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CRYSTAL RILEY PA-C
NPI 1578957585
Physician Assistant in Westminster, MD

Active since March 27, 2015PECOS EnrolledAccepts Medicare Assignment
193 STONER AVE STE 300, WESTMINSTER, MD 21157(410) 871-2204(410) 871-2207 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 9, 2017, Feb 17, 2016 (2 updates tracked since 2016).

About Crystal Riley Pa-c NPPES

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

CRYSTAL RILEY PA-C (NPI 1578957585) is an individual physician assistant in Westminster, Maryland, licensed in Maryland (C0005716) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Carroll Hospital Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1578957585
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCRYSTAL RILEYCredential: PA-C
Location Address193 STONER AVE STE 300Westminster, MD 21157-5588
Mailing Address193 Stoner Ave Ste 300Westminster, MD 21157-5588 · (410) 871-2204 · Fax (410) 871-2207
Phone(410) 871-2204
Fax(410) 871-2207
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 27, 2015
Last NPPES UpdateFebruary 26, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2024
✔ NPI 1578957585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in MD · C0005716✔ Licensed in NC · 0010-05657
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
193 STONER AVE STE 300, Westminster, MD 21157
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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

Crystal Riley Pa-c 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 ID1557672284
PECOS Enrollment IDI20170118000352
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.
519 services258 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.
60 services60 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.
56 services52 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.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

Carroll Hospital Center

Acute Care Hospitals · Westminster, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210033
Location200 Memorial AvenueWestminster, MD 21157 · Carroll County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21157 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
62%133 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

ARIF HUSAIN DO
Psychiatry & Neurology (Neurology)
193 STONER AVE STE 300
WESTMINSTER, MD 21157
Carroll County (410) 871-2204
AMANDA C HARBERT CRNP
Nurse Practitioner (Acute Care)
193 STONER AVE STE 300
WESTMINSTER, MD 21157
Carroll County (410) 871-2204
SINAI HOSPITAL OF BALTIMORE, INC.
Psychiatry & Neurology (Neurology)
193 STONER AVE STE 300
WESTMINSTER, MD 21157
Carroll County (410) 871-2204
CARROLL HEALTH GROUP, LLC
Psychiatry & Neurology (Neurology)
193 STONER AVE STE 300
WESTMINSTER, MD 21157
Carroll County (410) 871-2204

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 Crystal Riley's NPI number?

The NPI number for Crystal Riley is 1578957585. It was assigned to this individual provider in the NPPES registry on March 27, 2015.

Where is Crystal Riley located?

Crystal Riley practices at 193 Stoner Ave Ste 300, Westminster, MD 21157. The listed phone number is (410) 871-2204.

What is Crystal Riley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Crystal Riley enrolled in Medicare?

Yes. Crystal 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.

Is Crystal Riley affiliated with any hospitals?

According to CMS data, Crystal Riley is affiliated with Carroll Hospital Center.

When was this NPI record last updated?

The NPPES record for Crystal Riley was last updated on February 26, 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.