DR. CAROLYN MARIE RILEY MD
NPI 1053979773
Pediatrics in San Angelo, TX

Q: What is Carolyn Riley's NPI number?

The NPI number for Carolyn Riley is 1053979773. It was assigned to this individual provider in the NPPES registry on May 29, 2019.

Q: What is Carolyn Riley's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Riley was last updated on September 6, 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.

Active since May 29, 2019PECOS Enrolled

225 E BEAUREGARD AVE, SAN ANGELO, TX 76903(253) 481-2287 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 6, 2022, May 29, 2019 (2 updates tracked since 2019).

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About Dr. Carolyn Marie Riley Md NPPES

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

DR. CAROLYN MARIE RILEY MD (NPI 1053979773) is an individual pediatrics provider in San Angelo, Texas, licensed in Texas (T8327) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053979773

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. CAROLYN MARIE RILEYCredential: MD

Location Address225 E BEAUREGARD AVESan Angelo, TX 76903-5920

Mailing Address3601 4th St Stop 9406Lubbock, TX 79430-9406 · (806) 743-6630

Phone(253) 481-2287

Sole ProprietorNo

Enumeration DateMay 29, 2019

Last NPPES UpdateSeptember 6, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2022

✔ NPI 1053979773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TX · T8327

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

225 E BEAUREGARD AVE, San Angelo, TX 76903

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carolyn Marie Riley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Carolyn Riley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shannon Clinic

0.1 mi

Family Medicine

120 E BEAUREGARD AVE
San Angelo, TX 76903

Reassigned Medicare billing, Texas enrollment
671 clinicians in this Medicare group

NPI 1770587149 (325) 658-1511

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76903 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 11

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

ELIZABETH L YOUNG MD

Pediatrics