RILEY W HALE MD
NPI 1609947423
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Fort Collins, CO

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment
88.58/100
CMS Quality Rating
2500 E PROSPECT RD, SUITE 101, FORT COLLINS, CO 80525(970) 493-0112 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2026, Dec 16, 2019 (2 updates tracked since 2019).

About Riley W Hale Md NPPES

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

RILEY W HALE MD (NPI 1609947423) is an individual adult reconstructive orthopaedic surgery provider in Fort Collins, Colorado, licensed in Colorado (DR.0050055) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Nevada School Of Medicine (2005).

NPPES Registry Identity

NPI1609947423
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameRILEY W HALECredential: MD
Location Address2500 E PROSPECT RD, SUITE 101Fort Collins, CO 80525-9718
Mailing Address2500 E Prospect Rd, Suite 101Fort Collins, CO 80525-9718 · (970) 493-0112
Sole ProprietorNo
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2005
Enumeration DateNovember 13, 2006
Last NPPES UpdateFebruary 6, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
NPI 1609947423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License Licensed in CO · DR.0050055
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License DR.0050055 (CO)
Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License DR.0050055 (CO)
2500 E PROSPECT RD, Fort Collins, CO 80525

Secondary Practice Locations 2

Location 11926 61st AveGreeley, CO 80634-8165 · Phone (970) 573-3224 · Fax (970) 493-0521
Location 23470 E 15th StLoveland, CO 80538-8809 · Phone (970) 663-3975 · Fax (970) 493-0521

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

Riley W Hale 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 ID8729087556
PECOS Enrollment IDI20111014000200
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 18

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
1,481 services110 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
512 services332 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
376 services180 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
346 services267 patients
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323
Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.
301 services82 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.
290 services270 patients

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.

88.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.24
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.02%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers22 claims22 services$18.68 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers23 claims23 services$84.73 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 20

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

Specialist/Technologist (Athletic Trainer)
2500 E PROSPECT RD
FORT COLLINS, CO 80525
Specialist/Technologist (Athletic Trainer)
2500 E PROSPECT RD
FORT COLLINS, CO 80525
Physician Assistant
2500 E PROSPECT RD
FORT COLLINS, CO 80525
Orthopaedic Surgery (Sports Medicine)
2500 E PROSPECT RD
FORT COLLINS, CO 80525
Orthopaedic Surgery (Foot and Ankle Surgery)
2500 E PROSPECT RD
FORT COLLINS, CO 80525
Clinical Neuropsychologist
2500 E PROSPECT RD
FORT COLLINS, CO 80525
Specialist/Technologist (Athletic Trainer)
2500 E PROSPECT RD
FORT COLLINS, CO 80525
Physical Therapist
2500 E PROSPECT RD
FORT COLLINS, CO 80525

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 Riley Hale's NPI number?

The NPI number for Riley Hale is 1609947423. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Riley Hale located?

Riley Hale practices at 2500 E Prospect Rd Suite 101, Fort Collins, CO 80525. The listed phone number is (970) 493-0112.

What is Riley Hale's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Riley Hale enrolled in Medicare?

Yes. Riley Hale 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 Riley Hale accept?

Health plans from Medica and UnitedHealthcare list Riley Hale 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 Riley Hale was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.