PHILLIP J RILEY DPM
NPI 1043284391
Podiatrist in Johnson City, TN

Q: What is Phillip Riley's NPI number?

The NPI number for Phillip Riley is 1043284391. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Q: What is Phillip Riley's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for Phillip Riley was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since February 14, 2006PECOS EnrolledAccepts Medicare Assignment

301 MED TECH PKWY STE 106, JOHNSON CITY, TN 37604(423) 434-6410(423) 232-8576 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 21, 2025, Mar 27, 2023 (2 updates tracked since 2023).

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About Phillip J Riley Dpm NPPES

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

PHILLIP J RILEY DPM (NPI 1043284391) is an individual podiatrist in Johnson City, Tennessee, licensed in Tennessee (MD653) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1043284391

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NamePHILLIP J RILEYCredential: DPM

Location Address301 MED TECH PKWY STE 106Johnson City, TN 37604-2631

Mailing AddressPo Box 632476Cincinnati, OH 45263-2476 · (423) 434-6410 · Fax (423) 232-8576

Phone(423) 434-6410

Fax(423) 232-8576

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateFebruary 14, 2006

Last NPPES UpdateFebruary 21, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 21, 2025

✔ NPI 1043284391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in TN · MD653

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

301 MED TECH PKWY STE 106, Johnson City, TN 37604

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Secondary Practice Locations 2

Location 1303 Med Tech Pkwy Ste 100Johnson City, TN 37604-2392 · Phone (423) 282-5611 · Fax (423) 282-5712

Location 2301 Med Tech Pkwy Ste 120Johnson City, TN 37604-2631 · Phone (423) 794-5590 · Fax (423) 794-5877

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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

Phillip J Riley Dpm 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 ID7810919735

PECOS Enrollment IDI20051220000578

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

Medicare enrollment records show Phillip Riley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Education Assistance Corporation

0.2 mi

Internal Medicine

101 MED TECH PKWY STE 306
Johnson City, TN 37604

Reassigned Medicare billing, Tennessee enrollment
341 clinicians in this Medicare group

NPI 1235180480 (423) 433-6039

State Of Franklin Healthcare Associates PLLC

3.3 mi

Internal Medicine

121 BOONE RIDGE DR STE 1002
Johnson City, TN 37615

Reassigned Medicare billing, Tennessee enrollment
357 clinicians in this Medicare group

NPI 1063459410 (423) 794-5500

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 19

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

613 services297 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

415 services243 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

260 services260 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

161 services109 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

110 services82 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

107 services89 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

96 services78 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

82 services34 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

60 services60 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

45 services43 patients

Trimming of fingernails or toenails 11719

Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.

39 services36 patients

Repair of toe tendon 28010

A repair of a toe tendon is a surgical procedure to fix a damaged or torn tendon in your toe. This helps restore movement and reduce pain. The procedure involves making a small incision, mending the damaged tendon, and then closing the wound. Post-surgery, physical therapy may be needed for full recovery.

37 services28 patients

Permanent removal fingernail or toenail 11750

Permanent removal of a fingernail or toenail, also known as avulsion, is a procedure performed to treat nail infections or severe ingrown nails. The nail is carefully removed under local anesthesia. After removal, a chemical is applied to prevent nail regrowth, ensuring the issue does not recur.

27 services20 patients

Removal of skin of fingernail or toenail 11765

This procedure, called a nail avulsion, involves the removal of a fingernail or toenail's skin, usually due to an infection, injury, or abnormal growth. It's performed under local anesthesia to minimize discomfort, and promotes healthy nail regrowth and healing.

27 services22 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

27 services14 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

26 services23 patients

Strapping, unna boot 29580

An Unna Boot is a special bandage, soaked in a gel, wrapped around your lower leg and foot. It helps heal leg sores, improve circulation, and reduce swelling. The boot hardens and provides compression, promoting healing and comfort.

24 services16 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

20 services20 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

18 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

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

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

SILAS ROBERT FIEFHAUS DPM

Podiatrist (Foot & Ankle Surgery)

301 MED TECH PKWY STE 106
JOHNSON CITY, TN 37604

Washington County (423) 434-6410

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 Phillip Riley's NPI number?

The NPI number for Phillip Riley is 1043284391. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Phillip Riley located?

Phillip Riley practices at 301 Med Tech Pkwy Ste 106, Johnson City, TN 37604. The listed phone number is (423) 434-6410.

What is Phillip Riley's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Phillip Riley enrolled in Medicare?

Yes. Phillip Riley 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 Phillip Riley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Riley reassigns Medicare benefits to 2 organizations: Medical Education Assistance Corporation (Johnson City, TN) and State Of Franklin Healthcare Associates PLLC (Johnson City, TN). 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 Phillip Riley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phillip Riley accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Phillip Riley 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.

When was this NPI record last updated?

The NPPES record for Phillip Riley was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.