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RILEY A GURRERI DO
NPI 1275162091
Internal Medicine in Parma, OH

Active since April 03, 2020PECOS EnrolledAccepts Medicare Assignment
81.99/100
CMS Quality Rating
7007 POWERS BLVD STE 285, PARMA, OH 44129(440) 743-3007 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 4, 2024, Apr 3, 2020 (2 updates tracked since 2020).

About Riley A Gurreri Do NPPES

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

RILEY A GURRERI DO (NPI 1275162091) is an individual internal medicine provider in Parma, Ohio, licensed in Ohio (34.016103) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Parma Community General Hospital, and is a graduate of Ohio University, College Of Osteopathic Medicine (2020).

NPPES Registry Identity

NPI1275162091
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameRILEY A GURRERICredential: DO
Location Address7007 POWERS BLVD STE 285Parma, OH 44129-5437
Mailing Address11100 Euclid AveCleveland, OH 44106-1716
Phone(440) 743-3007
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2020
Enumeration DateApril 3, 2020
Last NPPES UpdateOctober 4, 20242 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
✔ NPI 1275162091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 34.016103
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.
7007 POWERS BLVD STE 285, Parma, OH 44129
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Riley A Gurreri Do 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 ID2163853532
PECOS Enrollment IDI20230922000904
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 Riley Gurreri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Hospitals Regional Practices LLC
12 mi
Internal Medicine
3605 WARRENSVILLE CENTER RD
Shaker Heights, OH 44122
  • Reassigned Medicare billing, Ohio enrollment
  • 67 clinicians in this Medicare group
NPI 1336602218 (216) 358-1424

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.

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.
130 services57 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.
119 services85 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
96 services83 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
65 services58 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.
52 services52 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.
41 services37 patients

Hospital Affiliations CMS Care Compare 3

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

Parma Community General Hospital

Acute Care Hospitals · Parma, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360041
Location7007 Powers BoulevardParma, OH 44129 · Cuyahoga County

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Southwest General Health Center

Acute Care Hospitals · Middleburg Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360155
Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44129 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

81.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.47
Promoting Interoperability100
Improvement Activities40
Cost62.74

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 Riley Gurreri's NPI number?

The NPI number for Riley Gurreri is 1275162091. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Riley Gurreri located?

Riley Gurreri practices at 7007 Powers Blvd Ste 285, Parma, OH 44129. The listed phone number is (440) 743-3007.

What is Riley Gurreri's specialty?

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

Is Riley Gurreri enrolled in Medicare?

Yes. Riley Gurreri 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 organization bills Medicare for Riley Gurreri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Riley Gurreri reassigns Medicare benefits to University Hospitals Regional Practices LLC (Shaker Heights, OH). 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 Riley Gurreri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Riley Gurreri accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 1 other insurer list Riley Gurreri 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 Riley Gurreri affiliated with any hospitals?

According to CMS data, Riley Gurreri is affiliated with Parma Community General Hospital, Uh Cleveland Medical Center and Southwest General Health Center.

When was this NPI record last updated?

The NPPES record for Riley Gurreri was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.