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

Q: 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.

Q: What is Joseph Riley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Joseph Riley was last updated on February 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 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: October 18, 2026.

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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

Phone(605) 698-7681

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

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Other Identifiers 5

Medicare UPING93786

Medicaid8239100NJ

Medicaid0285846NJ

Medicare PIN084204NJ

Medicare ID-Type Unspecified027506NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Joseph Riley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Riverside Physician Services Inc

1,198 mi

Primary Care

301 COLLEGE ROW UNIT 9101
Williamsburg, VA 23185

Reassigned Medicare billing, Virginia enrollment
1,097 clinicians in this Medicare group

NPI 1861414609 (757) 782-6200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. SHERRYL J. TOMBOULIAN M.D., P.H.D

Family Medicine