RILEY JO LARNER – Physician Assistant, NPI 1194485904

RILEY JO LARNER is a healthcare provider. based in Toledo, Ohio. specializing in PHYSICIAN ASSISTANT. They hold a License No. 5601011610 (MI). The NPI Number for RILEY JO LARNER is 1194485904

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
RILEY JO LARNER
NPI
1194485904
Phone
(419) 530-5408
Address
3000 ARLINGTON AVE # MS 1027
Enumeration Date
20 December 2021
Last Update Date
25 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2485579650
Graduation Year
2022 (4 years ago)
PAC ID
7810355658
Group Practice PAC ID
0840657953
Professional Enrollment ID
I20230626003251
Address ID
MI483343901FA29995RDXX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,036 PHYSICIAN ASSISTANT in OH

Provider Addresses for RILEY JO LARNER

  • 3000 ARLINGTON AVE # MS 1027

    TOLEDO, OH 436142595

    Phone: (419) 530-5408

    Type: Mailing

  • 24548 W Warren St

    Dearborn Heights, MI 481272105

    Phone: (313) 561-3386

    Type: Location

  • 26850 PROVIDENCE PKWY STE 350

    NOVI, MI 483741261

    Phone: (248) 662-4110

    Fax: (248) 662-4120

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $673.

Total Amount is formed as General ($673) + Research ($0) + Ownership ($0) = $673.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($331).

Total Amount

$673

General + Research + Ownership

Payments

27

Total payment records

General Amount

$673

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

Top Companies

Largest payers in this snapshot

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: 2023-06-26

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
I20230626003251IPhysician AssistantMITBD

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 43614)

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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: 0840657953View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineMI
P A T H O L O G YIL
Colorectal Surgery (Proctology)OH
P A T H O L O G YMI
Gastroenterology, Internal MedicineMI
General Surgery, Colorectal Surgery (Proctology)MI
Gastroenterology, Internal MedicineMI
Physician AssistantMI
P A T H O L O G YMI
P A T H O L O G YMI

Reviews

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Frequently asked questions

What is the registry number for RILEY JO LARNER?
The registry entry for RILEY JO LARNER shows NPI 1194485904.
Quick check: is RILEY JO LARNER active?
Public NPPES data shows RILEY JO LARNER with an active NPI status right now.
Which specialty label fits RILEY JO LARNER?
NPPES ties RILEY JO LARNER to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to RILEY JO LARNER?
RILEY JO LARNER is associated with Toledo, Ohio in the same public data insurers reference.
Can I export RILEY JO LARNER's record?
You can download the official NPPES record; we summarize key fields for readability.

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