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DR. DEREK RILEY D.O.
NPI 1295042976
Orthopaedic Surgery in Stayton, OR

Active since September 02, 2010PECOS EnrolledAccepts Medicare Assignment
86.28/100
CMS Quality Rating
1377 N 10TH AVE, STAYTON, OR 97383(503) 769-8470(503) 769-9860 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Derek Riley D.o. NPPES

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

DR. DEREK RILEY D.O. (NPI 1295042976) is an individual orthopaedic surgery provider in Stayton, Oregon, licensed in Oregon (DO217386) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with Salem Hospital, and is a graduate of Edward Via Col Of Osteo Medicine-virginia Campus (2008).

NPPES Registry Identity

NPI1295042976
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. DEREK RILEYCredential: D.O.
Location Address1377 N 10TH AVEStayton, OR 97383-2037
Mailing Address1377 N 10th AveStayton, OR 97383-2037 · (503) 769-8470 · Fax (503) 769-9860
Phone(503) 769-8470
Fax(503) 769-9860
Sole ProprietorNo
Medical School CMSEdward Via Col Of Osteo Medicine-virginia CampusGraduated 2008
Enumeration DateSeptember 2, 2010
Last NPPES UpdateFebruary 18, 2025
NPPES CertifiedFebruary 18, 2025
✔ NPI 1295042976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in OR · DO217386
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1377 N 10TH AVE, Stayton, OR 97383
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans 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

Dr. Derek Riley D.o. 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 ID3971730466
PECOS Enrollment IDI20231016000423
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

3

Medicare enrollment records show Derek Riley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Santiam Memorial Hospital
Same address
Primary Care
1369 N 10TH AVE
Stayton, OR 97383
  • Reassigned Medicare billing, Oregon enrollment
  • 152 clinicians in this Medicare group
NPI 1083943617 (503) 769-7546
Amg-Crockett LLC
1,970 mi
Rural Health
4995 HIGHWAY 43 N, STE D
Mt Pleasant, TN 38474
  • Reassigned Medicare billing, Tennessee enrollment
  • 91 clinicians in this Medicare group
NPI 1255069639 (931) 964-0849
Amg-Hillside LLC
1,986 mi
Rural Health
181 MILL ST
Lynnville, TN 38472
  • Reassigned Medicare billing, Tennessee enrollment
  • 53 clinicians in this Medicare group
NPI 1407688369 (931) 347-4971

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
124 services18 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.
73 services68 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.
39 services30 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
34 services34 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.
31 services31 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
30 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Salem Hospital

Acute Care Hospitals · Salem, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380051
Location890 Oak Street, SESalem, OR 97301 · Marion County
Emergency services Birthing friendly

Santiam Hospital

Acute Care Hospitals · Stayton, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380056
Location1401 N 10th AvenueStayton, OR 97383 · Marion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97383 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

86.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.89
Promoting Interoperability100
Improvement Activities40
Cost69.42

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$13.70 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier12 claims36 services$13.99 avg. paid by Medicare
Manual adult size wheelchair, includes tilt in space E1161
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$185.99 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers22 claims22 services$24.42 avg. paid by Medicare
Lower extremity orthoses, not otherwise specified L2999
DME-Orthotic Devices · category DF000N
1 supplier13 claims16 services$99.38 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier17 claims18 services$45.77 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 4

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

DOUGLAS DUANE HUNTLEY PA-C
Physician Assistant (Surgical)
1377 N 10TH AVE
STAYTON, OR 97383
Marion County (503) 769-8470
DR. ERIC S YAO MD
Orthopaedic Surgery
1377 N 10TH AVE
STAYTON, OR 97383
Marion County (503) 769-8470
DR. DANIEL SCOTT SCHWEIGERT M.D.
Family Medicine (Sports Medicine)
1377 N 10TH AVE
STAYTON, OR 97383
Marion County (503) 769-8470
MOLLY ELIZABETH YAO FNP
Nurse Practitioner (Family)
1377 N 10TH AVE
STAYTON, OR 97383
Marion County (503) 769-8470

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 Derek Riley's NPI number?

The NPI number for Derek Riley is 1295042976. It was assigned to this individual provider in the NPPES registry on September 2, 2010.

Where is Derek Riley located?

Derek Riley practices at 1377 N 10th Ave, Stayton, OR 97383. The listed phone number is (503) 769-8470.

What is Derek Riley's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Derek Riley enrolled in Medicare?

Yes. Derek 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 Derek Riley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Riley reassigns Medicare benefits to 3 organizations: Santiam Memorial Hospital (Stayton, OR), Amg-Crockett LLC (Mt Pleasant, TN) and Amg-Hillside LLC (Lynnville, TN). 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 Derek Riley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Riley accept?

Health plans from Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Derek Riley 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 Derek Riley affiliated with any hospitals?

According to CMS data, Derek Riley is affiliated with Salem Hospital and Santiam Hospital.

When was this NPI record last updated?

The NPPES record for Derek Riley was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.