DR. PETER D RILEY M.D.
NPI 1942260237
Internal Medicine - Critical Care Medicine in Lakewood, CO

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
91.91/100
CMS Quality Rating
274 UNION BLVD, SUITE 110, LAKEWOOD, CO 80228(303) 951-0600(303) 951-0605 Get Directions Write a Review

NPPES record last updated: January 18, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Peter D Riley M.d. NPPES

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

DR. PETER D RILEY M.D. (NPI 1942260237) is an individual critical care medicine provider in Lakewood, Colorado, licensed in Colorado (32965) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (1991).

NPPES Registry Identity

NPI1942260237
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. PETER D RILEYCredential: M.D.
Location Address274 UNION BLVD, SUITE 110Lakewood, CO 80228-1813
Mailing Address274 Union Blvd, Suite 110Lakewood, CO 80228-1813 · (303) 951-0600 · Fax (303) 951-0605
Fax(303) 951-0605
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1991
Enumeration DateMarch 23, 2006
Last NPPES UpdateJanuary 18, 2012
NPI 1942260237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in CO · 32965
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 32965 (CO)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 32965 (CO)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 32965 (CO)
274 UNION BLVD, Lakewood, CO 80228

Other Identifiers 4

Medicaid04594040CO
Medicare PINC806298CO
Medicaid01329655CO
Medicare PINCQ2008CO

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. Peter D 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 ID2961489018
PECOS Enrollment IDI20061109000206
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 14

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.

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
153 services149 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
143 services140 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
90 services51 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
81 services58 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.
73 services67 patients
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
Albuterol is a medication used to treat breathing problems. It is administered as an inhalation solution through a device called DME (Durable Medical Equipment). The solution is FDA-approved and non-compounded. Each unit dose contains 1 mg of the medicine.
42 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80228 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

91.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.13
Promoting Interoperability100
Improvement Activities40
Cost67.87

Referred Medical Equipment & Supplies CMS DME claims 19

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
13 suppliers31 claims31 services$37.17 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
10 suppliers38 claims38 services$84.60 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
11 suppliers44 claims109 services$33.64 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers31 claims176 services$17.68 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
9 suppliers25 claims125 services$12.21 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
12 suppliers51 claims51 services$48.72 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 20

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

Internal Medicine (Critical Care Medicine)
274 UNION BLVD, SUITE 110
LAKEWOOD, CO 80228
Physical Therapist
274 UNION BLVD, STE. 100
LAKEWOOD, CO 80228
Speech-Language Pathologist
274 UNION BLVD
LAKEWOOD, CO 80228
Nurse Practitioner (Primary Care)
274 UNION BLVD
LAKEWOOD, CO 80228
Internal Medicine (Critical Care Medicine)
274 UNION BLVD, SUITE 110
LAKEWOOD, CO 80228
Nurse Practitioner (Family)
274 UNION BLVD
LAKEWOOD, CO 80228
Internal Medicine (Critical Care Medicine)
274 UNION BLVD, SUITE 110
LAKEWOOD, CO 80228
Ophthalmology
274 UNION BLVD, SUITE 120
LAKEWOOD, CO 80228

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 Peter Riley's NPI number?

The NPI number for Peter Riley is 1942260237. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Peter Riley located?

Peter Riley practices at 274 Union Blvd Suite 110, Lakewood, CO 80228. The listed phone number is (303) 951-0600.

What is Peter Riley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Peter Riley enrolled in Medicare?

Yes. Peter 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.

When was this NPI record last updated?

The NPPES record for Peter Riley was last updated on January 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.