RILEY WHELCHEL SMITH MD
NPI 1285130815
Family Medicine in Wilmington, NC

Active since April 03, 2018PECOS EnrolledAccepts Medicare Assignment
1960 S 16TH ST, WILMINGTON, NC 28401(910) 662-6000(910) 341-5164 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 22, 2026, Jan 5, 2026, Sep 30, 2021 and 2 more (5 updates tracked since 2020).

About Riley Whelchel Smith Md NPPES

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

RILEY WHELCHEL SMITH MD (NPI 1285130815) is an individual family medicine provider in Wilmington, North Carolina, licensed in North Carolina (2022-00797) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Unc Hospitals, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285130815
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRILEY WHELCHEL SMITHCredential: MD
Location Address1960 S 16TH STWilmington, NC 28401-6676
Mailing AddressPo Box 936857Atlanta, GA 31193-6857
Fax(910) 341-5164
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2018
Enumeration DateApril 3, 2018
Last NPPES UpdateJanuary 22, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
NPI 1285130815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NC · 2022-00797 Licensed in CO · DR.0063444
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1960 S 16TH ST, Wilmington, NC 28401

Secondary Practice Locations 2

Location 112605 E 16th AveAurora, CO 80045-2545 · Phone (720) 848-0000
Location 23055 Roslyn St Unit 100Denver, CO 80238-3324 · Phone (720) 553-2696

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

Riley Whelchel Smith Md 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 ID1254695083
PECOS Enrollment IDI20220827000656
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 5

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.

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.
51 services29 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.
47 services22 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.
24 services24 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.
20 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340141
Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28401 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 16

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

Family Medicine
1960 S 16TH ST
WILMINGTON, NC 28401
Internal Medicine
1960 S 16TH ST
WILMINGTON, NC 28401
Internal Medicine
1960 S 16TH ST
WILMINGTON, NC 28401
Family Medicine
1960 S 16TH ST
WILMINGTON, NC 28401
Family Medicine
1960 S 16TH ST
WILMINGTON, NC 28401
Physician Assistant
1960 S 16TH ST
WILMINGTON, NC 28401
Family Medicine
1960 S 16TH ST
WILMINGTON, NC 28401
Family Medicine
1960 S 16TH ST
WILMINGTON, NC 28401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285130815, enumerated as an "individual" on April 03, 2018.

The provider is located at 1960 S 16TH ST WILMINGTON, NC 28401 and the phone number is (910) 662-6000.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.

Riley Smith is affiliated with: UNC HOSPITALS and NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER.