DR. EDWARD CLARK III RILEY (D.O.) – Family Medicine Physician, NPI 1902856719

DR. EDWARD CLARK III RILEY (D.O.) is a healthcare provider. based in Laramie, Wyoming. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 7932A (WY). The NPI Number for DR. EDWARD CLARK III RILEY (D.O.) is 1902856719

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDWARD CLARK III RILEY (D.O.)
NPI
1902856719
Phone
(307) 742-2141
Address
255 North 30th Street
Enumeration Date
11 May 2006
Last Update Date
19 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3617674300
Graduation Year
1995 (31 years ago)
PAC ID
7911091491
Group Practice PAC ID
3375909351
Professional Enrollment ID
I20090709000562
Address ID
TX784105127CO13725BLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness75
Years active:20State licenses:3Digital endpointsOther names

111 EMERGENCY MEDICINE in WY

Provider Addresses for DR. EDWARD CLARK III RILEY (D.O.)

  • 255 North 30th Street

    Ivinson Memorial Hospital

    Laramie, WY 82072

    Phone: (307) 742-2141

    Type: Location

  • 8929 PARALLEL PKWY

    KANSAS CITY, KS 661121689

    Phone: (913) 596-4000

    Type: Location

  • Ivinson Memorial Hospital, 255, North 30th Street, Laramie, Albany County, Wyoming, 82072, United States

    IVINSON MEMORIAL HOSPITAL

    LARAMIE, WY 82072

    Phone: (307) 742-2141

    Fax: (307) 742-9419

    Type: Mailing

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: 2021-06-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20090709000562IEmergency MedicineTXTBD
I20140915002546IFamily PracticeKSTBD
I20171219002433IEmergency MedicineWVTBD
I20210630000920IEmergency MedicineCOTBD

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
99285Emergency department visit with high level of medical decision making170161$0
99284Emergency department visit with moderate level of medical decision making128124$0
99291Critical care, first 30-74 minutes3838$0
99292Critical care, each additional 30 minutes2713$0
99283Emergency department visit with low level of medical decision making2424$0
View full utilization report →

Insurance plans in this area (ZIP 82072)

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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: 3375909351View full group profile
NameSpecialtyState
Emergency MedicineAL
Nurse PractitionerTX
Emergency MedicineTX
Emergency MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Emergency Medicine, General PracticeTX
Emergency MedicineNM
Family Practice, Emergency MedicineTX
Emergency MedicineLA

Reviews

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Frequently asked questions

What is DR. EDWARD CLARK III RILEY (D.O.)'s NPI number?
DR. EDWARD CLARK III RILEY (D.O.)'s NPI is 1902856719 — the number used across U.S. healthcare to identify this provider.
Would DR. EDWARD CLARK III RILEY (D.O.) appear as active to a payer?
You can treat DR. EDWARD CLARK III RILEY (D.O.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. EDWARD CLARK III RILEY (D.O.)?
At a glance, DR. EDWARD CLARK III RILEY (D.O.) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. EDWARD CLARK III RILEY (D.O.)?
Travel planning: use Laramie, Wyoming as the reference point for DR. EDWARD CLARK III RILEY (D.O.), then confirm.
Can I trust this NPI listing for DR. EDWARD CLARK III RILEY (D.O.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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