JOSEPH PATRICK RILEY DO
NPI 1881668911
Obstetrics & Gynecology in Sisseton, SD

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
205 ORCHARD DR, SISSETON, SD 57262(605) 698-7681(605) 698-3493 Get Directions Write a Review

NPPES record last updated: February 7, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Joseph Patrick Riley Do NPPES

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

JOSEPH PATRICK RILEY DO (NPI 1881668911) is an individual obstetrics & gynecology provider in Sisseton, South Dakota, licensed in South Dakota (10224) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Riverside Shore Memorial Hospital, and is a graduate of Nova Southeastern College Of Osteo Medicine (1994).

NPPES Registry Identity

NPI1881668911
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJOSEPH PATRICK RILEYCredential: DO
Location Address205 ORCHARD DRSisseton, SD 57262-2312
Mailing Address205 Orchard DrSisseton, SD 57262-2312 · (605) 698-7681 · Fax (605) 698-3493
Fax(605) 698-3493
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 1994
Enumeration DateFebruary 15, 2006
Last NPPES UpdateFebruary 7, 2017
NPI 1881668911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in SD · 10224 Licensed in NJ · 25MB06306000
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

205 ORCHARD DR, Sisseton, SD 57262

Other Identifiers 5

Medicare UPING93786
Medicaid8239100NJ
Medicaid0285846NJ
Medicare PIN084204NJ
Medicare ID-Type Unspecified027506NJ

Accepted 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

Joseph Patrick 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.

PECOS PAC ID5193628782
PECOS Enrollment IDI20250122001484
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.

Hospital Affiliations CMS Care Compare

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

Riverside Shore Memorial Hospital

Acute Care Hospitals · Onancock, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490037
Location20480 Market StreetOnancock, VA 23417 · Accomack County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57262 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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
41%27 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
37%86 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
91%215 patients3/55-star benchmark: 99%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
36%181 patients2/55-star benchmark: 97%
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…
15%113 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 95% · 58 patients
64%58 patients3/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
89%181 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
20%181 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
13%181 patients
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.

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.

Obstetrics & Gynecology
205 ORCHARD DR
SISSETON, SD 57262
Family Medicine
205 ORCHARD DR
SISSETON, SD 57262
Nurse Practitioner
205 ORCHARD DR
SISSETON, SD 57262
Dietitian, Registered
205 ORCHARD DR
SISSETON, SD 57262
Pharmacist
205 ORCHARD DR
SISSETON, SD 57262
Family Medicine
205 ORCHARD DR
SISSETON, SD 57262
Nurse Practitioner (Family)
205 ORCHARD DR
SISSETON, SD 57262
Family Medicine
205 ORCHARD DR
SISSETON, SD 57262

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 Joseph Riley's NPI number?

The NPI number for Joseph Riley is 1881668911. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Joseph Riley located?

Joseph Riley practices at 205 Orchard Dr, Sisseton, SD 57262. The listed phone number is (605) 698-7681.

What is Joseph Riley's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Joseph Riley enrolled in Medicare?

Yes. Joseph 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 Joseph Riley accept?

Health plans from Medica list Joseph 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 Joseph Riley affiliated with any hospitals?

According to CMS data, Joseph Riley is affiliated with Riverside Shore Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Riley was last updated on February 7, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.