RILEY VAN VELSOR (MD) – Neurology Physician, NPI 1255909230

RILEY VAN VELSOR (MD) is a healthcare provider. based in Gainesville, Florida. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. MD-54314 (IA). The NPI Number for RILEY VAN VELSOR (MD) is 1255909230

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
RILEY VAN VELSOR (MD)
NPI
1255909230
Phone
(309) 368-7297
Address
7553 SW 58TH LN APT 317
Enumeration Date
15 June 2021
Last Update Date
18 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
5634212320
Graduation Year
2021 (5 years ago)
PAC ID
9739584087
Group Practice PAC ID
6103829338
Professional Enrollment ID
I20250926000359
Address ID
IA528041889DA1351XAVEX506
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

193 NEUROLOGY in IA

Provider Addresses for RILEY VAN VELSOR (MD)

  • 7553 SW 58TH LN APT 317

    GAINESVILLE, FL 326084997

    Phone: (309) 368-7297

    Type: Mailing

  • 1351 W CENTRAL PARK AVE

    DAVENPORT, IA 528041853

    Phone: (563) 421-0480

    Type: Location

  • 1515 SW ARCHER RD

    GAINESVILLE, FL 326081134

    Phone: (352) 265-0111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250926000359INeurologyIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32608)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103829338View full group profile

Reviews

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Frequently asked questions

How do I look up RILEY VAN VELSOR (MD) by NPI?
Use NPI 1255909230 when you need to reference RILEY VAN VELSOR (MD) in forms, claims, or directories.
Is RILEY VAN VELSOR (MD) active in the national directory?
RILEY VAN VELSOR (MD)'s public NPI profile is in an active state.
What does RILEY VAN VELSOR (MD) treat or focus on?
Patients typically see RILEY VAN VELSOR (MD) under the specialty Neurology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for RILEY VAN VELSOR (MD)?
The page summarizes Gainesville, Florida for RILEY VAN VELSOR (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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