Glargine/Lixisenatide 14 403 $14,101.26 โ€”
Methimazole Methimazole 13 510 $91.23 โ€”
Jardiance Empagliflozin 12 480 $9,715.03 โ€”
Basaglar Kwikpen U-100 Insulin Glargine,hum.Rec.Anlog 12 354 $3,083.92 โ€”
Insulin Lispro Kwikpen U-100 Insulin Lispro 12 394 $3,889.75 โ€”
Metformin Hcl Er Metformin Hcl 11 990 $69.99 โ€”
Farxiga Dapagliflozin Propanediol 11 580 $10,440.01 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-04-30
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20240229001504

Enrollment State Jurisdiction

MO

PECOS Control ID

7911342993

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

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

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

22 listed
Carissa Bailey

Nurse Practitioner - Family

NPI 1801466784
Dr. James Bonucchi , DO

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1225054109

Doctor of Osteopathic Medicine (D.O.)

Shelley Carter , NP

Nurse Practitioner - Family

NPI 1376072694

Nurse Practitioner

Jacqueline Cook , BC-FNP

Nurse Practitioner - Family

NPI 1609066950

BCFNP

Jessica Crouch , FNP-C

Nurse Practitioner - Family

NPI 1265192256

Family Nurse Practitioner (Certified)

Alina Cummins , PA

Physician Assistant - Medical

NPI 1851753826

Physician Assistant

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
๐Ÿ“
Updated Business Mailing Address April 30, 2024

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

โœ…
NPI Profile Active January 29, 2024

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) January 29, 2024

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

๐Ÿ“
Business Mailing Address (Initial Record) January 29, 2024

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

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) January 29, 2024

Recorded as DESYRAE RIDENOUR

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2024

Physician Assistant (license number reported to NPPES: MO 2024003095)

๐ŸŸข
Initial NPI Registration & Enumeration January 29, 2024

First registered as active Individual Practitioner in NPPES Database.

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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

Other Physician Assistants in Springfield

All Physician Assistants in Springfield

Mailing Address

Po Box 505673

Saint Louis, MO 631505673

Phone: 4177306430

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.