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JAMES RIELLY
NPI 1386638005
Surgery - Vascular Surgery in Provo, UT

Active since September 08, 2005PECOS EnrolledAccepts Medicare Assignment
395 W COUGAR BLVD STE 503, PROVO, UT 84604(801) 374-9100(801) 374-9117 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 8, 2023, Apr 10, 2023, Feb 7, 2023 and 7 more (10 updates tracked since 2018).

About James Rielly NPPES

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

JAMES RIELLY (NPI 1386638005) is an individual vascular surgery provider in Provo, Utah, licensed in Utah (11889299-1205) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Boston University School Of Medicine (1987).

NPPES Registry Identity

NPI1386638005
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameJAMES RIELLY
Location Address395 W COUGAR BLVD STE 503Provo, UT 84604-3323
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(801) 374-9100
Fax(801) 374-9117
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1987
Enumeration DateSeptember 8, 2005
Last NPPES UpdateMarch 14, 202410 updates tracked since enumeration
NPPES CertifiedMarch 14, 2024
✔ NPI 1386638005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Licenses✔ Licensed in UT · 11889299-1205✔ Licensed in PA · MD469103✔ Licensed in SC · 83219
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License 249582 (NY)
395 W COUGAR BLVD STE 503, Provo, UT 84604
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11002 Lindbergh Dr NE, Suite 2001Atlanta, GA 30324-3721 · Phone (770) 628-2855
Location 2115 Heart DrGreenville, NC 27834-8982 · Phone (252) 744-4400 · Fax (252) 744-3987
Location 33 Richland Medical Park Dr Ste 330Columbia, SC 29203-6862 · Phone (803) 434-7100 · Fax (803) 434-6889
Location 41703 Innovation Dr Ste 4120York, PA 17408-8815 · Phone (717) 849-5576

Other Identifiers 1

Medicaid832193SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Select Health.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

James Rielly 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 ID3577564228
PECOS Enrollment IDI20201130002980, I20221118000220
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

9

Medicare enrollment records show James Rielly reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services Inc
Same address
Surgery
395 W COUGAR BLVD STE 802
Provo, UT 84604
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1710136742 (801) 357-1030
Intermountain Medical Group Grand Junction, LLC
182 mi
Family Medicine
2503 FORESIGHT CIR
Grand Junction, CO 81505
  • Reassigned Medicare billing, Colorado enrollment
  • 438 clinicians in this Medicare group
NPI 1174120125 (970) 242-2660
Intermountain Medical Group Denver, LLC
345 mi
Family Medicine
15389 W 91ST DR STE 100
Arvada, CO 80007
  • Reassigned Medicare billing, Colorado enrollment
  • 1,270 clinicians in this Medicare group
NPI 1043973902 (303) 603-9300
Lexington Health Inc
1,713 mi
Family Medicine
338 E COLUMBIA AVE
Batesburg Leesville, SC 29070
  • Reassigned Medicare billing, South Carolina enrollment
  • 1,219 clinicians in this Medicare group
NPI 1891392221 (803) 604-0066
Wellspan Medical Group
1,780 mi
Family Medicine
2 KEEFER DR
Mercersburg, PA 17236
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,080 clinicians in this Medicare group
NPI 1407568298 (717) 328-2119
Pinnacle Health Medical Services
1,792 mi
Pediatric Urology
761 5TH AVE STE D
Chambersburg, PA 17201
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
NPI 1053097238 (717) 988-0090
Pinnacle Health Regional Physicians
1,809 mi
Family Medicine
1533 COMMERCE AVE STE 2
Carlisle, PA 17015
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 468 clinicians in this Medicare group
NPI 1831629062 (717) 796-9300
Pinnacle Health Cardiovascular Institute Inc
1,825 mi
Cardiovascular Disease
1000 N FRONT ST
Wormleysburg, PA 17043
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 132 clinicians in this Medicare group
NPI 1952603342 (717) 230-3416
Trinity Health Of New England Provider Network Organization Inc
2,022 mi
Internal Medicine
114 WOODLAND ST, SAINT FRANCIS MEDICAL GROUP INC.
Hartford, CT 06105
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,186 clinicians in this Medicare group
NPI 1003882812 (860) 714-1325

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 10

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

JAMES SCOTT ARREGUI PA-C
Physician Assistant
395 W COUGAR BLVD STE 503
PROVO, UT 84604
Utah County (801) 357-7081
SHAY CHRISTIAN HARDING
Nurse Practitioner (Family)
395 W COUGAR BLVD STE 503
PROVO, UT 84604
Utah County (801) 357-7081
IHC HEALTH SERVICES INC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
395 W COUGAR BLVD STE 503
PROVO, UT 84604
Utah County (801) 357-7081
AMY DEON NOSTROM
Nurse Practitioner
395 W COUGAR BLVD STE 503
PROVO, UT 84604
Utah County (801) 357-7081
TALON KOHLER PA-C
Physician Assistant
395 W COUGAR BLVD STE 503
PROVO, UT 84604
Utah County (801) 374-9100
IHC HEALTH SERVICES INC
Surgery (Vascular Surgery)
395 W COUGAR BLVD STE 503
PROVO, UT 84604
Utah County (801) 374-9100
MR. NKEM AZIKEN M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
395 W COUGAR BLVD STE 503
PROVO, UT 84604
Utah County (801) 357-7081
PAUL CANNON PA
Physician Assistant (Surgical)
395 W COUGAR BLVD STE 503
PROVO, UT 84604
Utah County (801) 442-3936

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 James Rielly's NPI number?

The NPI number for James Rielly is 1386638005. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is James Rielly located?

James Rielly practices at 395 W Cougar Blvd Ste 503, Provo, UT 84604. The listed phone number is (801) 374-9100.

What is James Rielly's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is James Rielly enrolled in Medicare?

Yes. James Rielly 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 James Rielly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Rielly reassigns Medicare benefits to 9 organizations: Ihc Health Services Inc (Provo, UT), Intermountain Medical Group Grand Junction, LLC (Grand Junction, CO), Intermountain Medical Group Denver, LLC (Arvada, CO), Lexington Health Inc (Batesburg Leesville, SC), Wellspan Medical Group (Mercersburg, PA) and 4 more organizations, listed in the Medicare section above. 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 James Rielly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Rielly accept?

Health plans from CareSource and Select Health list James Rielly 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 James Rielly was last updated on March 14, 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.