Active NPI 1831196682 Individual Practitioner Male Practitioner

Dr. Daniel T Riley , MD

Internal Medicine • Covington, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Riley, MD is a certified Internal Medicine practicing in Covington, GA. With approximately 31 years of clinical experience since graduating from Medical College Of Georgia School Of Medicine in 1995, Dr. Riley delivers high-quality medical care to the local community at 5126 HOSPITAL DR NE.

Dr. Riley is affiliated with Cogent Healthcare Of Georgia Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5126 Hospital Dr Ne

Covington, GA 300142566

Telephone 7703857993

Fax 6783422741

Associated Practice Facility / Clinic

🏢 Advanced Anesthesia Associates, Pc Facility NPI 1649260738

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Covington, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +11.7 yrs vs City Avg

City Avg: 19.3 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

20 Specialists

Practicing in Covington, GA (4065 Statewide)

Telehealth Adoption Rate

30.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Riley (31 Years) 31 Yrs

Covington Specialty Average (19.3 Years) 19.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	234	128	$718.00	$112.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	142	75	$500.00	$74.81
99238 Hospital discharge day management, 30 minutes or less	130	125	$504.00	$76.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	104	102	$1389.00	$163.67
99239 Hospital discharge day management, more than 30 minutes	98	94	$737.00	$104.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$948.00	$124.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	16	$693.00	$92.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$957.00	$127.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	220	115	$718.00	$113.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	168	85	$500.00	$74.86
99238 Hospital discharge day management, 30 minutes or less	121	113	$504.00	$76.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	92	89	$1389.00	$165.87
99239 Hospital discharge day management, more than 30 minutes	90	85	$737.00	$107.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$948.00	$119.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	18	$693.00	$92.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	247	113	$720.53	$98.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	110	51	$500.79	$68.83
99238 Hospital discharge day management, 30 minutes or less	89	86	$505.61	$69.07
99239 Hospital discharge day management, more than 30 minutes	71	70	$738.13	$100.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	55	$1396.09	$191.42
99217 Hospital observation care on day of discharge	39	39	$503.59	$67.33
99220 Hospital observation care, typically 70 minutes	29	29	$1255.27	$172.68
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$473.00	$65.15
99226 Subsequent observation care, typically 35 minutes per day	11	11	$708.00	$90.60
99497 Advance care planning, first 30 minutes	11	11	$549.02	$75.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	258	139	$741.10	$99.03
99238 Hospital discharge day management, 30 minutes or less	135	133	$515.00	$68.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	118	69	$512.49	$69.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	76	75	$1439.50	$192.54
99239 Hospital discharge day management, more than 30 minutes	62	61	$763.71	$101.65
99497 Advance care planning, first 30 minutes	21	21	$562.59	$75.41
99217 Hospital observation care on day of discharge	20	19	$517.52	$68.95
99220 Hospital observation care, typically 70 minutes	17	17	$1318.91	$175.00
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$361.76	$65.37
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	13	$378.42	$49.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$972.22	$121.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	171	94	$741.10	$102.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	104	54	$512.49	$70.68
99238 Hospital discharge day management, 30 minutes or less	97	96	$515.00	$71.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	72	72	$1439.50	$199.37
99239 Hospital discharge day management, more than 30 minutes	39	35	$763.71	$104.46
99220 Hospital observation care, typically 70 minutes	38	38	$1318.91	$182.26
99217 Hospital observation care on day of discharge	28	28	$517.52	$71.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$972.22	$135.62
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$721.00	$100.62
99497 Advance care planning, first 30 minutes	11	11	$562.59	$77.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	260	134	$386.00	$103.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	258	139	$284.00	$72.99
99238 Hospital discharge day management, 30 minutes or less	139	135	$300.00	$73.32
99239 Hospital discharge day management, more than 30 minutes	112	107	$374.00	$107.42
99217 Hospital observation care on day of discharge	70	69	$386.00	$72.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	67	67	$674.00	$202.99
99220 Hospital observation care, typically 70 minutes	24	24	$1072.00	$186.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$549.00	$137.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	347	187	$386.00	$104.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	275	157	$284.00	$73.22
99238 Hospital discharge day management, 30 minutes or less	153	146	$300.00	$73.54
99239 Hospital discharge day management, more than 30 minutes	126	118	$374.00	$108.33
99217 Hospital observation care on day of discharge	75	74	$386.00	$73.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	63	62	$674.00	$204.06
99220 Hospital observation care, typically 70 minutes	33	32	$1072.00	$187.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$549.00	$137.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	313	147	$380.94	$100.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	262	144	$279.67	$69.81
99238 Hospital discharge day management, 30 minutes or less	154	146	$295.45	$70.01
99239 Hospital discharge day management, more than 30 minutes	90	87	$368.40	$104.10
99217 Hospital observation care on day of discharge	78	78	$381.15	$69.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	60	60	$664.40	$196.27
99220 Hospital observation care, typically 70 minutes	46	46	$1054.26	$179.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$541.35	$132.46
99226 Subsequent observation care, typically 35 minutes per day	13	12	$591.85	$101.64
99225 Subsequent observation care, typically 25 minutes per day	11	11	$413.55	$70.49

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 044323

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Cogent Healthcare Of Georgia Pc

400 Charter Blvd, Macon, GA 312104831

Phone: 4787578200

Cogent Healthcare Of Georgia Pc

1170 Cleveland Ave, East Point, GA 303443615

Phone: 4044661170

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Margaret Abate , MD

Family Medicine

NPI 1710962113

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 22, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location December 22, 2009

Registered at 5126 HOSPITAL DR NE, COVINGTON, GA 300142566 (Tel: 7703857993)

📍

Updated Business Mailing Address December 22, 2009

Registered at PO BOX 2779, COVINGTON, GA 300157779 (Tel: 7703857993)

👤

Provider Name / Credentials Updated December 22, 2009

Recorded as DANIEL RILEY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2009

Internal Medicine (License #044323 in GA)

🟢

Initial NPI Registration & Enumeration July 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831196682

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 07, 2005

Last Update: December 22, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2779

Covington, GA 300157779

Phone: 7703857993

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.