NPPES file of Aug 9, 2026

Joseph Riley, M.D.

Physical Medicine & Rehabilitation Physician · Sandusky, OH

Joseph Riley, M.D. is a physical medicine & rehabilitation physician with a practice address in Sandusky, Ohio, and NPI 1235572165, issued on Apr 10, 2013. Check the license (Ohio 35130974, as entered in NPPES) on the State Medical Board of Ohio; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1235572165
Name
Joseph Riley
Credential
M.D.
Primary taxonomy
Physical Medicine & Rehabilitation Physician 208100000X
License number
35130974 OH
Self-reported in NPPES; status is on the state search
Practice location
703 Tyler St Ste 352, Sandusky, OH 44870
Phone
(419) 557-6785
Enumerated
Apr 10, 2013
Record last updated
Jul 21, 2022
Fax
(419) 557-5596
Medicaid ID
0230347 OH
Medicare enrollment
Enrolled (PECOS I20170801002546); accepts Medicare assignment
Medical or professional school
Toledo Medical College, 2013
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 703 Tyler St Ste 352

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Peggy HartNurse Practitioner1477002947
  2. Sherif Zaky, M.D.Pain Medicine (Anesthesiology) Physician1801060157

Verify Joseph Riley in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersState Medical Board of Ohio
    Search for license 35130974
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Ohio license search

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54% fewer Medicare Part D claims than the average physical medicine & rehabilitation physician in 2024

335 Medicare Part D claims for 89 beneficiaries, against an average of 727 among the 7,448 providers of this specialty who prescribed in Part D. Brand-name drugs were 8% of claims. 43 claims were for opioids.

  1. Joseph Riley335
  2. Specialty average727

Most prescribed

  1. Oxycodone Hcl27 claims
  2. Atorvastatin Calcium23 claims
  3. Pantoprazole Sodium20 claims
  4. Baclofen12 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 87.3 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score76.8
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $18.80

1 payment: food and beverage; the largest payer was Merz Pharmaceuticals, LLC. The 3,895 providers of this specialty with any payment received $1,237.86 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Joseph Riley$18.80
  2. Specialty average$1,237.86

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. North Coast Professional Company, LLCSandusky, OH

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Joseph Riley among 511 physical medicine & rehabilitation physician records in Ohio

Joseph Riley, M.D. is one of 511 physical medicine & rehabilitation physician records with a practice address in Ohio. 62% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 56% of them.

  • NPI issued2013 · 56% of these records are older, 42% newer
  • In a Medicare fileYes · 62% of these records are
  • In the CMS Doctors and Clinicians fileYes · 55% of these records are
  • Graduated2013 · median 2007 among the 281 with a school on file
  • Record last updated2022 · 52% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208100000X and a Ohio practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Physical Medicine & Rehabilitation Physician providers in Ohio

There are 511 physical medicine & rehabilitation physician records in Ohio.

The 8 physical medicine & rehabilitation physician records with the nearest ZIP codes

  1. Sukeshini Pallapothu, M.D.Sandusky, OH 448701750368130
  2. Christopher Parnell, D.O.Sandusky, OH 448701689625295
  3. Holly Ward, DOSandusky, OH 448701881481596
  4. Noah WinslowSandusky, OH 448701104509520
  5. Tyler HallTiffin, OH 448831821895558
  6. Ali Alhimiri, MDMansfield, OH 449031518954445
  7. Fady Yacoub, D.O.Mansfield, OH 449031467833392
  8. Ivan Music, PTAMansfield, OH 449061174167118

Common questions

What is Joseph Riley, M.D.'s NPI number?

Joseph Riley, M.D.'s National Provider Identifier (NPI) is 1235572165, issued on Apr 10, 2013. An NPI identifies a provider in billing; it is not a license.

Where is Joseph Riley, M.D. located?

The NPPES record lists a practice address at 703 Tyler St Ste 352, Sandusky, OH, 44870. Phone: (419) 557-6785. Providers update this record themselves, so call before visiting.

How can I verify Joseph Riley, M.D.'s license?

NPPES lists Ohio license number 35130974, as entered by the provider. Search the State Medical Board of Ohio at https://elicense.ohio.gov/oh_verifylicense. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Joseph Riley, M.D. prescribe under Medicare Part D?

In 2024, Joseph Riley, M.D. had 335 Medicare Part D claims for 89 beneficiaries; the average among physical medicine & rehabilitation physician prescribers was 727. Part D covers Medicare prescriptions only.

What is Joseph Riley, M.D.'s MIPS final score?

The 2023 MIPS final score is 87.3 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.