DR. DAVID RILEY M.D.
NPI 1881042232
Internal Medicine - Hematology & Oncology in Charlottesville, VA

Active since May 26, 2016PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
500 MARTHA JEFFERSON DR, CHARLOTTESVILLE, VA 22911(434) 654-8390(434) 654-8399 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2022, Jul 19, 2019 (2 updates tracked since 2019).

About Dr. David Riley M.d. NPPES

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

DR. DAVID RILEY M.D. (NPI 1881042232) is an individual hematology & oncology provider in Charlottesville, Virginia, licensed in Virginia (0101275077) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Sentara Rmh Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1881042232
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. DAVID RILEYCredential: M.D.
Location Address500 MARTHA JEFFERSON DRCharlottesville, VA 22911-4668
Mailing AddressPo Box 746550Atlanta, GA 30374-6550 · (888) 236-2263 · Fax (434) 654-8399
Fax(434) 654-8399
Sole ProprietorYes
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2016
Enumeration DateMay 26, 2016
Last NPPES UpdateJuly 19, 20222 updates tracked since enumeration
NPPES CertifiedJuly 19, 2022
NPI 1881042232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in VA · 0101275077
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License LP03710 (RI)
500 MARTHA JEFFERSON DR, Charlottesville, VA 22911

Secondary Practice Location 1

Location 11240 Lee St Box Number 800716Charlottesville, VA 22908-4923 · Phone (434) 924-9333

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. David 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 ID3173818416
PECOS Enrollment IDI20220802000322
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 10

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
339 services194 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.
285 services156 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
183 services66 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.
131 services103 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
53 services53 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.
36 services36 patients

Hospital Affiliations CMS Care Compare 2

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

Sentara Rmh Medical Center

Acute Care Hospitals · Harrisonburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490004
Location2010 Health Campus DriveHarrisonburg, VA 22801 · Harrisonburg City County
Emergency services Birthing friendly

Sentara Martha Jefferson Hospital

Acute Care Hospitals · Charlottesville, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490077
Location500 Martha Jefferson DriveCharlottesville, VA 22911 · Albemarle County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22911 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
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

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.

Neurological Surgery
500 MARTHA JEFFERSON DR, 5TH FLOOR
CHARLOTTESVILLE, VA 22911
Nurse Practitioner (Family)
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911
Nurse Practitioner (Gerontology)
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911
Radiology (Diagnostic Radiology)
500 MARTHA JEFFERSON DR, CHARLOTTESVILLE RADIOLOGY
CHARLOTTESVILLE, VA 22911
Emergency Medicine
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911
Urology
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911
Physician Assistant
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911
Internal Medicine
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911

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 David Riley's NPI number?

The NPI number for David Riley is 1881042232. It was assigned to this individual provider in the NPPES registry on May 26, 2016.

Where is David Riley located?

David Riley practices at 500 Martha Jefferson Dr, Charlottesville, VA 22911. The listed phone number is (434) 654-8390.

What is David Riley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is David Riley enrolled in Medicare?

Yes. David 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.

Is David Riley affiliated with any hospitals?

According to CMS data, David Riley is affiliated with Sentara Rmh Medical Center and Sentara Martha Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for David Riley was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.