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Dr. Jonathan Michael Ridenour , PsyD

Psychologist • Tyler, TX

Active NPI 1760703003 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

4801 Troup Hwy Ste 502
Tyler, TX 757032357

Call 9036305788 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

4801 Troup Hwy Ste 502

Tyler, TX 757032357

Telephone 9036305788
Fax 9036305885
Organization at the Same NPPES Address or Phone
Jonathan Ridenour, Pa Facility NPI 1699233403

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2011

Medicare patients

54 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 – by Provider, 2024.

Medicare-allowed amount

About $44,276 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 – by Provider and Service, 2024.

Paid by Medicare

About $33,946 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 – by Provider and Service, 2024.

Years since graduation

15 years (graduated 2011)

CMS Doctors and Clinicians data list 2011 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

2010

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, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

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)

Dr. 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 Dr. Ridenour as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) 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 Tyler and Texas

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 65% of clinicians listed under Psychologist in Texas (2024, 137 clinicians with data). Median for this group: 314. Middle half: 146 to 715.

Too few clinicians listed under Psychologist in Tyler have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

Close to the middle for clinicians listed under Psychologist in Texas (2024, 137 clinicians with data). Median for this group: $36,569. Middle half: $16,389 to $73,195.

Too few clinicians listed under Psychologist in Tyler have Medicare Part B data for 2024 to compare.

Paid by Medicare

Close to the middle for clinicians listed under Psychologist in Texas (2024, 137 clinicians with data). Median for this group: $27,519. Middle half: $12,205 to $57,090.

Too few clinicians listed under Psychologist in Tyler have Medicare Part B data for 2024 to compare.

15 active clinicians are listed under Psychologist with a practice address in Tyler, TX (2,141 in Texas).

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

Telehealth indicator in Tyler

13.3% of these 15 clinicians have the CMS telehealth indicator.

46.7% of these 15 clinicians are listed by CMS as accepting Medicare assignment.

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

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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 – by Provider and Service data, 2017–2024; 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
96139 Administration of psychological or neuropsychological test by technician, each additional 30 minutes
238 24 $50.00 $32.72
90837 Psychotherapy, 1 hour
140 18 $200.00 $143.78
96133 Evaluation of neuropsychological test, each additional hour
71 24 $200.00 $93.66
90791 Psychiatric diagnostic evaluation
37 37 $200.00 $165.92
96132 Evaluation of neuropsychological test, first hour
23 23 $250.00 $123.47
96138 Administration of psychological or neuropsychological test by technician, first 30 minutes
23 23 $55.00 $31.79

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.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-09-18
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES TX 34806

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

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: Texas Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Texas License
34806

Medicare (PECOS) Enrollment & Ordering Eligibility

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

PRACTITIONER - CLINICAL PSYCHOLOGIST

Medicare Enrollment ID

I20111025000866

Enrollment State Jurisdiction

TX

PECOS Control ID

9234302985

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

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

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 18, 2023

Registered at 4801 TROUP HWY STE 502, TYLER, TX 757032357 (Tel: 9036305788)

📍
Updated Business Mailing Address September 18, 2023

Registered at 4801 TROUP HWY STE 502, TYLER, TX 757032357 (Tel: 9036305788)

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NPI Profile Active October 19, 2011

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) October 19, 2011

Registered at 2010 SYBIL LN, TYLER, TX 757031823 (Tel: 9035368118)

📍
Business Mailing Address (Initial Record) October 19, 2011

Registered at 2010 SYBIL LN, TYLER, TX 757031823 (Tel: 9035368118)

👤
Provider Name / Credentials (Initial Record) October 19, 2011

Recorded as JONATHAN RIDENOUR, PSYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2011

Psychologist (license number reported to NPPES: TX 34806)

🟢
Initial NPI Registration & Enumeration June 22, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1760703003
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2010
Last Update: September 18, 2023
Sole Proprietor: No

Other Psychologists in Tyler

All Psychologists in Tyler

Mailing Address

4801 Troup Hwy Ste 502

Tyler, TX 757032357

Phone: 9036305788

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.