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ROBIN MICHELLE RILEY M.D.
NPI 1215390406
Surgery in Decatur, IL

Active since April 04, 2016PECOS EnrolledAccepts Medicare Assignment
67.18/100
CMS Quality Rating
2300 N EDWARD ST, DECATUR, IL 62526(480) 522-8661 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Robin Michelle Riley M.d. NPPES

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

ROBIN MICHELLE RILEY M.D. (NPI 1215390406) is an individual surgery provider in Decatur, Illinois, licensed in Illinois (036161829) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1215390406
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameROBIN MICHELLE RILEYCredential: M.D.
Location Address2300 N EDWARD STDecatur, IL 62526-4192
Mailing Address2300 N Edward StDecatur, IL 62526-4192 · (480) 522-8661
Phone(480) 522-8661
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 4, 2016
Last NPPES UpdateAugust 24, 2022
NPPES CertifiedAugust 24, 2022
✔ NPI 1215390406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036161829
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2300 N EDWARD ST, Decatur, IL 62526
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robin Michelle Riley M.d. 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 ID1456646959
PECOS Enrollment IDI20220915003742
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 Reassignments

2

Medicare enrollment records show Robin Riley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Decatur Memorial Hospital
Same address
General Acute Care Hospital
2300 N EDWARD ST, GSBLL
Decatur, IL 62526
  • Reassigned Medicare billing, Illinois enrollment
  • 166 clinicians in this Medicare group
NPI 1164477725 (217) 876-2868
Pana Community Hospital Association
34 mi
Critical Access
101 E 9TH ST
Pana, IL 62557
  • Reassigned Medicare billing, Illinois enrollment
  • 79 clinicians in this Medicare group
NPI 1942326970 (217) 562-2131

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 8

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
52 services28 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
46 services46 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
40 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 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.
19 services15 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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.

67.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.86
Improvement Activities40
Cost56.87

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.

CULLEN WHICKER CRNA
Nurse Anesthetist, Certified Registered
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2575
MR. JASON GRAUER APRN
Nurse Practitioner (Family)
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-8121
DR. JEFFREY MARC BOORSTEIN MD
Radiology (Diagnostic Radiology)
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2300
PAUL GURLEY PA-C
Physician Assistant
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-3000
CHRISTINE W CUTLER MS RD LD/N
Dietitian, Registered
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2281
JACLYN NICOLE KLEMAN
Physical Therapist
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2600
BRITTNEY L JEFFERY CRNA
Nurse Anesthetist, Certified Registered
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2275
DR. DAVID JOSEPH EVELTI MD
Anesthesiology
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-8121

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 Robin Riley's NPI number?

The NPI number for Robin Riley is 1215390406. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Where is Robin Riley located?

Robin Riley practices at 2300 N Edward St, Decatur, IL 62526. The listed phone number is (480) 522-8661.

What is Robin Riley's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Robin Riley enrolled in Medicare?

Yes. Robin 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.

Which organizations bill Medicare for Robin Riley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robin Riley reassigns Medicare benefits to 2 organizations: Decatur Memorial Hospital (Decatur, IL) and Pana Community Hospital Association (Pana, IL). Each 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 Robin Riley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Robin Riley affiliated with any hospitals?

According to CMS data, Robin Riley is affiliated with Decatur Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Robin Riley was last updated on August 24, 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.