VALERIE J. RILEY M.D.
NPI 1457451619
Obstetrics & Gynecology - Gynecology in Fountain Hill, PA

NPI Status: Active since September 25, 2006

Contact Information

701 OSTRUM ST
SUITE 102
FOUNTAIN HILL, PA
ZIP 18015
Phone: (610) 954-4960
Fax: (610) 954-3162

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  • Individual
  • Female
  • Obstetrics & Gynecology
  • Gynecology
  • PECOS Enrolled

About VALERIE RILEY

This page provides the complete NPI Profile along with additional information for Valerie Riley, a women's health care provider established in Fountain Hill, Pennsylvania with a medical specialization in Obstetrics & Gynecology, focusing in gynecology . The healthcare provider is registered in the NPI registry with number 1457451619 assigned on September 2006. The practitioner's primary taxonomy code is 207VG0400X with license number MD046852L (PA). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1457451619
Provider Name
VALERIE J. RILEY M.D.
Gender
Female
Entity Type
Individual
Location Address
701 OSTRUM ST SUITE 102 FOUNTAIN HILL, PA 18015
Location Phone
(610) 954-4960
Location Fax
(610) 954-3162
Mailing Address
701 OSTRUM ST SUITE 102 FOUNTAIN HILL, PA 18015
Mailing Phone
(610) 954-4960
Mailing Fax
(610) 954-3162
Is Sole Proprietor?
No
Enumeration Date
09-25-2006
Last Update Date
08-02-2007
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Women's health care providers like Valerie Riley treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology Gynecology

Taxonomy Code
207VG0400X
Type
Allopathic & Osteopathic Physicians
License No.
MD046852L
License State
PA
Taxonomy Description
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
725069MEDICARE ID-TYPE UNSPECIFIED (04)PA 
E83480MEDICARE UPIN (02)PA 

Medicare Participation & PECOS Enrollment Status

Valerie Riley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Cervical or vaginal cancer screening; pelvic and clinical breast examination

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

This service was performed 42 times for 42 patients

Electronic assessment of bladder emptying

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

This service was performed 60 times for 49 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 168 times for 101 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 72 times for 59 patients

Established patient office or other outpatient visit, 40-54 minutes

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.

This service was performed 27 times for 24 patients

Fitting and insertion of vaginal support device

A vaginal support device is a medical tool used to provide support to pelvic organs. During the procedure, a healthcare professional will gently place the device into the appropriate area. This is typically done in a clinical setting and can help with various health conditions.

This service was performed 18 times for 15 patients

Irrigation of vagina and/or application of drug to treat infection

This procedure involves gently flushing the internal area with a sterile solution to cleanse it. After cleansing, a medication is applied to help treat any existing infection. This process is performed by a healthcare professional to ensure your comfort and safety.

This service was performed 198 times for 32 patients

New patient office or other outpatient visit, 60-74 minutes

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

This service was performed 50 times for 50 patients

Pessary, rubber, any type

A pessary is a device placed in the body to help support areas that have dropped due to age, childbirth, or heavy lifting. It's typically made of rubber and is shaped to fit comfortably. It's a non-surgical way to manage certain health conditions.

This service was performed 14 times for 12 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

This service was performed 39 times for 39 patients

Simple bladder irrigation and/or instillation

Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.

This service was performed 310 times for 83 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 18015 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $126.34
  • Minimum New Patient Price $54.64
  • Maximum New Patient Price $166.87
  • Average New Patient Copayment $31.58
  • Minimum New Patient Copayment $13.66
  • Maximum New Patient Copayment $41.71

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.36
  • Minimum Established Patient Price $17.33
  • Maximum Established Patient Price $135.84
  • Average Established Patient Copayment $17.09
  • Minimum Established Patient Copayment $4.33
  • Maximum Established Patient Copayment $33.96

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1457451619, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
1
Doubled → 2
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 4 → 8 1 → 2 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 0 + 7 + 8 + 5 + 2 + 6 + 2 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1457451619.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
701 OSTRUM ST, SUITE 604
FOUNTAIN HILL, PA 18015
Obstetrics & Gynecology
701 OSTRUM ST, SUITE 402
FOUNTAIN HILL, PA 18015
Internal Medicine (Hematology & Oncology)
701 OSTRUM ST, SUITE 403
FOUNTAIN HILL, PA 18015
Surgery
701 OSTRUM ST, STE 504
FOUNTAIN HILL, PA 18015
Nurse Practitioner
701 OSTRUM ST, SUITE 202,502
FOUNTAIN HILL, PA 18015
Obstetrics & Gynecology (Obstetrics)
701 OSTRUM ST, STE 203
FOUNTAIN HILL, PA 18015
Internal Medicine (Hematology & Oncology)
701 OSTRUM ST, SUITE 403
FOUNTAIN HILL, PA 18015
Nurse Practitioner (Family)
701 OSTRUM ST, SUITE 604
FOUNTAIN HILL, PA 18015
Physician Assistant (Medical)
701 OSTRUM ST, STE 403
FOUNTAIN HILL, PA 18015
Physician Assistant (Medical)
701 OSTRUM ST, SUITE 603
FOUNTAIN HILL, PA 18015
Internal Medicine (Nephrology)
701 OSTRUM ST, SUITE 602
BETHLEHEM, PA 18015
Obstetrics & Gynecology (Gynecology)
701 OSTRUM ST, SUITE 102
FOUNTAIN HILL, PA 18015
Thoracic Surgery (Cardiothoracic Vascular Surgery)
701 OSTRUM ST, SUITE 201
FOUNTAIN HILL, PA 18015
Physician Assistant (Medical)
701 OSTRUM ST, SUITE 203
FOUNTAIN HILL, PA 18015
Obstetrics & Gynecology
701 OSTRUM ST, SUITE 203
FOUNTAIN HILL, PA 18015
Obstetrics & Gynecology (Gynecology)
701 OSTRUM ST, SUITE 203
FOUNTAIN HILL, PA 18015
Internal Medicine (Cardiovascular Disease)
701 OSTRUM ST, SUITE 401
FOUNTAIN HILL, PA 18015
Internal Medicine (Cardiovascular Disease)
701 OSTRUM ST, SUITE 503
FOUNTAIN HILL, PA 18015
Specialist
701 OSTRUM ST, SUITE 604
FOUNTAIN HILL, PA 18015
Thoracic Surgery (Cardiothoracic Vascular Surgery)
701 OSTRUM ST, SUITE 603
FOUNTAIN HILL, PA 18015

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457451619, enumerated as an "individual" on September 25, 2006.

The provider is located at 701 OSTRUM ST SUITE 102 FOUNTAIN HILL, PA 18015 and the phone number is (610) 954-4960.

Obstetrics & Gynecology with taxonomy code 207VG0400X and a focus in Gynecology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.