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SCOTT A RILEY MD
NPI 1427015825
Orthopaedic Surgery in Lexington, KY

Active since April 28, 2006PECOS Enrolled
110 CONN TER, LEXINGTON, KY 40508(859) 266-2101(859) 268-5636 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2024, Dec 14, 2015 (2 updates tracked since 2015).

About Scott A Riley Md NPPES

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

SCOTT A RILEY MD (NPI 1427015825) is an individual orthopaedic surgery provider in Lexington, Kentucky, licensed in Kentucky (26628) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427015825
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameSCOTT A RILEYCredential: MD
Location Address110 CONN TERLexington, KY 40508-3206
Mailing Address125 E Maxwell St, Ste 200Lexington, KY 40508 · (859) 253-0124 · Fax (859) 231-8667
Phone(859) 266-2101
Fax(859) 268-5636
Sole ProprietorNo
Enumeration DateApril 28, 2006
Last NPPES UpdateJune 5, 20242 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
✔ NPI 1427015825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in KY · 26628
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.
Also ListedOrthopaedic Surgery · Pediatric Orthopaedic SurgeryTaxonomy 207XP3100X · License 26628 (KY)
Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License 26628 (KY)
110 CONN TER, Lexington, KY 40508
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Other Identifiers 1

Medicaid64266281KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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)

Scott A Riley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Scott Riley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shriners Hospitals For Children
Same address
Anesthesiology
110 CONN TER
Lexington, KY 40508
  • Reassigned Medicare billing, Kentucky enrollment
  • 43 clinicians in this Medicare group
NPI 1336639780 (859) 266-2101
Kentucky Medical Services Foundation, Inc
3.6 mi
Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group
NPI 1326091448 (859) 257-7910

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 40508 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

AMANDA SIMMERMAN LDO
Technician/Technologist (Optician)
110 CONN TER
LEXINGTON, KY 40508
Fayette County (859) 323-3045
SHRINERS HOSPITALS FOR CHILDREN
Clinic/Center (Ambulatory Surgical)
110 CONN TER
LEXINGTON, KY 40508
Fayette County (859) 268-5630
DR. JONATHAN GRABAU MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
110 CONN TER
LEXINGTON, KY 40508
Fayette County (859) 266-2101
SHRINERS HOSPITALS FOR CHILDREN
Anesthesiology
110 CONN TER
LEXINGTON, KY 40508
Fayette County (859) 266-2101
SHRINERS HOSPITALS FOR CHILDREN
Clinic/Center (Rehabilitation)
110 CONN TER
LEXINGTON, KY 40508
Fayette County (859) 266-2101
ABIGAIL POWERS MC CAUGHLEY PA-C
Physician Assistant
110 CONN TER
LEXINGTON, KY 40508
Fayette County (859) 268-5622
SHRINERS HOSPITALS FOR CHILDREN
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
110 CONN TER
LEXINGTON, KY 40508
Fayette County (859) 266-2101
ADRIANNE MARX DPT
Physical Therapist
110 CONN TER
LEXINGTON, KY 40508
Fayette County (859) 268-5793

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 Scott Riley's NPI number?

The NPI number for Scott Riley is 1427015825. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Scott Riley located?

Scott Riley practices at 110 Conn Ter, Lexington, KY 40508. The listed phone number is (859) 266-2101.

What is Scott Riley's specialty?

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

Is Scott Riley enrolled in Medicare?

Yes. Scott Riley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Scott Riley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Riley reassigns Medicare benefits to 2 organizations: Shriners Hospitals For Children (Lexington, KY) and Kentucky Medical Services Foundation, Inc (Lexington, KY). 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 Scott Riley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Riley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, AmeriHealth Caritas Next and Anthem Blue Cross and Blue Shield and 2 other insurers list Scott 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.

When was this NPI record last updated?

The NPPES record for Scott Riley was last updated on June 5, 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.