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DR. ROGER S RILEY M.D.
NPI 1184642456
Pathology - Anatomic Pathology & Clinical Pathology in Richmond, VA

Active since July 17, 2006PECOS Enrolled
76.23/100
CMS Quality Rating
1250 E MARSHALL STREET, PATHOLOGY, RICHMOND, VA 23298(804) 828-9746(804) 828-9749 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Roger S Riley M.d. NPPES

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

DR. ROGER S RILEY M.D. (NPI 1184642456) is an individual anatomic pathology & clinical pathology provider in Richmond, Virginia, licensed in Virginia (0101056034) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184642456
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. ROGER S RILEYCredential: M.D.
Location Address1250 E MARSHALL STREET, PATHOLOGYRichmond, VA 23298-0662
Mailing AddressPo Box 91734Richmond, VA 23291-1734 · (804) 358-6100 · Fax (804) 342-7619
Phone(804) 828-9746
Fax(804) 828-9749
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1184642456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in VA · 0101056034
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1250 E MARSHALL STREET, Richmond, VA 23298
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINA72723
Medicaid6603050VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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. Roger S 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.

Medicare Billing Reassignment

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

Mcv Associated Physicians
Same address
Anesthesiology
1250 E MARSHALL ST, MAIN 1-214, BOX 980510
Richmond, VA 23298
  • Reassigned Medicare billing, Virginia enrollment
  • 2,481 clinicians in this Medicare group
NPI 1710959457 (804) 828-8707

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 9

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.

Blood smear interpretation by physician with written report 85060
Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.
91 services78 patients
Microscopic genetic analysis of tumor, manual 88360
Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
64 services29 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
56 services37 patients
Screening examination of specimen cells, screening and interpretation 88160
A screening examination of specimen cells involves studying a small sample of cells from your body. This helps identify any unusual or abnormal cells, providing valuable information about your health. The process includes both the screening and interpretation of the results.
48 services39 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
48 services38 patients
Flow cytometry technique for dna or cell analysis, 16 or more markers 88189
Flow cytometry is a method used to measure and analyze cells. It uses a beam of light to detect up to 16 or more markers on cells, helping to identify their type, function, or abnormalities. This technique aids in diagnosing various health conditions.
45 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23298 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

76.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.58
Promoting Interoperability100
Improvement Activities40
Cost56.18

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.

DR. CHRISTINE H LLEWELLYN M.D.
Radiology (Diagnostic Radiology)
1250 E MARSHALL STREET, RADIOLOGY
RICHMOND, VA 23298
Richmond City (804) 828-8262
STEWART JAMES WETCHLER MD
Obstetrics & Gynecology (Gynecology)
1250 E MARSHALL STREET
RICHMOND, VA 23298
Richmond City (757) 220-1246
DR. MARTIN F GRAHAM M.D.
Pediatrics (Pediatric Gastroenterology)
1250 E MARSHALL STREET, PEDIATRICS
RICHMOND, VA 23298
Richmond City (804) 828-3744
DR. RUMA G ADAMS M.D.
Internal Medicine
1250 E MARSHALL STREET, INTERNAL MEDICINE
RICHMOND, VA 23298
Richmond City (804) 560-8950
DR. LAWRENCE DANIEL MORTON M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1250 E MARSHALL STREET, NEUROLOGY
RICHMOND, VA 23298
Richmond City (804) 828-0442
DR. WILLIAM C BROADDUS M.D., PH.D.
Neurological Surgery
1250 E MARSHALL STREET, NEUROSURGERY
RICHMOND, VA 23298
Richmond City (804) 828-2437
KEENE B PICKARD CRNA
Nurse Anesthetist, Certified Registered
1250 E MARSHALL STREET, ANESTHESIA CRNA
RICHMOND, VA 23298
Richmond City (804) 628-6975
DR. MELISSA COLLINS SMALLFIELD MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
1250 E MARSHALL STREET
RICHMOND, VA 23298
Richmond City (804) 828-7626

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 Roger Riley's NPI number?

The NPI number for Roger Riley is 1184642456. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Roger Riley located?

Roger Riley practices at 1250 E Marshall Street Pathology, Richmond, VA 23298. The listed phone number is (804) 828-9746.

What is Roger Riley's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Roger Riley enrolled in Medicare?

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

Which organization bills Medicare for Roger Riley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roger Riley reassigns Medicare benefits to Mcv Associated Physicians (Richmond, VA). The 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 Roger Riley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roger Riley accept?

Health plans from Oscar Health list Roger 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 Roger Riley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.