DR. CORNELIA SELMA DE RIESE (MD, PHD, MBA) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1841280716

DR. CORNELIA SELMA DE RIESE (MD, PHD, MBA) is a healthcare provider. based in Lubbock, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD, PHD, MBA. They hold a License No. L6348 (TX). The NPI Number for DR. CORNELIA SELMA DE RIESE (MD, PHD, MBA) is 1841280716

Main info

Female
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. CORNELIA SELMA DE RIESE (MD, PHD, MBA)
NPI
1841280716
Phone
(888) 753-5988
Address
3914 24TH ST
Enumeration Date
24 October 2005
Last Update Date
30 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8066377979
Graduation Year
1979 (47 years ago)
PAC ID
3971656109
Group Practice PAC ID
0042281545
Professional Enrollment ID
I20090805000163
Address ID
TX793163439BR705XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,165 OBSTETRICS/GYNECOLOGY in TX

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Provider Addresses for DR. CORNELIA SELMA DE RIESE (MD, PHD, MBA)

  • 3914, 24th Street, Maxey Park, Lubbock, Lubbock County, Texas, 79410, United States

    LUBBOCK, TX 79410

    Phone: (888) 753-5988

    Fax: (623) 777-4593

    Type: Mailing

  • 701 W 5TH ST # 3212

    ODESSA, TX 797634206

    Phone: (432) 703-5000

    Fax: (432) 335-5240

    Type: Mailing

  • 701 W 5TH ST

    ODESSA, TX 797634206

    Phone: (432) 335-2222

    Fax: (432) 335-1009

    Type: Location

  • 705 E Felt St

    Brownfield, TX 793163439

    Phone: (806) 637-3551

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $1,496.

Total Amount is formed as General ($1,496) + Research ($0) + Ownership ($0) = $1,496.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: COLOPLAST CORP ($1,337).

Total Amount

$1,496

General + Research + Ownership

Payments

8

Total payment records

General Amount

$1,496

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2009-08-05

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
I20090805000163IObstetrics/GynecologyTXTBD

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 79410)

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Provider's Procedures

DR. CORNELIA SELMA DE RIESE (MD, PHD, MBA) performs procedures in OBSTETRICS/GYNECOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OBSTETRICS/GYNECOLOGYTX76830Ultrasound pelvis through vagina1212

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: 0042281545View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YLA
Emergency Medicine, Internal MedicineTX
Nurse PractitionerTX
A N E S T H E S I O L O G YTX
General SurgeryTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the standard ID for DR. CORNELIA SELMA DE RIESE (MD, PHD, MBA) in the U.S.?
In the U.S., DR. CORNELIA SELMA DE RIESE (MD, PHD, MBA) is identified by NPI 1841280716.
Is DR. CORNELIA SELMA DE RIESE (MD, PHD, MBA) currently accepting referrals based on NPI status?
Registry metadata lists DR. CORNELIA SELMA DE RIESE (MD, PHD, MBA) as active.
What type of care does DR. CORNELIA SELMA DE RIESE (MD, PHD, MBA) provide?
DR. CORNELIA SELMA DE RIESE (MD, PHD, MBA)'s profile centers on Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician. Clinical services aligned with this taxonomy classification.
Is DR. CORNELIA SELMA DE RIESE (MD, PHD, MBA) tied to Lubbock, Texas?
If you are local to Lubbock, Texas, DR. CORNELIA SELMA DE RIESE (MD, PHD, MBA) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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