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RILEY SHULER POLK MD
NPI 1023506292
Emergency Medicine in Tulsa, OK

Active since April 24, 2018PECOS EnrolledAccepts Medicare Assignment
4502 E 41ST ST, TULSA, OK 74135(918) 579-2367 Get Directions Write a Review

NPPES record last updated: January 16, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 16, 2022, Apr 24, 2018 (2 updates tracked since 2018).

About Riley Shuler Polk Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RILEY SHULER POLK MD (NPI 1023506292) is an individual emergency medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (33959) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Self Regional Healthcare, and is a graduate of University Of South Carolina School Of Medicine, Greenville (2018).

NPPES Registry Identity

NPI1023506292
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameRILEY SHULER POLKCredential: MD
Location Address4502 E 41ST STTulsa, OK 74135-2536
Mailing Address4502 E 41st StTulsa, OK 74135-2536 · (918) 579-2367
Phone(918) 579-2367
Sole ProprietorYes
Medical School CMSUniversity Of South Carolina School Of Medicine, GreenvilleGraduated 2018
Enumeration DateApril 24, 2018
Last NPPES UpdateJanuary 16, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2022
✔ NPI 1023506292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OK · 33959
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4502 E 41ST ST, Tulsa, OK 74135
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Riley Shuler Polk Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880018258
PECOS Enrollment IDI20230927003164
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Riley Polk reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Green Country Emergency Physicians Group Of Tulsa PLLC
4.0 mi
Emergency Medicine
1120 S UTICA AVE
Tulsa, OK 74104
  • Reassigned Medicare billing, Kansas enrollment
  • 37 clinicians in this Medicare group
NPI 1972698553 (918) 579-1000
Abbeville County Memorial Hospital
775 mi
Adult Medicine
6 COLLEGE ST
Due West, SC 29639
  • Reassigned Medicare billing, South Carolina enrollment
  • Also billed through NPI 1063449361 (South Carolina)
  • 103 clinicians in this Medicare group
NPI 1689048464 (864) 379-2345
Self Medical Group
783 mi
Family Medicine
167 GREENWOOD AVE S
Ware Shoals, SC 29692
  • Reassigned Medicare billing, South Carolina enrollment
  • 560 clinicians in this Medicare group
NPI 1942528161 (864) 456-3447
Self Regional Healthcare Partners
810 mi
Family Medicine
155 RIDGE MEDICAL PLAZA RD
Edgefield, SC 29824
  • Reassigned Medicare billing, South Carolina enrollment
  • Also billed through NPI 1922582105 (South Carolina)
  • 126 clinicians in this Medicare group
NPI 1053929208 (803) 637-3146

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
258 services245 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
216 services209 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
56 services56 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Self Regional Healthcare

Acute Care Hospitals · Greenwood, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420071
Location1325 Spring StreetGreenwood, SC 29646 · Greenwood County
Emergency services Birthing friendly

Abbeville Area Medical Center

Critical Access Hospitals · Abbeville, SC
OwnershipVoluntary non-profit - Other
CMS Certification Number421301
Location420 Thomson CircleAbbeville, SC 29620 · Abbeville County
Emergency services

Edgefield County Healthcare An Affiliate Of Self R

Critical Access Hospitals · Edgefield, SC
OwnershipGovernment - Local
CMS Certification Number421304
Location300 Ridge Medical PlazaEdgefield, SC 29824 · Edgefield County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74135 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MICHAEL DANIEL FIGUEIREDO MD
Emergency Medicine
4502 E 41ST ST
TULSA, OK 74135
Tulsa County (918) 619-4400
PETER MADDEN MD
Internal Medicine
4502 E 41ST ST
TULSA, OK 74135
Tulsa County (918) 619-4400
AMNA OBAID
Student in an Organized Health Care Education/Training Program
4502 E 41ST ST
TULSA, OK 74135
Tulsa County (918) 619-4400
LAMAURI FRANKLIN
Student in an Organized Health Care Education/Training Program
4502 E 41ST ST
TULSA, OK 74135
Tulsa County (918) 660-3842
SAI ATLURI MD
Internal Medicine
4502 E 41ST ST
TULSA, OK 74135
Tulsa County (918) 619-4888
HAIDEN REECE PETERSON
Student in an Organized Health Care Education/Training Program
4502 E 41ST ST
TULSA, OK 74135
Tulsa County (918) 660-3842
DR. STEPHEN HODGES THOMAS MD
Emergency Medicine
4502 E 41ST ST
TULSA, OK 74135
Tulsa County (918) 660-3831
MRS. STACY LYNETTE KING LPC
Counselor (Mental Health)
4502 E 41ST ST
TULSA, OK 74135
Tulsa County (918) 660-3150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riley Polk's NPI number?

The NPI number for Riley Polk is 1023506292. It was assigned to this individual provider in the NPPES registry on April 24, 2018.

Where is Riley Polk located?

Riley Polk practices at 4502 E 41st St, Tulsa, OK 74135. The listed phone number is (918) 579-2367.

What is Riley Polk's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Riley Polk enrolled in Medicare?

Yes. Riley Polk is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Riley Polk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Riley Polk reassigns Medicare benefits to 4 organizations: Green Country Emergency Physicians Group Of Tulsa PLLC (Tulsa, OK), Abbeville County Memorial Hospital (Due West, SC), Self Medical Group (Ware Shoals, SC) and Self Regional Healthcare Partners (Edgefield, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Riley Polk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Riley Polk accept?

Health plans from First Choice Next list Riley Polk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Riley Polk affiliated with any hospitals?

According to CMS data, Riley Polk is affiliated with Self Regional Healthcare, Abbeville Area Medical Center and Edgefield County Healthcare An Affiliate Of Self R.

When was this NPI record last updated?

The NPPES record for Riley Polk was last updated on January 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.