DR. JAMES EDWARD RILEY M.D. - NPI 1750484754 - Family Medicine in Capitola, CA

Q: What is James Riley's NPI number?

The NPI number for James Riley is 1750484754. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Q: What is James Riley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for James Riley was last updated on January 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. James Edward Riley M.d. NPPES

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

DR. JAMES EDWARD RILEY M.D. (NPI 1750484754) is an individual family medicine provider in Capitola, California, licensed in California (A63461) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (1996).

NPPES Registry Identity

NPI1750484754

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JAMES EDWARD RILEYCredential: M.D.

Location Address528 CAPITOLA AVECapitola, CA 95010-2750

Mailing Address528 Capitola AveCapitola, CA 95010-2750 · (831) 475-1630 · Fax (831) 475-1629

Phone(831) 475-1630

Fax(831) 475-1629

Sole ProprietorNo

Medical School CMSNew York University School Of MedicineGraduated 1996

Enumeration DateSeptember 6, 2006

Last NPPES UpdateJanuary 4, 2022

✔ NPI 1750484754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A63461

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

528 CAPITOLA AVE, Capitola, CA 95010

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Other Identifiers 1

OtherGR0028553CA · Medi-cal Id Number

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. James Edward Riley 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 ID4587755657

PECOS Enrollment IDI20070802000667

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95010 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

$96.03 typical visit price

range $62.97 – $186.69

Typical copayment $24.00 (range $15.74 – $46.67)

Most-billed visit code 99203

Established Patient

$109.72 typical visit price

range $21.02 – $153.16

Typical copayment $27.43 (range $5.25 – $38.29)

Most-billed visit code 99214

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 12

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

MR. ROBERT P. CHEN M.D.

Family Medicine