DR. ROBERT SHANE RILEY D.O.
NPI 1063727576
Orthopaedic Surgery in Bowling Green, KY

Active since August 10, 2010PECOS EnrolledAccepts Medicare Assignment
165 NATCHEZ TRACE AVE, BOWLING GREEN, KY 42103(270) 782-7800(270) 843-0779 Get Directions Write a Review

NPPES record last updated: August 9, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Robert Shane Riley D.o. NPPES

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

DR. ROBERT SHANE RILEY D.O. (NPI 1063727576) is an individual orthopaedic surgery provider in Bowling Green, Kentucky, licensed in Pennsylvania (OTO13837) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, is affiliated with The Medical Center (bowling Green), and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2010).

NPPES Registry Identity

NPI1063727576
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. ROBERT SHANE RILEYCredential: D.O.
Location Address165 NATCHEZ TRACE AVEBowling Green, KY 42103-7940
Mailing Address201 Park StBowling Green, KY 42101-1759 · (270) 782-7800 · Fax (270) 843-0779
Fax(270) 843-0779
Sole ProprietorYes
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2010
Enumeration DateAugust 10, 2010
Last NPPES UpdateAugust 9, 2016
NPI 1063727576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in PA · OTO13837
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

165 NATCHEZ TRACE AVE, Bowling Green, KY 42103

Accepted 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

Dr. Robert Shane Riley D.o. 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 ID9335371095
PECOS Enrollment IDI20150810002516
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.

Areas of Expertise CMS Part B claims 38

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.

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.
3,416 services238 patients
Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
1,920 services19 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.
417 services265 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
276 services152 patients
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.
167 services134 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
161 services78 patients

Hospital Affiliations CMS Care Compare 5

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

The Medical Center (bowling Green)

Acute Care Hospitals · Bowling Green, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180013
Location250 Park StreetBowling Green, KY 42101 · Warren County
Emergency services Birthing friendly

T J Samson Community Hospital

Acute Care Hospitals · Glasgow, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180017
Location1301 North Race StreetGlasgow, KY 42141 · Barren County
Emergency services Birthing friendly

Monroe County Medical Center

Acute Care Hospitals · Tompkinsville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180105
Location529 Capp Harlan RoadTompkinsville, KY 42167 · Monroe County
Emergency services

Tristar Greenview Regional Hospital

Acute Care Hospitals · Bowling Green, KY
3/5 CMS rating
OwnershipProprietary
CMS Certification Number180124
Location1801 Ashley CircleBowling Green, KY 42104 · Warren County
Emergency services

The Medical Center At Franklin

Critical Access Hospitals · Franklin, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181318
Location1100 Brookhaven RoadFranklin, KY 42135 · Simpson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42103 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers15 claims15 services$59.83 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
4 suppliers11 claims11 services$25.42 avg. paid by Medicare
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
2 suppliers15 claims15 services$73.96 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
2 suppliers17 claims18 services$45.62 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier11 claims11 services$219.80 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.

Pain Medicine (Interventional Pain Medicine)
165 NATCHEZ TRACE AVE, SUITE 205
BOWLING GREEN, KY 42103
Specialist
165 NATCHEZ TRACE AVE, SUITE 100
BOWLING GREEN, KY 42103
Occupational Therapist
165 NATCHEZ TRACE AVE, SUITE 200
BOWLING GREEN, KY 42103
Occupational Therapist
165 NATCHEZ TRACE AVE, SUITE 200
BOWLING GREEN, KY 42103
Durable Medical Equipment & Medical Supplies
165 NATCHEZ TRACE AVE, SUITE 200
BOWLING GREEN, KY 42103
Nurse Practitioner
165 NATCHEZ TRACE AVE, STE 205
BOWLING GREEN, KY 42103
Physical Therapist
165 NATCHEZ TRACE AVE, SUITE 200
BOWLING GREEN, KY 42103
Physical Therapist
165 NATCHEZ TRACE AVE, SUITE 200
BOWLING GREEN, KY 42103

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 Robert Riley's NPI number?

The NPI number for Robert Riley is 1063727576. It was assigned to this individual provider in the NPPES registry on August 10, 2010.

Where is Robert Riley located?

Robert Riley practices at 165 Natchez Trace Ave, Bowling Green, KY 42103. The listed phone number is (270) 782-7800.

What is Robert Riley's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Robert Riley enrolled in Medicare?

Yes. Robert 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.

What insurance does Robert Riley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Robert 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.

Is Robert Riley affiliated with any hospitals?

According to CMS data, Robert Riley is affiliated with The Medical Center (bowling Green), T J Samson Community Hospital, Monroe County Medical Center, Tristar Greenview Regional Hospital and The Medical Center At Franklin.

When was this NPI record last updated?

The NPPES record for Robert Riley was last updated on August 9, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.