JOHN B RILEY DO
NPI 1629573662
Otolaryngology - Facial Plastic Surgery in Grand Rapids, MI
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show John Riley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Holland, MI 49424
- Reassigned Medicare billing, Michigan enrollment
- 38 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 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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Spectrum Health United Hospital
Acute Care Hospitals · Greenville, MISpectrum Health
Acute Care Hospitals · Grand Rapids, MIMercy Health Saint Mary's
Acute Care Hospitals · Grand Rapids, MIUniversity Of Michigan Health - West
Acute Care Hospitals · Wyoming, MICorewell Health Pennock Hospital
Critical Access Hospitals · Hastings, MIMedicare 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.
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.
GRAND RAPIDS, MI 49525
GRAND RAPIDS, MI 49525
GRAND RAPIDS, MI 49525
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.
Which organization bills Medicare for John Riley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Riley reassigns Medicare benefits to Michigan Ear, Nose, Throat, And Allergy Specialists, PC (Holland, MI). The 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 John Riley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Riley accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers 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, University Of Michigan Health - West 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.
# John B Riley, DO · NPI 1629573662
Facial Plastic Surgery physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since March 29, 2018.
## Identity
- **NPI:** 1629573662 (Entity type: Individual)
- **Enumerated:** March 29, 2018
- **Primary specialty:** Otolaryngology - Facial Plastic Surgery · taxonomy 207YS0123X
- **State license:** 5101027426 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 739 E BELTLINE AVE NE, Grand Rapids, MI 49525-6045
- **Phone:** (616) 994-2770 · **Fax:** (616) 920-6533
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Michigan Ear, Nose, Throat, And Allergy Specialists, PC (NPI 1780029991, Holland, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Osteopathic Medicine, class of 2018
## Record status
- **NPPES last updated:** November 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1629573662) · Data from the CMS NPPES public registry.