J TIMOTHY RILEY (M D) – Vascular Surgery Physician, NPI 1609076629

J TIMOTHY RILEY (M D) is a healthcare provider. based in Syracuse, New York. specializing in VASCULAR SURGERY. They hold the professional credentials M D. They hold a License No. 245175 (NY). The NPI Number for J TIMOTHY RILEY (M D) is 1609076629

Main info

Male
Sole Proprietor
27 Years Of Experience
Name
J TIMOTHY RILEY (M D)
NPI
1609076629
Phone
(315) 424-0253
Address
104 UNION AVE.
Enumeration Date
18 July 2007
Last Update Date
20 July 2007

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
3477732684
Graduation Year
1999 (27 years ago)
PAC ID
6406944396
Group Practice PAC ID
5092068262
Professional Enrollment ID
I20071109000361
Address ID
NY112374508BR441XXAVEX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

538 VASCULAR SURGERY in NY

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Provider Addresses for J TIMOTHY RILEY (M D)

  • 104, Union Avenue, Near Northeast, Syracuse, Onondaga County, New York, 13203, United States

    STE 1005

    SYRACUSE, NY 132032761

    Phone: (315) 424-0253

    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)

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: 2007-11-09

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
I20071109000361IVascular SurgeryNYTBD

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
93971Ultrasound study of one arm or leg veins with compression and maneuvers13945$0
93970Ultrasound study of arm or leg veins with compression and maneuvers12391$0
36465Injection of chemical agent into single incompetent vein of leg using ultrasound guidance9432$0
36482Chemical destruction of first incompetent vein of arm or leg using imaging guidance7326$0
99213Established patient office or other outpatient visit, 20-29 minutes6851$0
View full utilization report →

Insurance plans in this area (ZIP 13203)

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Provider's Procedures

J TIMOTHY RILEY (M D) performs procedures in VASCULAR SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
VASCULAR SURGERYNY93926Ultrasound study of arteries and arterial grafts of one leg or limited6752

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: 5092068262View full group profile
NameSpecialtyState
General PracticeNY
Thoracic SurgeryIL
General Surgery, Vascular SurgeryNY
General Surgery, General PracticeNY
Vascular Surgery, General SurgeryNY
General SurgeryNY
Vascular Surgery, General SurgeryCT
Interventional RadiologyCA
General SurgeryNY
General SurgeryNY

Reviews

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Frequently asked questions

How do I look up J TIMOTHY RILEY (M D) by NPI?
Use NPI 1609076629 when you need to reference J TIMOTHY RILEY (M D) in forms, claims, or directories.
Is J TIMOTHY RILEY (M D) currently active in the NPI registry?
CMS-published data lists J TIMOTHY RILEY (M D) as an active registrant.
Does J TIMOTHY RILEY (M D) list a primary specialty?
If you are matching referrals, note Vascular Surgery Physician for J TIMOTHY RILEY (M D). Clinical services aligned with this taxonomy classification.
What location metadata exists for J TIMOTHY RILEY (M D)?
The page summarizes Syracuse, New York for J TIMOTHY RILEY (M D); expand the address list for detail.
What if Syracuse, New York seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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