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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

THADDEUS H RILEY M.D.
NPI 1104874031
Family Medicine in Statesboro, GA

Active since May 04, 2006PECOS Enrolled
23702 HWY 80 E, STATESBORO, GA 30458(912) 489-4090(912) 765-5028 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Oct 27, 2020 (2 updates tracked since 2020).

About Thaddeus H Riley M.d. NPPES

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

THADDEUS H RILEY M.D. (NPI 1104874031) is an individual family medicine provider in Statesboro, Georgia, licensed in Georgia (028637) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104874031
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHADDEUS H RILEYCredential: M.D.
Location Address23702 HWY 80 EStatesboro, GA 30458
Mailing Address23702 Hwy 80 E, Po Box 957Statesboro, GA 30459 · (912) 489-4090 · Fax (912) 765-5028
Phone(912) 489-4090
Fax(912) 765-5028
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
✔ NPI 1104874031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 028637
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.
23702 HWY 80 E, Statesboro, GA 30458
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Other Identifiers 1

Medicaid00351601CGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thaddeus H Riley M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30458 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Referred Medical Equipment & Supplies CMS DME claims 14

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers39 claims136 services$5.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers19 claims37 services$0.90 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$3.46 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers20 claims20 services$107.49 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers19 claims39 services$41.98 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers14 claims73 services$15.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Thaddeus Riley's NPI number?

The NPI number for Thaddeus Riley is 1104874031. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Thaddeus Riley located?

Thaddeus Riley practices at 23702 Hwy 80 E, Statesboro, GA 30458. The listed phone number is (912) 489-4090.

What is Thaddeus Riley's specialty?

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

Is Thaddeus Riley enrolled in Medicare?

Yes. Thaddeus Riley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thaddeus Riley was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.