LAUREN RILEY
NPI 1992374573
Family Medicine - Adult Medicine in Blue Springs, MO

Q: What is Lauren Riley's NPI number?

The NPI number for Lauren Riley is 1992374573. It was assigned to this individual provider in the NPPES registry on June 18, 2021.

Q: What is Lauren Riley's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Q: When was this NPI record last updated?

The NPPES record for Lauren Riley was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 18, 2021PECOS EnrolledAccepts Medicare Assignment

75.96/100

CMS Quality Rating

1100 NW SOUTH OUTER RD STE 200, BLUE SPRINGS, MO 64015(888) 256-3814(888) 256-9054 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 11, 2023, Jun 18, 2021 (2 updates tracked since 2021).

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About Lauren Riley NPPES

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

LAUREN RILEY (NPI 1992374573) is an individual adult medicine provider in Blue Springs, Missouri, licensed in Missouri (2021017259) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1992374573

Entity TypeIndividualFemale

Primary Taxonomy207QA0505X

Provider Legal NameLAUREN RILEY

Location Address1100 NW SOUTH OUTER RD STE 200Blue Springs, MO 64015-3069

Mailing Address9126 N Holly StKansas City, MO 64155-2855

Phone(888) 256-3814

Fax(888) 256-9054

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJune 18, 2021

Last NPPES UpdateOctober 11, 20232 updates tracked since enumeration

NPPES CertifiedOctober 11, 2023

✔ NPI 1992374573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in MO · 2021017259

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

1100 NW SOUTH OUTER RD STE 200, Blue Springs, MO 64015

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City.Insurance ›

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

Lauren Riley 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 ID648675074

PECOS Enrollment IDI20210824002071, I20210824002293

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 Reassignments

Medicare enrollment records show Lauren Riley reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wound Care Plus, LLC

222 mi

Specialist

100 S 4TH ST STE 550
Saint Louis, MO 63102

Reassigned Medicare billing, Kansas and Missouri enrollments
19 clinicians in this Medicare group

NPI 1841657053 (888) 402-0202

Healing Partners Plus PLLC

373 mi

Internal Medicine

2020 CALAMOS CT STE 250
Naperville, IL 60563

Reassigned Medicare billing, Missouri enrollment
23 clinicians in this Medicare group

NPI 1063217545 (888) 402-0202

Senf Np Family Medicine PLLC

387 mi

Surgery

1901 N ROSELLE RD STE 800
Schaumburg, IL 60195

Reassigned Medicare billing, Kansas enrollment
20 clinicians in this Medicare group

NPI 1821702432 (443) 383-9300

Consonant Healing Associates Of De LLC

944 mi

Surgery

909 RIDGEBROOK RD STE 220
Sparks, MD 21152

Reassigned Medicare billing, Missouri enrollment
37 clinicians in this Medicare group

NPI 1669099321 (443) 383-9300

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

Areas of Expertise CMS Part B claims 15

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

541 services102 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

361 services86 patients

Fluorescence wound imaging for bacteria, first anatomic site 0598T

Fluorescence wound imaging for bacteria is a non-invasive procedure that helps identify bacteria in a wound. A special device emits a safe, light glow onto the wound. This light causes bacteria to fluoresce, or shine, making them visible. It aids in targeted treatment planning.

353 services64 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

262 services58 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

143 services55 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

130 services36 patients

Noncontact near-infrared spectroscopy with image acquisition, interpretation and report, first anatomic site 0640T

Noncontact near-infrared spectroscopy is a non-invasive procedure used to examine the health of a wound or flap. It involves the use of light to measure oxygen levels in tissues, aiding in monitoring healing progress. Images are taken, interpreted, and a report is prepared.

119 services33 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

105 services29 patients

Fluorescence wound imaging for bacteria, first anatomic site 0598T

97 services28 patients

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

73 services14 patients

Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271

This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.

40 services13 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

34 services34 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

25 services25 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

16 services16 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64015 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

$85.82 typical visit price

range $55.29 – $168.52

Typical copayment $21.45 (range $13.82 – $42.13)

Most-billed visit code 99203

Established Patient

$97.82 typical visit price

range $17.60 – $137.20

Typical copayment $24.45 (range $4.40 – $34.30)

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.

75.96/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.3

Improvement Activities

Cost

19.01

Other Providers at the Same Location NPPES 18

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

STEPHANIE C ADEE APRN

Nurse Practitioner (Family)