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Active NPI 1134220783 Individual Practitioner Male Practitioner

Mark O Riley , PA-C

Physician Assistant • Cody, WY

Professional Overview & Biography Verified Profile Summary

Mark Riley, PA-C is a registered healthcare professional specializing in Physician Assistant in Cody, WY. Practice services are available at 720 LINDSAY LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

720 Lindsay Ln
Ste C

Cody, WY 824144103

Telephone 3075781955
Fax 3075781957
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Cody, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.8 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
17 Specialists

Practicing in Cody, WY (263 Statewide)

Telehealth Adoption Rate
5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WY 140

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield
315013 (WY)
Commercial Insurance / Payer ID Win Health
753143209 (WY)
Commercial Insurance / Payer ID Owcp
612315900 (WY)

Practice Associates & Co-Workers

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

8 Associated Practitioners
Kayla Nagle , PA-C

Physician Assistant - Surgical

NPI 1053821066

Physician Assistant (Certified)

Craig Edwards , PA-C

Physician Assistant - Surgical

NPI 1477859015

Physician Assistant (Certified)

NPI 1487815742

Doctor of Medicine (M.D.)

Dr. Jared Lee , MD

Orthopaedic Surgery - Sports Medicine

NPI 1568667145

Doctor of Medicine (M.D.)

Dr. Glen Poffenbarger , MD

Neurological Surgery

NPI 1669469227

Doctor of Medicine (M.D.)

Dr. Stephen Emery , MD

Orthopaedic Surgery

NPI 1720189335

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 October 07, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location October 07, 2008

Registered at 720 LINDSAY LN, STE C, CODY, WY 824144103 (Tel: 3075781955)

📍
Updated Business Mailing Address October 07, 2008

Registered at 720 LINDSAY LN, STE C, CODY, WY 824144103 (Tel: 3075781955)

👤
Provider Name / Credentials Updated October 07, 2008

Recorded as MARK RILEY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2008

Physician Assistant (License #140 in WY)

🟢
Initial NPI Registration & Enumeration September 26, 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: 1134220783
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2006
Last Update: October 07, 2008
Sole Proprietor: No

Mailing Address

720 Lindsay Ln, Ste C

Cody, WY 824144103

Phone: 3075781955

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.