DR. DEREK RILEY (D.O.) – Orthopaedic Surgery Physician, NPI 1295042976
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
739 ORTHOPEDIC SURGERY in TN
Provider Addresses for DR. DEREK RILEY (D.O.)
204 HILLSIDE DR
PULASKI, TN 384784566
Phone: (931) 363-3514
Type: Mailing
1377 N 10TH AVE
STAYTON, OR 973832037
Phone: (503) 769-8470
Fax: (503) 769-9860
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $4,401.
Total Amount is formed as General ($4,401) + Research ($0) + Ownership ($0) = $4,401.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Smith+Nephew, Inc. ($2,292).
Total Amount
$4,401
General + Research + Ownership
Payments
43
Total payment records
General Amount
$4,401
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
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $2,292 |
| Stryker Corporation | $1,821 |
| Steelhead Surgical Inc | $196 |
| Abbott Laboratories | $41 |
| Solventum Corporation | $23 |
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: 2023-10-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20140904001737 | I | Orthopedic Surgery | TN | TBD |
| I20231016000423 | I | Orthopedic Surgery | OR | 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 |
|---|---|---|---|---|
| J1040 | Injection, methylprednisolone acetate, 80 mg | 405 | 173 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 319 | 188 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 255 | 39 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 254 | 139 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 186 | 144 | $0 |
Insurance plans in this area (ZIP 38478)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | TN | 20610 | Aspiration and/or injection of large joint or joint capsule | 327 | 130 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Emergency Medicine | OR | |
| Physician Assistant | OR | |
| Physician Assistant | OR | |
| Physician Assistant | OR | |
| Emergency Medicine | OR | |
| - | OR | |
| Nurse Practitioner | OR | |
| Certified Registered Nurse Anesthetist (Crna) | OR | |
| Physician Assistant | OR |
Reviews
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