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DR. RENEE' S RILEY M.D.
NPI 1881666592
Orthopaedic Surgery in Covington, GA

Active since February 06, 2006PECOS EnrolledAccepts Medicare Assignment
4181 HOSPITAL DR NE, SUITE 204, COVINGTON, GA 30014(770) 788-6534(770) 788-7658 Get Directions Write a Review

NPPES record last updated: July 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Renee' S Riley M.d. NPPES

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

DR. RENEE' S RILEY M.D. (NPI 1881666592) is an individual orthopaedic surgery provider in Covington, Georgia, licensed in Georgia (067974) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Coon Memorial Hospital, and is a graduate of University Of Alabama School Of Medicine (1997).

NPPES Registry Identity

NPI1881666592
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameDR. RENEE' S RILEYCredential: M.D.
Location Address4181 HOSPITAL DR NE, SUITE 204Covington, GA 30014-2541
Mailing Address4181 Hospital Dr Ne, Suite 204Covington, GA 30014-2541 · (770) 788-6534 · Fax (770) 788-7658
Phone(770) 788-6534
Fax(770) 788-7658
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1997
Enumeration DateFebruary 6, 2006
Last NPPES UpdateJuly 22, 2016
✔ NPI 1881666592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in GA · 067974
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
4181 HOSPITAL DR NE, Covington, GA 30014
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, UnitedHealthcare.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. Renee' S 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 ID3870581879
PECOS Enrollment IDI20220928001669
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.
81 services61 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
80 services34 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
41 services28 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.
31 services23 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
24 services21 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
22 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Coon Memorial Hospital

Critical Access Hospitals · Dalhart, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451331
Location1411 Denver AvenueDalhart, TX 79022 · Dallam County
Emergency services

Hansford County Hospital

Critical Access Hospitals · Spearman, TX
OwnershipGovernment - Local
CMS Certification Number451344
Location707 Roland StSpearman, TX 79081 · Hansford County
Emergency services

Memorial Hospital

Critical Access Hospitals · Dumas, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451386
Location224 E Second StreetDumas, TX 79029 · Moore County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30014 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
10%237 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
31%151 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
41%237 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
54%256 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
0%240 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
46%134 patients2/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$14.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

NEWTON HEALTH SYSTEM, INC.
Obstetrics & Gynecology
4181 HOSPITAL DR NE, SUITE 104
COVINGTON, GA 30014
Newton County (770) 385-8954
NEWTON HEALTH CARE SYSTEMS, INC.
Specialist
4181 HOSPITAL DR NE, SUITE 204
COVINGTON, GA 30014
Newton County (770) 788-6534
JULIANA NAHAS, MD PC
Pediatrics
4181 HOSPITAL DR NE, STE 202
COVINGTON, GA 30014
Newton County (770) 787-7444
MRS. HANNAH ADDIS PNP
Nurse Practitioner (Pediatrics)
4181 HOSPITAL DR NE, SUITE 202
COVINGTON, GA 30014
Newton County (770) 728-1901
GEORGIA UROLOGY PA
Urology
4181 HOSPITAL DR NE, SUITE 303
COVINGTON, GA 30014
Newton County (770) 787-7311
DR. CARTER ELISHA GIBSON M.D
Internal Medicine
4181 HOSPITAL DR NE, SUITE 401
COVINGTON, GA 30014
Newton County (770) 787-4700
MRS. JULIE BUFF WALTER CPNP, APRN
Nurse Practitioner (Pediatrics)
4181 HOSPITAL DR NE, SUITE 202
COVINGTON, GA 30014
Newton County (770) 787-7444
BENJAMIN C ROGERS M.D.
Surgery
4181 HOSPITAL DR NE, SUITE 303
COVINGTON, GA 30014
Newton County (770) 787-6957

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 Renee' Riley's NPI number?

The NPI number for Renee' Riley is 1881666592. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Renee' Riley located?

Renee' Riley practices at 4181 Hospital Dr NE Suite 204, Covington, GA 30014. The listed phone number is (770) 788-6534.

What is Renee' Riley's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Renee' Riley enrolled in Medicare?

Yes. Renee' 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 Renee' Riley accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Renee' 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 Renee' Riley affiliated with any hospitals?

According to CMS data, Renee' Riley is affiliated with Coon Memorial Hospital, Hansford County Hospital and Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Renee' Riley was last updated on July 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.