JOHN B RILEY (DO) – Facial Plastic Surgery Physician, NPI 1629573662

JOHN B RILEY (DO) is a healthcare provider. based in Holland, Michigan. specializing in OTOLARYNGOLOGY. They hold the professional credentials DO. They hold a License No. 5101027426 (MI). The NPI Number for JOHN B RILEY (DO) is 1629573662

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JOHN B RILEY (DO)
NPI
1629573662
Phone
(164) 336-0036
Address
3100 N WELLNESS DR
Enumeration Date
29 March 2018
Last Update Date
20 November 2023

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
6169942770
Graduation Year
2018 (8 years ago)
PAC ID
7517214679
Group Practice PAC ID
4183868094
Professional Enrollment ID
I20230706003710
Address ID
MI495256001GR739XXNEXX500

Contacts

Secure Messaging
jriley413215@direct.hfhs.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

428 OTOLARYNGOLOGY in MI

Provider Addresses for JOHN B RILEY (DO)

  • 3100 N WELLNESS DR

    HOLLAND, MI 494248122

    Phone: (164) 336-0036

    Fax: (616) 920-6533

    Type: Mailing

  • 739 E BELTLINE AVE NE

    GRAND RAPIDS, MI 495256045

    Phone: (616) 994-2770

    Fax: (616) 920-6533

    Type: Location

  • Henry Ford Macomb Hospital, 15855, 19 Mile Road, Clinton Township, Macomb County, Michigan, 48038, United States

    CLINTON TOWNSHIP, MI 480383504

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $968.

Total Amount is formed as General ($968) + Research ($0) + Ownership ($0) = $968.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Stryker Corporation ($652).

Total Amount

$968

General + Research + Ownership

Payments

14

Total payment records

General Amount

$968

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-07-06

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
I20230706003710IOtolaryngologyMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4537$0
99203New patient office or other outpatient visit, 30-44 minutes4343$0
69210Removal of impacted ear wax1614$0
31575Diagnostic exam of voice box using a flexible endoscope1515$0
99204New patient office or other outpatient visit, 45-59 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 49424)

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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: 4183868094View full group profile
NameSpecialtyState
Qualified AudiologistMI
Physician AssistantMI
Physician AssistantMI
Qualified AudiologistMI
Qualified AudiologistMI
Physical Therapist In Private PracticeMI
Qualified AudiologistMI
Physician AssistantMI
Physician AssistantFL
O T O L A R Y N G O L O G YMI

Reviews

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Frequently asked questions

How do I look up JOHN B RILEY (DO) by NPI?
Use NPI 1629573662 when you need to reference JOHN B RILEY (DO) in forms, claims, or directories.
Is JOHN B RILEY (DO) active in the national directory?
JOHN B RILEY (DO)'s public NPI profile is in an active state.
Can you summarize JOHN B RILEY (DO)'s specialty in plain language?
Clinically, the directory lists JOHN B RILEY (DO) with Facial Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for JOHN B RILEY (DO)?
We surface Holland, Michigan for JOHN B RILEY (DO) based on available NPPES addresses.
What if Holland, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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