ASHLEY RILEY MD
NPI 1528528197
Ophthalmology in Fresno, CA

Q: What is Ashley Riley's NPI number?

The NPI number for Ashley Riley is 1528528197. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Q: What is Ashley Riley's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Ashley Riley was last updated on September 7, 2023. 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.

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1360 E HERNDON AVE, FRESNO, CA 93720(559) 449-5050 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 7, 2023, May 19, 2023, Mar 20, 2019 (3 updates tracked since 2019).

On this page

About Ashley Riley Md NPPES

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

ASHLEY RILEY MD (NPI 1528528197) is an individual ophthalmology provider in Fresno, California, licensed in California (A187268) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (2019).

NPPES Registry Identity

NPI1528528197

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameASHLEY RILEYCredential: MD

Location Address1360 E HERNDON AVEFresno, CA 93720-3326

Mailing Address1360 E Herndon AveFresno, CA 93720-3326 · (559) 449-5050

Phone(559) 449-5050

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2019

Enumeration DateMarch 20, 2019

Last NPPES UpdateSeptember 7, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 7, 2023

✔ NPI 1528528197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in CA · A187268

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1360 E HERNDON AVE, Fresno, CA 93720

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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

Ashley Riley Md 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 ID7618396581

PECOS Enrollment IDI20231102002917

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 12

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 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.

125 services88 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

66 services66 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

58 services58 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

48 services32 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

45 services44 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

41 services41 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

39 services39 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.

39 services39 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

32 services31 patients

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.

20 services19 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

18 services18 patients

Measurement of corneal curvature and depth of eye 92136

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

100

Improvement Activities

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.

ERIC JAMES POULSEN M.D.

Ophthalmology

1360 E HERNDON AVE, STE 201
FRESNO, CA 93720

Fresno County (559) 449-5050

FOGG REMINGTON EYECARE INC

Ophthalmology

1360 E HERNDON AVE, SUITE 401
FRESNO, CA 93720

Fresno County (559) 449-5010

DR. THOMAS PEARSON O.D.

Optometrist

1360 E HERNDON AVE, SUITE 401
FRESNO, CA 93720

Fresno County (559) 449-5010

DR. SHARON SAMRA HIYAMA O.D.

Optometrist

1360 E HERNDON AVE, SUITE 201
FRESNO, CA 93720

Fresno County (559) 449-5050

LARRY RAY LAWRENCE M.D.

Ophthalmology

1360 E HERNDON AVE, STE 201
FRESNO, CA 93720

Fresno County (559) 449-5050

DR. PRABHJOT KAUR SAINI O.D.

Optometrist

1360 E HERNDON AVE, SUITE 301
FRESNO, CA 93720

Fresno County (559) 486-5000

DR. WILLIAM ANDREW MAXWELL M.D.

Ophthalmology

1360 E HERNDON AVE, SUITE 401
FRESNO, CA 93720

Fresno County (559) 449-5010

EYE MEDICAL CLINIC OF FRESNO, INC

Ophthalmology

1360 E HERNDON AVE, SUITE 301
FRESNO, CA 93720

Fresno County (559) 486-5000

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 Ashley Riley's NPI number?

The NPI number for Ashley Riley is 1528528197. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Ashley Riley located?

Ashley Riley practices at 1360 E Herndon Ave, Fresno, CA 93720. The listed phone number is (559) 449-5050.

What is Ashley Riley's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Ashley Riley enrolled in Medicare?

Yes. Ashley 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 Ashley Riley accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Ashley 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 Ashley Riley was last updated on September 7, 2023. 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.