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CATHERINE D RILEY MD
NPI 1346770369
Family Medicine in Grand Prairie, TX

Active since June 13, 2017PECOS EnrolledAccepts Medicare Assignment
4560 LAKE RIDGE PKWY STE 200, GRAND PRAIRIE, TX 75052(972) 263-5272(972) 263-3488 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 15, 2021, Nov 12, 2021, Sep 15, 2017 and 1 more (4 updates tracked since 2017).

About Catherine D Riley Md NPPES

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

CATHERINE D RILEY MD (NPI 1346770369) is an individual family medicine provider in Grand Prairie, Texas, licensed in Kansas (94-09278) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Texas Health Arlington Memorial Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1346770369
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCATHERINE D RILEYCredential: MD
Location Address4560 LAKE RIDGE PKWY STE 200Grand Prairie, TX 75052-1706
Mailing Address4560 Lake Ridge Pkwy Ste 200Grand Prairie, TX 75052-1706 · (972) 263-5272 · Fax (972) 263-3488
Phone(972) 263-5272
Fax(972) 263-3488
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 13, 2017
Last NPPES UpdateNovember 15, 20214 updates tracked since enumeration
NPPES CertifiedNovember 15, 2021
✔ NPI 1346770369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KS · 94-09278
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.
4560 LAKE RIDGE PKWY STE 200, Grand Prairie, TX 75052
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare 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

Catherine D Riley 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 ID9335410679
PECOS Enrollment IDI20201015001179
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 Catherine Riley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medhealth
Same address
Urgent Care
4560 LAKE RIDGE PKWY STE 110
Grand Prairie, TX 75052
  • Reassigned Medicare billing, Texas enrollment
  • 562 clinicians in this Medicare group
NPI 1558762690 (972) 522-7778

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 10

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.
265 services141 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
75 services75 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
72 services72 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.
51 services47 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
25 services23 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
25 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Texas Health Arlington Memorial Hospital

Acute Care Hospitals · Arlington, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450064
Location800 W Randol Mill RdArlington, TX 76012 · Tarrant County
Emergency services Birthing friendly

Medical City Arlington

Acute Care Hospitals · Arlington, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450675
Location3301 Matlock RoadArlington, TX 76015 · Tarrant County
Emergency services Birthing friendly

Methodist Mansfield Medical Center

Acute Care Hospitals · Mansfield, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670023
Location2700 E Broad StreetMansfield, TX 76063 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75052 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers15 claims30 services$6.06 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$178.22 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 3

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

DR. JACOB C HAMBLEN DC
Chiropractor
4560 LAKE RIDGE PKWY STE 200
GRAND PRAIRIE, TX 75052
Dallas County (800) 404-6050
DR. GARY CAGAN RANDALL D.C.
Chiropractor
4560 LAKE RIDGE PKWY STE 200
GRAND PRAIRIE, TX 75052
Dallas County (800) 404-6050
ANDRIANA LOVE ALEXANDER MD
Family Medicine
4560 LAKE RIDGE PKWY STE 200
GRAND PRAIRIE, TX 75052
Dallas County (972) 263-5272

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 Catherine Riley's NPI number?

The NPI number for Catherine Riley is 1346770369. It was assigned to this individual provider in the NPPES registry on June 13, 2017.

Where is Catherine Riley located?

Catherine Riley practices at 4560 Lake Ridge Pkwy Ste 200, Grand Prairie, TX 75052. The listed phone number is (972) 263-5272.

What is Catherine Riley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Catherine Riley enrolled in Medicare?

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

According to the CMS Revalidation Reassignment List (October 2026 release), Catherine Riley reassigns Medicare benefits to Medhealth (Grand Prairie, TX). 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 Catherine Riley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Catherine Riley accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Imperial Insurance Companies, Inc. and Molina Healthcare and 3 other insurers list Catherine 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 Catherine Riley affiliated with any hospitals?

According to CMS data, Catherine Riley is affiliated with Texas Health Arlington Memorial Hospital, Medical City Arlington and Methodist Mansfield Medical Center.

When was this NPI record last updated?

The NPPES record for Catherine Riley was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.