DR. RIYA ROSE PHILIP OD
NPI 1295402725
Optometrist in Saint Louis, MO

Q: What is Riya Philip's NPI number?

The NPI number for Riya Philip is 1295402725. It was assigned to this individual provider in the NPPES registry on August 24, 2021.

Q: What is Riya Philip's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Riya Philip was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 24, 2021PECOS Enrolled

4901 FOREST PARK AVE, DEPT OPHTHALMOLOGY, 6TH FL, SAINT LOUIS, MO 63108(314) 362-3937(866) 505-8818 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 14, 2026, Mar 27, 2026, Aug 24, 2021 (3 updates tracked since 2021).

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About Dr. Riya Rose Philip Od NPPES

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

DR. RIYA ROSE PHILIP OD (NPI 1295402725) is an individual optometrist in Saint Louis, Missouri, licensed in Missouri (2025046958) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2021).

NPPES Registry Identity

NPI1295402725

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. RIYA ROSE PHILIPCredential: OD

Location Address4901 FOREST PARK AVE, DEPT OPHTHALMOLOGY, 6TH FLSaint Louis, MO 63108-1495

Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-3937 · Fax (866) 505-8818

Phone(314) 362-3937

Fax(866) 505-8818

Sole ProprietorNo

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2021

Enumeration DateAugust 24, 2021

Last NPPES UpdateApril 14, 20263 updates tracked since enumeration

NPPES CertifiedMarch 27, 2026

✔ NPI 1295402725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MO · 2025046958

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

4901 FOREST PARK AVE, Saint Louis, MO 63108

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana 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)

Dr. Riya Rose Philip Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658740311

PECOS Enrollment IDI20221220000979, I20260401003298

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 Riya Philip reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Washington University

Same address

Multi-Specialty

4901 FOREST PARK AVE
Saint Louis, MO 63108

Reassigned Medicare billing, Missouri enrollment
105 clinicians in this Medicare group

NPI 1013957562 (314) 362-3937

Skk Optometrists PLLC

270 mi

Optometrist

534 N RAND RD, C/O LAKE ZURICH EYECARE
Lake Zurich, IL 60047

Reassigned Medicare billing, Illinois enrollment
4 clinicians in this Medicare group

NPI 1972615391 (847) 997-1477

Alan Optical PLLC

270 mi

Optometrist

400 W DUNDEE RD, SUITE 14-15
Buffalo Grove, IL 60089

Reassigned Medicare billing, Illinois enrollment
9 clinicians in this Medicare group

NPI 1346377991 (847) 459-9119

Grayslake Eyecare Assoc Ltd

282 mi

Optometrist

661 N LAKE ST
Grayslake, IL 60030

Reassigned Medicare billing, Illinois enrollment
7 clinicians in this Medicare group

NPI 1003031030 (847) 223-7600

Antioch Eyecare LLC

289 mi

Optometrist

735 MAIN ST
Antioch, IL 60002

Reassigned Medicare billing, Illinois enrollment
5 clinicians in this Medicare group

NPI 1417485061 (847) 997-1477

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.

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.

117 services92 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

51 services51 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

41 services36 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

41 services39 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

38 services36 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.

24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63108 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

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.

Other Providers at the Same Location NPPES 20

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

DR. ERIN LEIGH DYER MD

General Practice

4901 FOREST PARK AVE, DIV IM GENERAL MED, STE 241
SAINT LOUIS, MO 63108

St. Louis City (314) 362-5060

DR. NICHOLE GALLEGOS ZEHNDER MD

General Practice

4901 FOREST PARK AVE, DIV IM GENERAL MED, STE 241
SAINT LOUIS, MO 63108

St. Louis City (314) 362-5060

MRS. NANCY J CIBULKA WHNP

Nurse Practitioner (Family)

4901 FOREST PARK AVE, STE 341
SAINT LOUIS, MO 63108

St. Louis City (314) 454-7882

DR. MARCIA J MCCABE PSYD

Psychologist

4901 FOREST PARK AVE, DEPT PSYCHIATRY, STE 441
SAINT LOUIS, MO 63108

St. Louis City (314) 286-1700

WASHINGTON UNIVERSITY

Clinic/Center (Multi-Specialty)

4901 FOREST PARK AVE
SAINT LOUIS, MO 63108

St. Louis City (314) 362-3937

DR. JING-WEI HUANG MD

Ophthalmology (Cornea and External Diseases Specialist)

4901 FOREST PARK AVE, DEPT OPHTHALMOLOGY, 6TH FL
SAINT LOUIS, MO 63108

St. Louis City (314) 362-3937

DR. DAVID L EISENBERG MD

Obstetrics & Gynecology (Gynecology)

4901 FOREST PARK AVE, DIV OBGYN FAMILY PLANNING, STE 710
SAINT LOUIS, MO 63108

St. Louis City (314) 362-4211

NICHOLAS RICHARD LEVERGOOD MD

Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)

4901 FOREST PARK AVE, DEPT OPHTHALMOLOGY, 6TH FL
SAINT LOUIS, MO 63108

St. Louis City (314) 362-3937

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 Riya Philip's NPI number?

The NPI number for Riya Philip is 1295402725. It was assigned to this individual provider in the NPPES registry on August 24, 2021.

Where is Riya Philip located?

Riya Philip practices at 4901 Forest Park Ave Dept Ophthalmology, 6th Fl, Saint Louis, MO 63108. The listed phone number is (314) 362-3937.

What is Riya Philip's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Riya Philip enrolled in Medicare?

Yes. Riya Philip is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Riya Philip's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Riya Philip reassigns Medicare benefits to 5 organizations: Washington University (Saint Louis, MO), Skk Optometrists PLLC (Lake Zurich, IL), Alan Optical PLLC (Buffalo Grove, IL), Grayslake Eyecare Assoc Ltd (Grayslake, IL) and Antioch Eyecare LLC (Antioch, IL). 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 Riya Philip's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Riya Philip accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Riya Philip 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.

When was this NPI record last updated?

The NPPES record for Riya Philip was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.