THADDEUS H RILEY (M.D.) – Family Medicine Physician, NPI 1104874031
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for THADDEUS H RILEY (M.D.)
23702, US Highway 80 East, Colonial Heights, Statesboro, Bulloch County, Georgia, 30461, United States
PO BOX 957
STATESBORO, GA 30459
Phone: (912) 489-4090
Fax: (912) 765-5028
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 54 Open Payments records for all available years, with a total value of $1,200.
Total Amount is formed as General ($1,200) + Research ($0) + Ownership ($0) = $1,200.
Last reported payment date: 2023-10-05 • Largest payer in this snapshot: ABBVIE INC. ($269).
Total Amount
$1,200
General + Research + Ownership
Payments
54
Total payment records
General Amount
$1,200
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $269 |
| GlaxoSmithKline, LLC. | $165 |
| Amgen Inc. | $126 |
| Tris Pharma Inc | $121 |
| Bayer Healthcare Pharmaceuticals Inc. | $84 |
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: 2010-01-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100127000370 | I | Family Practice | GA | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 643 | 277 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 121 | 92 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 78 | 78 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 77 | 77 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 39 | 16 | $0 |
Insurance plans in this area (ZIP 30459)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA |
Reviews
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