DOUGLAS RIETH M.D.
NPI 1225004229
Internal Medicine in Spartanburg, SC

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
1330 BOILING SPRINGS RD STE 2500, SPARTANBURG, SC 29303(864) 585-5433(864) 591-4053 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 10, 2020, Nov 7, 2019, Oct 2, 2015 (3 updates tracked since 2015).

About Douglas Rieth M.d. NPPES

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

DOUGLAS RIETH M.D. (NPI 1225004229) is an individual internal medicine provider in Spartanburg, South Carolina, licensed in South Carolina (17565) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Vanderbilt University School Of Medicine (1993).

NPPES Registry Identity

NPI1225004229
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDOUGLAS RIETHCredential: M.D.
Location Address1330 BOILING SPRINGS RD STE 2500Spartanburg, SC 29303-4214
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413
Fax(864) 591-4053
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1993
Enumeration DateFebruary 28, 2006
Last NPPES UpdateDecember 10, 20203 updates tracked since enumeration
NPPES CertifiedDecember 10, 2020
NPI 1225004229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in SC · 17565
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1330 BOILING SPRINGS RD STE 2500, Spartanburg, SC 29303

Other Identifiers 3

Medicaid175651SC
Other110211223SC · Rr Medicare
OtherP01506080SC · Railroad Medicare

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

Douglas Rieth 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 ID2567555808
PECOS Enrollment IDI20070904000074
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 23

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
670 services358 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.
619 services313 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
279 services239 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
257 services257 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
229 services208 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
222 services178 patients

Hospital Affiliations CMS Care Compare 4

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

St Lukes Hospital

Critical Access Hospitals · Columbus, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341322
Location101 Hospital DriveColumbus, NC 28722 · Polk County
Emergency services

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Pelham Medical Center

Acute Care Hospitals · Greer, SC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420103
Location250 Westmoreland RoadGreer, SC 29651 · Greenville County
Emergency services

Union Medical Center

Acute Care Hospitals · Union, SC
OwnershipVoluntary non-profit - Other
CMS Certification Number420108
Location322 West South StreetUnion, SC 29379 · Union County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 16

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
14 suppliers30 claims55 services$6.82 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers11 claims11 services$38.53 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers24 claims24 services$87.89 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers27 claims70 services$32.23 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers16 claims96 services$20.89 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers21 claims21 services$58.70 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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1330 BOILING SPRINGS RD STE 2500
SPARTANBURG, SC 29303
Nurse Practitioner (Family)
1330 BOILING SPRINGS RD STE 2500
SPARTANBURG, SC 29303
Internal Medicine
1330 BOILING SPRINGS RD STE 2500
SPARTANBURG, SC 29303
Internal Medicine
1330 BOILING SPRINGS RD STE 2500
SPARTANBURG, SC 29303
Internal Medicine (Cardiovascular Disease)
1330 BOILING SPRINGS RD STE 2500
SPARTANBURG, SC 29303
Internal Medicine (Interventional Cardiology)
1330 BOILING SPRINGS RD STE 2500
SPARTANBURG, SC 29303
Nurse Practitioner (Adult Health)
1330 BOILING SPRINGS RD STE 2500
SPARTANBURG, SC 29303
Nurse Practitioner (Family)
1330 BOILING SPRINGS RD STE 2500
SPARTANBURG, SC 29303

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 Douglas Rieth's NPI number?

The NPI number for Douglas Rieth is 1225004229. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Douglas Rieth located?

Douglas Rieth practices at 1330 Boiling Springs Rd Ste 2500, Spartanburg, SC 29303. The listed phone number is (864) 585-5433.

What is Douglas Rieth's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Douglas Rieth enrolled in Medicare?

Yes. Douglas Rieth 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 Douglas Rieth accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next, Molina Healthcare and UnitedHealthcare list Douglas Rieth 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 Douglas Rieth affiliated with any hospitals?

According to CMS data, Douglas Rieth is affiliated with St Lukes Hospital, Spartanburg Medical Center, Pelham Medical Center and Union Medical Center.

When was this NPI record last updated?

The NPPES record for Douglas Rieth was last updated on December 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.