DR. PAUL ARTHUR RIGGS M.D.
NPI 1689699928
Surgery in Oskaloosa, IA

Q: What is Paul Riggs's NPI number?

The NPI number for Paul Riggs is 1689699928. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Q: What is Paul Riggs's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Riggs was last updated on May 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment

93.73/100

CMS Quality Rating

1229 C AVE E, OSKALOOSA, IA 52577(641) 672-3360(641) 672-9262 Get Directions Write a Review

NPPES record last updated: May 12, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Paul Arthur Riggs M.d. NPPES

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

DR. PAUL ARTHUR RIGGS M.D. (NPI 1689699928) is an individual surgery provider in Oskaloosa, Iowa, licensed in Iowa (24759) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mahaska Health Partnership, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1689699928

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. PAUL ARTHUR RIGGSCredential: M.D.

Location Address1229 C AVE EOskaloosa, IA 52577-4246

Mailing Address1229 C Ave EOskaloosa, IA 52577-4246 · (641) 672-3360 · Fax (641) 672-9262

Phone(641) 672-3360

Fax(641) 672-9262

Sole ProprietorNo

Medical School CMSOtherGraduated 1980

Enumeration DateJuly 13, 2006

Last NPPES UpdateMay 12, 2015

✔ NPI 1689699928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in IA · 24759

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1229 C AVE E, Oskaloosa, IA 52577

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Other Identifiers 7

Other020050335IA · Railroad Medicare

Medicare UPINA02654IA

Other43577IA · Blue Cross Blue Shield

Medicare PINI3902IA

Other9880IA · Midlands Choice

Medicaid1030601IA

OtherIA0101IA · John Deere

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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

Dr. Paul Arthur Riggs M.d. 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 ID9032014063

PECOS Enrollment IDI20090427000204

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

28 services14 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

20 services13 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

17 services15 patients

Hospital Affiliations CMS Care Compare

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

Mahaska Health Partnership

Critical Access Hospitals · Oskaloosa, IA

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number161379

Location1229 C Avenue EastOskaloosa, IA 52577 · Mahaska County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52577 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

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.

93.73/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.26

Promoting Interoperability

100

Improvement Activities

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.

NICOLE HELM PTA

Physical Therapy Assistant

1229 C AVE E
OSKALOOSA, IA 52577

Mahaska County (641) 672-3306

MR. PHIL T PORTER PSYCHOLOGIST

Psychologist

1229 C AVE E, #300
OSKALOOSA, IA 52577

Mahaska County (641) 672-3159

MATTHEW D. OLSON M.D.

Family Medicine

1229 C AVE E
OSKALOOSA, IA 52577

Mahaska County (641) 672-3100

MATTHEW M WILLIS CRNA

Nurse Anesthetist, Certified Registered

1229 C AVE E
OSKALOOSA, IA 52577

Mahaska County (641) 672-3360

BAILEY R TERPSTRA LAT, ATC

Specialist/Technologist (Athletic Trainer)

1229 C AVE E
OSKALOOSA, IA 52577

Mahaska County (641) 672-3274

STEFANIE YEARIAN ARNP

Nurse Practitioner (Psychiatric/Mental Health)

1229 C AVE E
OSKALOOSA, IA 52577

Mahaska County (641) 672-3259

DR. PATRICIA ANN KINNE M.D.

Psychiatry & Neurology (Psychiatry)

1229 C AVE E
OSKALOOSA, IA 52577

Mahaska County (502) 852-1033

CHRISTINE BEAIRD

Nurse Practitioner (Family)

1229 C AVE E
OSKALOOSA, IA 52577

Mahaska County (641) 672-3100

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 Paul Riggs's NPI number?

The NPI number for Paul Riggs is 1689699928. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Paul Riggs located?

Paul Riggs practices at 1229 C Ave E, Oskaloosa, IA 52577. The listed phone number is (641) 672-3360.

What is Paul Riggs's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Paul Riggs enrolled in Medicare?

Yes. Paul Riggs 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 Paul Riggs accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Paul Riggs 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 Paul Riggs affiliated with any hospitals?

According to CMS data, Paul Riggs is affiliated with Mahaska Health Partnership.

When was this NPI record last updated?

The NPPES record for Paul Riggs was last updated on May 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.