Active NPI 1841394830 Individual Practitioner Male Practitioner

Dr. John D Riley , MD MPH

Internal Medicine • Fishers, IN

Professional Overview & Biography Verified Profile Summary

Dr. John Riley, MD MPH is a registered healthcare professional specializing in Internal Medicine in Fishers, IN. Practice services are available at 9894 E 121ST ST under active NPI credentials.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, follow-up hospital inpatient care per day, subsequent hospital care with moderate levelof 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

9894 E 121st St

Fishers, IN 46037

Telephone 3176216060

Fax 3173556965

Associated Practice Facility / Clinic

🏢 Community Home Health Services, Inc Facility NPI 1699740837

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Fishers, IN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 23.0 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

29 Specialists

Practicing in Fishers, IN (2204 Statewide)

Telehealth Adoption Rate

27.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

38.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	22	$208.00	$119.35
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	12	$59.00	$44.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	263	96	$59.00	$46.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	127	115	$208.00	$121.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	68	36	$109.00	$74.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	279	96	$59.00	$35.89
99221 Initial hospital inpatient care per day, typically 30 minutes	49	45	$154.00	$92.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	49	48	$208.00	$123.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	24	$109.00	$63.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	266	83	$59.00	$36.44
99221 Initial hospital inpatient care per day, typically 30 minutes	62	61	$154.00	$94.73
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	32	32	$137.00	$85.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	15	$109.00	$68.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$208.00	$128.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	1,389	169	$59.00	$37.69
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	217	112	$137.00	$87.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	168	69	$109.00	$69.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	153	141	$208.00	$131.76
G0179 Physician re-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 to affirm the initial imp	110	52	$97.00	$38.47
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	84	81	$197.00	$124.53
99335 Established patient assisted living visit, typically 25 minutes	76	29	$143.00	$91.87
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	36	27	$104.00	$66.03
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	29	25	$127.00	$50.16
99221 Initial hospital inpatient care per day, typically 30 minutes	19	18	$154.00	$95.99
99316 Nursing facility discharge management, more than 30 minutes	16	16	$159.00	$101.16
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	14	12	$91.00	$58.25
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	13	12	$137.00	$87.42

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	1,310	209	$109.00	$69.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	925	158	$59.00	$37.58
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	183	148	$197.00	$124.06
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	173	116	$137.00	$87.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	171	156	$208.00	$130.61
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	150	104	$104.00	$65.73
G0179 Physician re-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 to affirm the initial imp	126	51	$97.00	$38.93
99335 Established patient assisted living visit, typically 25 minutes	87	38	$143.00	$91.12
99336 Established patient assisted living visit, typically 40 minutes	75	38	$203.00	$129.66
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	69	61	$127.00	$50.37
99316 Nursing facility discharge management, more than 30 minutes	58	54	$159.00	$101.13
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	23	20	$137.00	$87.35
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	19	18	$104.00	$65.70
99316 Nursing facility discharge management, more than 30 minutes	11	11	$159.00	$94.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	1,198	170	$59.00	$36.05
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	845	189	$109.00	$67.01
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	504	265	$104.00	$63.71
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	437	370	$197.00	$120.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	195	178	$208.00	$125.67
99316 Nursing facility discharge management, more than 30 minutes	122	116	$159.00	$97.65
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	109	94	$127.00	$49.00
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	103	94	$137.00	$84.13
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	70	62	$104.00	$63.70
99335 Established patient assisted living visit, typically 25 minutes	49	30	$143.00	$87.76
G0179 Physician re-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 to affirm the initial imp	33	27	$97.00	$38.20
99336 Established patient assisted living visit, typically 40 minutes	31	25	$203.00	$125.00
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	26	26	$197.00	$120.36
99497 Advance care planning, first 30 minutes	25	25	$187.00	$73.10
99316 Nursing facility discharge management, more than 30 minutes	24	24	$159.00	$97.68
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	14	14	$137.00	$84.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	1,284	189	$59.00	$37.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	682	197	$109.00	$68.85
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	669	574	$197.00	$124.06
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	361	272	$104.55	$65.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	199	179	$208.00	$130.06
99316 Nursing facility discharge management, more than 30 minutes	197	190	$159.00	$100.63
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	162	135	$137.00	$86.73
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	137	126	$127.00	$50.62
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	87	81	$104.38	$65.44
G0179 Physician re-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 to affirm the initial imp	74	36	$97.00	$38.90
99497 Advance care planning, first 30 minutes	73	71	$187.00	$73.42
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	39	36	$120.41	$42.34
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	35	34	$137.00	$86.75
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	32	31	$197.00	$124.08
99315 Nursing facility discharge day management, 30 minutes or less	20	20	$110.00	$69.68
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	16	16	$128.50	$42.34
99316 Nursing facility discharge management, more than 30 minutes	15	15	$159.00	$100.66

Medical Specialties & State Licenses

CMS Verified: 2021-06-22

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IN 01042451A

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100461800 (IN)

Commercial Insurance / Payer ID Anthem

000000220469 (IN)

Commercial Insurance / Payer ID Rr Medicare

110236660 (IL)

Practice Associates & Co-Workers

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

17 Associated Practitioners

Dr. Tammy Durham-Boring , DO

Internal Medicine - Hospice and Palliative Medicine

NPI 1023098639

Doctor of Osteopathic Medicine (D.O.)

Dr. Ramon Santos Olivera , MD

Family Medicine

NPI 1053867309

Doctor of Medicine (M.D.)

Josephine Mwachande

Nurse Practitioner - Gerontology

NPI 1073184206

Tiffini Smith , NP

Nurse Practitioner - Gerontology

NPI 1093209348

Nurse Practitioner

Svetlana Rogers , RN, NP

Nurse Practitioner

NPI 1093366478

Registered Nurse, Nurse Practitioner

Dr. George Hoyek , MD

Family Medicine - Geriatric Medicine

NPI 1255521092

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location June 18, 2018

Registered at 9894 E 121ST ST, FISHERS, IN 46037 (Tel: 3176216060)

📍

Updated Practice Location March 19, 2018

Registered at 9894 E 121ST ST, FISHERS, IN 460374154 (Tel: 3176216060)

✅

NPI Profile Active July 14, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 14, 2015

Registered at 7240 SHADELAND STA, SUITE 300, INDIANAPOLIS, IN 462563928 (Tel: 3176216060)

📍

Updated Business Mailing Address July 14, 2015

Registered at 6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 462502805

👤

Provider Name / Credentials Updated July 14, 2015

Recorded as JOHN RILEY, MD MPH

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2015

Internal Medicine (License #01042451A in IN)

🟢

Initial NPI Registration & Enumeration September 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1841394830

Entity Type:

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

Enumeration Date: September 11, 2006

Last Update: June 22, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6626 E 75th St, Suite 500

Indianapolis, IN 462502805

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.