Active NPI 1285799536 Individual Practitioner Male Practitioner

Dr. James Dudley Riley , MD

Surgery • Rome, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Riley, MD is a certified Surgery practicing in Rome, GA. With approximately 41 years of clinical experience since graduating from University Of Kansas School Of Med (Kc/Wich/Sal) in 1985, Dr. Riley delivers high-quality medical care to the local community at 1825 MARTHA BERRY BLVD NW.

Dr. Riley is affiliated with Floyd Physicians Llc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

1825 Martha Berry Blvd Nw

Rome, GA 301651625

Telephone 7062955331

Fax 7062366432

Associated Practice Facility / Clinic

🏢 Harbin Clinic, Llc Facility NPI 1679599088

Medicare Profile & Education

Medical School

University Of Kansas School Of Med (Kc/wich/sal)

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Rome, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +13.9 yrs vs City Avg

City Avg: 27.1 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

10 Specialists

Practicing in Rome, GA (1046 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Riley (41 Years) 41 Yrs

Rome Specialty Average (27.1 Years) 27.1 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
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$268.71	$78.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	23	$175.00	$68.61
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	15	$320.00	$98.42
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$271.12	$96.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	128	55	$144.02	$69.46
99231 Follow-up hospital inpatient care per day, typically 15 minutes	55	25	$112.00	$37.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	37	$359.84	$193.38
99221 Initial hospital inpatient care per day, typically 30 minutes	21	20	$266.90	$97.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$329.67	$131.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	51	48	$105.00	$69.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	34	$295.00	$201.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	31	$65.00	$40.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	17	$110.00	$71.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$155.00	$94.37
47562 Removal of gallbladder using an endoscope	14	14	$2190.00	$641.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	81	73	$65.00	$42.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$155.00	$99.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$295.00	$195.53
99213 Established patient office or other outpatient visit, typically 15 minutes	19	17	$105.00	$67.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	13	$110.00	$72.02
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$105.00	$69.78
47562 Removal of gallbladder using an endoscope	12	12	$2235.63	$614.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	68	$65.00	$40.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	66	65	$295.00	$194.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	23	$110.00	$70.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$156.19	$98.19
99213 Established patient office or other outpatient visit, typically 15 minutes	30	30	$105.00	$67.96
99225 Subsequent observation care, typically 25 minutes per day	29	18	$98.00	$71.45
47562 Removal of gallbladder using an endoscope	25	25	$2190.00	$614.53
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$105.00	$70.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	106	89	$65.00	$40.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	85	41	$110.00	$66.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	71	70	$295.00	$194.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$155.00	$100.53
99213 Established patient office or other outpatient visit, typically 15 minutes	41	40	$107.44	$68.39
47562 Removal of gallbladder using an endoscope	29	29	$2190.00	$631.67
99220 Hospital observation care, typically 70 minutes	21	21	$250.00	$165.90
36415 Insertion of needle into vein for collection of blood sample	21	16	$15.00	$2.94
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$105.00	$70.68
49505 Repair of groin hernia (5 years or older)	14	14	$1302.86	$538.01

Medical Specialties & State Licenses

CMS Verified: 2020-04-29

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License GA 031495

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000429382B (GA)

Hospital & Practice Group Affiliations

Floyd Physicians Llc

304 Turner Mccall Blvd Sw, Rome, GA 301655621

Phone: 7065095000

Practice Associates & Co-Workers

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

40 Associated Practitioners

Jill Jewett , FNP-C

Nurse Practitioner

NPI 1023571973

Family Nurse Practitioner (Certified)

Lisa Powers , CFNP

Nurse Practitioner - Family

NPI 1043539646

Dr. Nathan Judge , MD

Surgery

NPI 1043703291

Doctor of Medicine (M.D.)

Kareem Cole , PA-C

Physician Assistant

NPI 1063259240

Physician Assistant (Certified)

Dr. Peter Adams , MD

Surgery

NPI 1083843627

Doctor of Medicine (M.D.)

Steven Fellows , MA

Audiologist

NPI 1124184734

Master of Arts

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address February 04, 2019

Registered at 221 TECHNOLOGY PKWY NW, ROME, GA 301651369 (Tel: 7622351000)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1825 MARTHA BERRY BLVD NW, ROME, GA 301651625 (Tel: 7062955331)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1825 MARTHA BERRY BLVD NW, ROME, GA 301651625 (Tel: 7062955331)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES RILEY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #031495 in GA)

🟢

Initial NPI Registration & Enumeration December 27, 2006

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: 1285799536

Entity Type:

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

Enumeration Date: December 27, 2006

Last Update: April 29, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

221 Technology Pkwy Nw

Rome, GA 301651369

Phone: 7622351000

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.