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JOHN B RILEY DO
NPI 1629573662
Otolaryngology - Facial Plastic Surgery in Grand Rapids, MI

Active since March 29, 2018PECOS EnrolledAccepts Medicare Assignment
80.99/100
CMS Quality Rating
739 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525(616) 994-2770(616) 920-6533 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 20, 2023, Mar 17, 2021, Mar 29, 2018 (3 updates tracked since 2018).

About John B Riley Do NPPES

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

JOHN B RILEY DO (NPI 1629573662) is an individual facial plastic surgery provider in Grand Rapids, Michigan, licensed in Michigan (5101027426) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health United Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2018).

NPPES Registry Identity

NPI1629573662
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameJOHN B RILEYCredential: DO
Location Address739 E BELTLINE AVE NEGrand Rapids, MI 49525-6045
Mailing Address3100 N Wellness DrHolland, MI 49424-8122 · (164) 336-0036 · Fax (616) 920-6533
Phone(616) 994-2770
Fax(616) 920-6533
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2018
Enumeration DateMarch 29, 2018
Last NPPES UpdateNovember 20, 20233 updates tracked since enumeration
NPPES CertifiedNovember 20, 2023
✔ NPI 1629573662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in MI · 5101027426
Definition
An otolaryngologist who specializes in facial plastic surgery.
739 E BELTLINE AVE NE, Grand Rapids, MI 49525
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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

John B Riley Do 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 ID7517214679
PECOS Enrollment IDI20230706003710
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 8

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.
120 services77 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.
62 services62 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.
52 services41 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
50 services11 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.
45 services45 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
30 services23 patients

Hospital Affiliations CMS Care Compare 4

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

Spectrum Health United Hospital

Acute Care Hospitals · Greenville, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230035
Location615 S Bower StreetGreenville, MI 48838 · Montcalm County
Birthing friendly

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Corewell Health Pennock Hospital

Critical Access Hospitals · Hastings, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number231339
Location1009 W Green StHastings, MI 49058 · Barry County
Emergency services Birthing friendly

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.

80.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.25
Promoting Interoperability100
Improvement Activities40
Cost52.39

Other Providers at the Same Location NPPES 5

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

DAVID J. HUYSER D.D.S., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
739 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 957-0909
DR. ANTHONY LYNN HOWARD D.O.
Otolaryngology (Facial Plastic Surgery)
739 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 994-2770
KARLINA BAILEY DIDION AU.D.
Audiologist
739 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 994-2770
ZOE LIONAS PRIDNIA AU.D.
Audiologist
739 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 994-2770
NICHOLAS CHARLES CAMERON DO
Otolaryngology (Plastic Surgery within the Head & Neck)
739 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 994-2770

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 John Riley's NPI number?

The NPI number for John Riley is 1629573662. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Where is John Riley located?

John Riley practices at 739 E Beltline Ave NE, Grand Rapids, MI 49525. The listed phone number is (616) 994-2770.

What is John Riley's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is John Riley enrolled in Medicare?

Yes. John 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 John Riley accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list John 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.

Is John Riley affiliated with any hospitals?

According to CMS data, John Riley is affiliated with Spectrum Health United Hospital, Spectrum Health, Mercy Health Saint Mary's and Corewell Health Pennock Hospital.

When was this NPI record last updated?

The NPPES record for John Riley was last updated on November 20, 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.