Doctor profile · Federal record
Dr. Jonathan Ridenour, PSYD
Psychologist (CMS: Clinical Psychologist) · Tyler, TX
- NPI 1760703003
- Accepts Medicare
- 15 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4801 Troup Hwy Ste 502
Tyler, TX 757032357
(903) 630-5788
fax (903) 630-5885
Credentials & registration
- NPI registered
- June 2010 — 16 yrs on file
- Profile last updated
- September 18, 2023
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 103T00000X — NUCC code
- State license (1)
- Texas #34806
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1760703003. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,011
Distinct HCPCS
7
Medicare allowed
$82,148
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
96139 |
Administration of psychological or neuropsychological test by technician, each additional 30 minutes | 448 | 45 | $33 | |
90837 |
Psychotherapy, 1 hour | 245 | 34 | $138 | |
96133 |
Evaluation of neuropsychological test, each additional hour | 129 | 42 | $96 | |
90791 |
Psychiatric diagnostic evaluation | 77 | 76 | $167 | |
96138 |
Administration of psychological or neuropsychological test by technician, first 30 minutes | 47 | 45 | $32 | |
96132 |
Evaluation of neuropsychological test, first hour | 43 | 42 | $125 | |
90832 |
Psychotherapy, 30 minutes | 22 | 21 | $69 |
In context: peer comparison
Among 3 peers in Tyler Psychologist, average services per provider: 97. This provider delivers 10× the peer median.Frequently asked questions
What is Dr. Jonathan Ridenour's medical specialty?
Dr. Jonathan Ridenour practices Psychologist in Tyler, TX.
Where does Dr. Jonathan Ridenour practice?
Dr. Jonathan Ridenour practices at 4801 Troup Hwy Ste 502, Tyler, TX 757032357. Office phone: 9036305788.
What is Dr. Jonathan Ridenour's NPI?
Dr. Jonathan Ridenour's National Provider Identifier (NPI) is 1760703003, issued by NPPES.
Does Dr. Jonathan Ridenour accept Medicare assignment?
Yes. Dr. Jonathan Ridenour accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jonathan Ridenour commonly perform?
Top Medicare-reported procedures in 2023: Administration of psychological or neuropsychological test by technician (HCPCS 96139); Psychotherapy (HCPCS 90837); Evaluation of neuropsychological test, each additional hour (HCPCS 96133). Source: CMS Medicare Physician & Other Practitioners file.