2026 NPPES data Facial Plastic Surgery Physician NPI 1629573662 DO
Verify on CMS →

John Riley, DO

Facial Plastic Surgery Physician in Grand Rapids, Michigan.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 630 in Facial Plastic Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
790
Medicare Part D claims · 305 beneficiaries · Facial Plastic Surgery Physician avg: 441
MIPS score
81/100
▼ 3 pts below national avg 83.5 · Above neutral
Industry payments
$620.78
9 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

John Riley, DO reported a CMS MIPS final score of 81/100 - below the 83.5 national average - and filed 790 Medicare Part D claims in 2024.

81/100
MIPS score · -3 vs avg
790
Part D claims, 2024
Likely
board-certified (heuristic)
≥30th
pct among measured MIPS (lower-bound band)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about John Riley, DO

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1629573662), first enumerated 03/29/2018.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 790 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 81/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $620.78 in reported industry payments (9 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    Michigan statewide board action statistics are published annually — these figures describe aggregate state activity, not John Riley, DO's individual license status. Verify directly with the state medical board.

    Source: MI-BOM annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1629573662 · Facial Plastic Surgery Physician

NPI-10 · ENUM-RECENT · TAX-NARROW · MIPS-INLINE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1629573662
  • ENUM-RECENT 2018
  • TAX-NARROW 630
  • MIPS-INLINE 81/100
  • RX-LIGHT 790
  • BOOK-THIN 31 in Michigan
  • PHOTO-FINISH Cang Nguyen · ±0.1

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

John Riley, DO's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

81 ≥ 30th percentile 30% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where John Riley, DO sits

This provider among facial plastic surgery physician peers

Across the 138 facial plastic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, John Riley, DO writes more Part D claims than 63% of them and scores higher on MIPS quality than 30% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 0John Riley, DO, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 30
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one facial plastic surgery physician peer from a representative sample of 60; the gold marker is John Riley, DO. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

John Riley, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about John Riley, DO?

Near national average

NPI registry status

Active

Issued 03/29/2018

NPI 1629573662

Primary specialty

Facial Plastic Surgery Physician

Niche

630 US NPIs in this specialty

Medicare Part D claims

790 79% vs specialty avg

2024 prescription claims

Specialty avg: 441

MIPS final score

81/100 2.5 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Michigan

How Facial Plastic Surgery Physician compares to other specialties among Michigan providers

Michigan providers
Behavior Technician22.2%Clinical Social Worker5.7%Student in an Organized Heal…3.7%Social Worker3.3%Physical Therapist3.3%Pharmacist2.9%Facial Plastic Surgery Physi…0%
Largest specialties in Michigan (% of in-state providers)

Medicare quality performance, MIPS

John Riley, DO's 2023 MIPS final score plotted against the Facial Plastic Surgery Physician national average

Near national average
MIPS Final Score
81/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%81%
MIPS final score (Facial Plastic Surgery Physician) - 81/100 vs national avg 83.5
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

739 E BELTLINE AVE NE
Grand Rapids, MI 49525

Provider Details

NPI 1629573662
Specialty Facial Plastic Surgery Physician
Credentials DO
Gender Male
NPI Issued 03/29/2018

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

80.9931
Final Score
Measured-score avg: 83.5
84.2525
Quality
52.391
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where John Riley, DO bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Michigan Ear Nose Throat And Allergy Specialists PC
Grand Rapids, MI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for John Riley, DO. Source: openpaymentsdata.cms.gov.

Total received

$621

Largest payer

Stryker Corporation

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - Michigan MI-BOM 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~41K Michigan medical licensees in 2023 - they are NOT specific to John Riley, DO. To verify John Riley, DO's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

790
Total Claims
$15K
Total Drug Cost
305
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
979.7
Total Day Supply
21,360
Generic Drug Cost
$14K
Opioid Claims
36 (4.6% rate)
Antibiotic Claims
110

Patient Demographics

Average Patient Age
72.8 years
Avg HCC Risk Score
1.06
Gender Split
54% female / 46% male
Age Distribution
<65: 33, 65-74: 141, 75-84: 109, 85+: 22

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What John Riley, DO prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Azelastine Hcl
160
Ipratropium Bromide
97
Omeprazole
78
Prednisone
67
Famotidine
57
Doxycycline Monohydrate
48
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
33
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
31
Clotrimazole-Betamethasone
Clotrimazole/Betamethasone Dip
27
Ofloxacin
24

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Facial Plastic Surgery Physician Overview

How John Riley, DO fits within the Facial Plastic Surgery Physician landscape nationally.

630
Facial Plastic Surgery Physician Providers in US
47
States with Facial Plastic Surgery Physician
441
Avg Claims per Provider

John Riley, DO's 790 claims are above the specialty average of 441.

Nationwide Facial Plastic Surgery Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Riley, both outside Michigan so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (81 here).

Same NPPES enumeration year (2018)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Facial Plastic Surgery Physician Providers in Michigan

Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as Riley.

One of 31 Facial Plastic Surgery Physician providers enrolled in Michigan, 5 are shown here.

Compare Facial Plastic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is John Riley, DO's specialty?
John Riley, DO specializes in Facial Plastic Surgery Physician and practices in Grand Rapids, Michigan. Credentials: DO.
How much does John Riley, DO prescribe under Medicare Part D?
In 2024, John Riley, DO wrote 790 Medicare Part D claims totaling $15K in drug costs for 305 beneficiaries.
What is John Riley, DO's Medicare quality score?
John Riley, DO has a CMS MIPS Final Score of 81/100 (Quality: 84.3, Cost: 52.4). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John Riley, DO located?
John Riley, DO is located at 739 E BELTLINE AVE NE, Grand Rapids, MI, 49525. Phone: (616) 994-2770.
What is John Riley, DO's NPI number?
John Riley, DO's National Provider Identifier (NPI) is 1629573662, issued on 03/29/2018.
Does John Riley, DO prescribe opioids?
Yes, John Riley, DO had 36 opioid claims in 2024 with an opioid prescribing rate of 4.6%.
How many Facial Plastic Surgery Physician providers are there in the US?
There are 630 Facial Plastic Surgery Physician providers across 47 states in the US. The average Facial Plastic Surgery Physician provider writes 441 Medicare Part D claims per year.
What drugs does John Riley, DO prescribe most often?
Based on 2024 Medicare Part D data, John Riley, DO's most frequently prescribed drugs include Azelastine Hcl, Ipratropium Bromide, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Riley, DO accept Medicare?
John Riley, DO appears in CMS Medicare data with 790 Part D claims and 305 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Riley, DO's credentials?
John Riley, DO's NPI is 1629573662 with credentials DO. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.