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JESSE RILEY DPM PC
NPI 1417506213
Podiatrist - Foot & Ankle Surgery in Payson, UT

Active since September 05, 2019
41 N 400 W STE A, PAYSON, UT 84651(801) 218-3338(801) 658-5351 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 14, 2026, Mar 7, 2023, Sep 5, 2019 (3 updates tracked since 2019).

About Jesse Riley Dpm Pc NPPES

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

JESSE RILEY DPM PC (NPI 1417506213), doing business as Elevated Foot And Ankle, is a healthcare organization registered as a foot & ankle surgery in Payson, Utah and active in the NPI registry since September 2019. The organization maintains a secondary practice location in Nephi and lists Jesse Ellsworth Riley, Owner, as its authorized official.

NPPES Registry Identity

NPI1417506213
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameJESSE RILEY DPM PC
Location Address41 N 400 W STE APayson, UT 84651-2021
Mailing Address41 N 400 W Ste APayson, UT 84651-2021 · (801) 218-3338 · Fax (801) 658-5351
Phone(801) 218-3338
Fax(801) 658-5351
Organization SubpartNo
Authorized OfficialJesse Ellsworth RileyOwner · (801) 218-3338
Enumeration DateSeptember 5, 2019
Last NPPES UpdateJuly 14, 20263 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1417506213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
41 N 400 W STE A, Payson, UT 84651
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Other Names 2

Doing Business AsElevated Foot And Ankle
Doing Business AsSummit Foot And Ankle

Secondary Practice Location 1

Location 1656 N Main St Ste 7Nephi, UT 84648-1124 · Phone (801) 218-3338

Other Identifiers 1

Other9037769-0501UT · License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesse Riley Dpm Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jesse Riley DPM PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jesse Riley, D.P.M.
Podiatry
NPI 1548532583
41 N 400 W STE A
Payson, UT 84651
(801) 218-3338
✔ PECOS✔ Accepts Medicare0.9 mi

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

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 Jesse Riley Dpm PC's NPI number?

The NPI number for Jesse Riley Dpm PC is 1417506213. It was assigned to this organization in the NPPES registry on September 5, 2019. The provider is doing business as Elevated Foot and Ankle and Summit Foot And Ankle.

Where is Jesse Riley Dpm PC located?

Jesse Riley Dpm PC is located at 41 N 400 W Ste A, Payson, UT 84651. The listed phone number is (801) 218-3338.

What is Jesse Riley Dpm PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Jesse Riley Dpm PC enrolled in Medicare?

Yes. Jesse Riley Dpm PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jesse Riley Dpm PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Jesse Riley Dpm PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jesse Riley Dpm PC accept?

Health plans from University of Utah Health Plans list Jesse Riley Dpm PC 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 Jesse Riley Dpm PC was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.