J TIMOTHY RILEY M D
NPI 1609076629
Surgery - Vascular Surgery in Syracuse, NY

Active since July 18, 2007PECOS Enrolled
104 UNION AVE., STE 1005, SYRACUSE, NY 13203(315) 424-0253 Get Directions Write a Review

NPPES record last updated: July 20, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About J Timothy Riley M D NPPES

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

J TIMOTHY RILEY M D (NPI 1609076629) is an individual vascular surgery provider in Syracuse, New York, licensed in New York (245175) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1999).

NPPES Registry Identity

NPI1609076629
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameJ TIMOTHY RILEYCredential: M D
Location Address104 UNION AVE., STE 1005Syracuse, NY 13203-2761
Mailing Address104 Union Ave., Ste 1005Syracuse, NY 13203-2761 · (315) 424-0253
Sole ProprietorYes
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1999
Enumeration DateJuly 18, 2007
Last NPPES UpdateJuly 20, 2007
✔ NPI 1609076629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in NY · 245175
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
104 UNION AVE., Syracuse, NY 13203

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

J Timothy Riley M D is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406944396
PECOS Enrollment IDI20071109000361
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.

Medicare Billing Reassignments

18

Medicare enrollment records show J Riley reassigns Medicare billing to 18 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
5100 W TAFT RD
Liverpool, NY 13088
  • Reassigned Medicare billing, New York enrollment
  • 625 clinicians in this Medicare group
Anesthesiology
2215 BURDETT AVE
Troy, NY 12180
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St Joseph's Physician Health PC
  • 304 clinicians in this Medicare group
Vascular Surgery
3485-91 JEROME AVE, STE A
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 24 clinicians in this Medicare group
Vascular Surgery
3487-89 JEROME AVE, STE B
Bronx, NY 10468
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group
Vascular Surgery
1264 SAINT NICHOLAS AVE STE A
New York, NY 10033
  • Reassigned Medicare billing, New York enrollment
  • 28 clinicians in this Medicare group
Vascular Surgery
11 E FORDHAM RD STE B
Bronx, NY 10468
  • Reassigned Medicare billing, New York enrollment
  • 45 clinicians in this Medicare group
Vascular Surgery
2157 WHITE PLAINS RD
Bronx, NY 10462
  • Reassigned Medicare billing, New York enrollment
  • 52 clinicians in this Medicare group
Vascular Surgery
2157 WHITE PLAINS RD STE A
Bronx, NY 10462
  • Reassigned Medicare billing, New York enrollment
  • 32 clinicians in this Medicare group
Vascular Surgery
947 SOUTHERN BLVD STE B
Bronx, NY 10459
  • Reassigned Medicare billing, New York enrollment
  • 49 clinicians in this Medicare group
Vascular Surgery
1153 1ST AVE
New York, NY 10065
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
140 services45 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
117 services83 patients
Injection of chemical agent into single incompetent vein of leg using ultrasound guidance 36465
This procedure involves injecting a chemical agent into a non-functioning vein in your leg. Ultrasound technology is used to accurately locate the vein. The chemical helps to close off the vein, rerouting blood flow to healthier veins.
105 services29 patients
Chemical destruction of first incompetent vein of arm or leg using imaging guidance 36482
This procedure involves using a chemical to close off a malfunctioning vein in your arm or leg. Imaging guidance is used to accurately locate the vein. This helps improve blood flow by rerouting it through healthier veins.
58 services30 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.
48 services40 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
42 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13203 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES

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

Surgery (Vascular Surgery)
104 UNION AVE., SUITE 1005
SYRACUSE, NY 13203

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 J Riley's NPI number?

The NPI number for J Riley is 1609076629. It was assigned to this individual provider in the NPPES registry on July 18, 2007.

Where is J Riley located?

J Riley practices at 104 Union Ave. Ste 1005, Syracuse, NY 13203. The listed phone number is (315) 424-0253.

What is J Riley's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is J Riley enrolled in Medicare?

Yes. J Riley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for J Riley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), J Riley reassigns Medicare benefits to 18 organizations: St Josephs Medical PC (Liverpool, NY), St. Joseph's Physician Health, P.C. (Troy, NY), Norwood Professional Medical Services Of New York LLC (Bronx, NY), Norwood Medical Of New York LLC (Bronx, NY), St. Nicholas Professional Medical Services Of New York LLC (New York, NY) and 13 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for J Riley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for J Riley was last updated on July 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.