ELLY K RILEY DO
NPI 1063649408
Family Medicine in Jackson, TN

Q: What is Elly Riley's NPI number?

The NPI number for Elly Riley is 1063649408. It was assigned to this individual provider in the NPPES registry on June 12, 2009.

Q: What is Elly Riley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Elly Riley was last updated on October 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 12, 2009PECOS EnrolledAccepts Medicare Assignment

95.73/100

CMS Quality Rating

294 SUMMAR DR, JACKSON, TN 38301(731) 423-1932 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Elly K Riley Do NPPES

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

ELLY K RILEY DO (NPI 1063649408) is an individual family medicine provider in Jackson, Tennessee, licensed in Tennessee (DO0000002406) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital - Carroll County, and is a graduate of Kansas City College Of Medicine And Surgery (2009).

NPPES Registry Identity

NPI1063649408

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameELLY K RILEYCredential: DO

Location Address294 SUMMAR DRJackson, TN 38301-3915

Mailing Address294 Summar DrJackson, TN 38301-3915 · (731) 423-1932

Phone(731) 423-1932

Sole ProprietorYes

Medical School CMSKansas City College Of Medicine And SurgeryGraduated 2009

Enumeration DateJune 12, 2009

Last NPPES UpdateOctober 9, 2023

NPPES CertifiedOctober 9, 2023

✔ NPI 1063649408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TN · DO0000002406

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

294 SUMMAR DR, Jackson, TN 38301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Health Plan, Inc., Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elly K Riley Do 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 ID7517116528

PECOS Enrollment IDI20121008000569

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.

Hospital Affiliations CMS Care Compare

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

Baptist Memorial Hospital - Carroll County

Acute Care Hospitals · Huntingdon, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440016

Location631 Rb Wilson DrHuntingdon, TN 38344 · Carroll County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 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

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.73/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.39

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$21.30 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$922.57 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$119.41 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JOAN CRENSHAW MD

Student in an Organized Health Care Education/Training Program