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GREGORY KEITH RIFFLE D.O.
NPI 1427398429
Internal Medicine in Lancaster, OH

Active since February 27, 2013PECOS EnrolledAccepts Medicare Assignment
71.23/100
CMS Quality Rating
135 N EWING ST, SUITE 305, LANCASTER, OH 43130(740) 681-9447(740) 681-9966 Get Directions Write a Review

NPPES record last updated: August 4, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gregory Keith Riffle D.o. NPPES

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

GREGORY KEITH RIFFLE D.O. (NPI 1427398429) is an individual internal medicine provider in Lancaster, Ohio, licensed in Ohio (34011676) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS, is affiliated with Fairfield Medical Center, and is a graduate of Ohio University, College Of Osteopathic Medicine (2013).

NPPES Registry Identity

NPI1427398429
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGREGORY KEITH RIFFLECredential: D.O.
Location Address135 N EWING ST, SUITE 305Lancaster, OH 43130-3382
Mailing Address135 N Ewing St, Suite 305Lancaster, OH 43130-3382 · (740) 681-9447 · Fax (740) 681-9966
Phone(740) 681-9447
Fax(740) 681-9966
Sole ProprietorYes
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2013
Enumeration DateFebruary 27, 2013
Last NPPES UpdateAugust 4, 2016
✔ NPI 1427398429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 34011676
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
135 N EWING ST, Lancaster, OH 43130
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Other Identifiers 1

OtherH350200OH · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gregory Keith Riffle D.o. 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 ID4385962323
PECOS Enrollment IDI20160707002544
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
230 services105 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
142 services63 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
136 services131 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
42 services42 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
25 services25 patients

Hospital Affiliations CMS Care Compare 3

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

Fairfield Medical Center

Acute Care Hospitals · Lancaster, OH
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360072
Location401 North Ewing StreetLancaster, OH 43130 · Fairfield County
Emergency services Birthing friendly

Holzer Medical Center Jackson

Critical Access Hospitals · Jackson, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361320
Location500 Burlington RoadJackson, OH 45640 · Jackson County
Emergency services

Hocking Valley Community Hospital

Critical Access Hospitals · Logan, OH
OwnershipVoluntary non-profit - Other
CMS Certification Number361330
Location601 State Route 664NLogan, OH 43138 · Hocking County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43130 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality52.72
Promoting Interoperability87
Improvement Activities40
Cost58.69

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers39 claims39 services$14.64 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers49 claims49 services$74.82 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 15

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

FAIRFIELD NEUROLOGY INC
Psychiatry & Neurology (Neurology)
135 N EWING ST, SUITE 301
LANCASTER, OH 43130
Fairfield County (740) 689-1812
DR. JEFFREY LEE MOORE DPM
Podiatrist (Foot & Ankle Surgery)
135 N EWING ST, SUITE 301
LANCASTER, OH 43130
Fairfield County (740) 654-3668
DR. SHELLY L THOMPSON M.D.
Obstetrics & Gynecology
135 N EWING ST, SUITE 205
LANCASTER, OH 43130
Fairfield County (740) 689-6699
DR. MICHAEL JOSEPH MURRAY M.D.
Internal Medicine
135 N EWING ST, SUITE 305
LANCASTER, OH 43130
Fairfield County (740) 681-9447
DR. ROOPA S. SRIKANTIAH-SAHA MD
Internal Medicine (Medical Oncology)
135 N EWING ST, SUITE 304
LANCASTER, OH 43130
Fairfield County (740) 687-4505
ERIC T OVERDORF MD
Obstetrics & Gynecology
135 N EWING ST, #204
LANCASTER, OH 43130
Fairfield County (740) 689-6594
BRIAN E LEVE MD INC
Specialist
135 N EWING ST, SUITE 206
LANCASTER, OH 43130
Fairfield County (740) 689-6319
LISHA MICHELE BLUE CNP
Nurse Practitioner (Adult Health)
135 N EWING ST, SUITE 302
LANCASTER, OH 43130
Fairfield County (740) 689-6430

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 Gregory Riffle's NPI number?

The NPI number for Gregory Riffle is 1427398429. It was assigned to this individual provider in the NPPES registry on February 27, 2013.

Where is Gregory Riffle located?

Gregory Riffle practices at 135 N Ewing St Suite 305, Lancaster, OH 43130. The listed phone number is (740) 681-9447.

What is Gregory Riffle's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gregory Riffle enrolled in Medicare?

Yes. Gregory Riffle 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.

What insurance does Gregory Riffle accept?

Health plans from CareSource, MedMutual and Molina Healthcare list Gregory Riffle 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 Gregory Riffle affiliated with any hospitals?

According to CMS data, Gregory Riffle is affiliated with Fairfield Medical Center, Holzer Medical Center Jackson and Hocking Valley Community Hospital.

When was this NPI record last updated?

The NPPES record for Gregory Riffle was last updated on August 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.