ALLISON SMITH RILEY
NPI 1427729664
Nurse Practitioner - Family in Seneca, SC

Active since September 27, 2021PECOS EnrolledAccepts Medicare Assignment
107 OMNI DR STE A, SENECA, SC 29672(864) 482-3285(864) 482-3287 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 20, 2023, Sep 27, 2021 (2 updates tracked since 2021).

About Allison Smith Riley NPPES

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

ALLISON SMITH RILEY (NPI 1427729664) is an individual family provider in Seneca, South Carolina, licensed in South Carolina (25962) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Oconee Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1427729664
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALLISON SMITH RILEY
Location Address107 OMNI DR STE ASeneca, SC 29672-9448
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842
Fax(864) 482-3287
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 27, 2021
Last NPPES UpdateFebruary 20, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2023
NPI 1427729664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in SC · 25962
107 OMNI DR STE A, Seneca, SC 29672

Other Identifiers 1

MedicaidPENDINGSC

Accepted 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

Allison Smith Riley 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 ID5294112306
PECOS Enrollment IDI20220511000755
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 4

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.
188 services160 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services13 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.
17 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Prisma Health Oconee Memorial Hospital

Acute Care Hospitals · Seneca, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420009
Location298 Memorial DrSeneca, SC 29672 · Oconee County
Emergency services Birthing friendly

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420078
Location701 Grove RoadGreenville, SC 29605 · Greenville County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29672 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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

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

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
4 suppliers13 claims13 services$183.93 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 5

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

Internal Medicine (Gastroenterology)
107 OMNI DR STE A
SENECA, SC 29672
Nurse Practitioner (Acute Care)
107 OMNI DR STE A
SENECA, SC 29672
Nurse Practitioner
107 OMNI DR STE A
SENECA, SC 29672
Physician Assistant
107 OMNI DR STE A
SENECA, SC 29672
Internal Medicine (Rheumatology)
107 OMNI DR STE A
SENECA, SC 29672

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 Allison Riley's NPI number?

The NPI number for Allison Riley is 1427729664. It was assigned to this individual provider in the NPPES registry on September 27, 2021.

Where is Allison Riley located?

Allison Riley practices at 107 Omni Dr Ste A, Seneca, SC 29672. The listed phone number is (864) 482-3285.

What is Allison Riley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Allison Riley enrolled in Medicare?

Yes. Allison 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.

What insurance does Allison Riley accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health list Allison 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 Allison Riley affiliated with any hospitals?

According to CMS data, Allison Riley is affiliated with Prisma Health Oconee Memorial Hospital and Prisma Health Greenville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Allison Riley was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.