JARRETT EDWARD STEWART RILEY D.O.
NPI 1255623732
Pediatrics in Goodyear, AZ

Q: What is Jarrett Riley's NPI number?

The NPI number for Jarrett Riley is 1255623732. It was assigned to this individual provider in the NPPES registry on May 3, 2011.

Q: What is Jarrett Riley's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jarrett Riley was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 03, 2011PECOS Enrolled

9780 S ESTRELLA PKWY, GOODYEAR, AZ 85338(623) 474-8101(623) 474-8135 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 1, 2023, Feb 18, 2021 (2 updates tracked since 2021).

On this page

About Jarrett Edward Stewart Riley D.o. NPPES

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

JARRETT EDWARD STEWART RILEY D.O. (NPI 1255623732) is an individual pediatrics provider in Goodyear, Arizona, licensed in Arizona (008756) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Pullman.

NPPES Registry Identity

NPI1255623732

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJARRETT EDWARD STEWART RILEYCredential: D.O.

Location Address9780 S ESTRELLA PKWYGoodyear, AZ 85338-7114

Mailing Address9780 S Estrella PkwyGoodyear, AZ 85338-7114 · (623) 474-8101 · Fax (623) 474-8135

Phone(623) 474-8101

Fax(623) 474-8135

Sole ProprietorNo

Enumeration DateMay 3, 2011

Last NPPES UpdateMay 1, 20232 updates tracked since enumeration

NPPES CertifiedMay 1, 2023

✔ NPI 1255623732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in AZ · 008756✔ Licensed in ID · O-0862✔ Licensed in WA · OP60536051

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

9780 S ESTRELLA PKWY, Goodyear, AZ 85338

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Secondary Practice Location 1

Location 1840 SE Bishop Blvd, Suite #101Pullman, WA 99163-5502 · Phone (509) 332-6139 · Fax (509) 332-6579

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jarrett Edward Stewart Riley D.o. 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 Reassignments

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

Banner Primary Care Physicians Arizona LLC

20 mi

Clinical Medical Laboratory

13640 N PLAZA DEL RIO BLVD, STE 102
Peoria, AZ 85381

Reassigned Medicare billing, Arizona enrollment
271 clinicians in this Medicare group

NPI 1649544362 (623) 876-3928

Banner Childrens Banner Health Clinic LLC

22 mi

Primary Care

2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012

Reassigned Medicare billing, Arizona enrollment
57 clinicians in this Medicare group

NPI 1285278077 (602) 747-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85338 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Other Providers at the Same Location NPPES 6

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

DR. NATHAN ANDREW THOLL M.D.

Family Medicine