2026 NPPES data Adult Medicine Physician NPI 1992374573
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LAUREN RILEY

Adult Medicine Physician in BLUE SPRINGS, Missouri. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
84
Medicare Part D claims · 60 beneficiaries · Adult Medicine Physician avg: 3K
MIPS score
75.9695/100
▼ 7 pts below national avg 83.1 · [object Object]
Industry payments
$377.69
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: LAUREN RILEY is a Adult Medicine Physician ([object Object]) practicing in BLUE SPRINGS, Missouri with a Medicare Part D prescribing footprint of 84 claims across 60 beneficiaries . Their CMS MIPS Final Score of 75.9695/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $377.69 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: LAUREN RILEY reported a CMS MIPS final score of 75.9695 out of 100, below the 83.1 national average, and filed 84 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

LAUREN RILEY practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

LAUREN RILEY at a glance

Below national average

NPI registry status

Active

Issued 06/18/2021

NPI 1992374573

Primary specialty

Adult Medicine Physician

Niche

2,481 US NPIs in this specialty

Medicare Part D claims

84 97% vs specialty avg

2023 prescription claims

Specialty avg: 2,807

MIPS final score

75.9695/100 7.130499999999998% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Missouri

How Adult Medicine Physician compares to other specialties among Missouri providers

Missouri providers

Adult Medicine Physician share within Missouri

1. Adult Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Medicine Physician share within Missouri

Medicare quality performance — MIPS

LAUREN RILEY's 2023 MIPS final score plotted against the Adult Medicine Physician national average

Below national average
MIPS Final Score
75.9695/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Medicine Physician) — 75.9695/100 vs national avg 83.1

0%100%National avg83%76%
MIPS final score (Adult Medicine Physician) — 75.9695/100 vs national avg 83.1

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).

LAUREN RILEY is a Adult Medicine Physician provider practicing in BLUE SPRINGS, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1992374573. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

LAUREN RILEY appears in the CMS NPPES registry as a Adult Medicine Physician provider at 1100 NW SOUTH OUTER RD STE 200, BLUE SPRINGS, MO, 64015, with a listed phone of (888) 256-3814. NPI 1992374573 was issued on 06/18/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RILEY most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 84 prescription claims written by this provider, covering 60 Medicare beneficiaries and totaling roughly $883 in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75.9695/100 for the 2023 performance year (Quality 82.3, Cost 19.015), compared with the national average of 83.1.

Adult Medicine Physician is a narrow specialty nationwide, with 2,481 enrolled providers across 52 states and an average of 2,807 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1100 NW SOUTH OUTER RD STE 200
BLUE SPRINGS, MO 64015

Provider Details

NPI 1992374573
Specialty Adult Medicine Physician
Gender Female
NPI Issued 06/18/2021

CMS Quality Score (MIPS)

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

75.9695
Final Score
Avg: 83.1
82.3
Quality
19.015
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where LAUREN RILEY 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.

CONSONANT HEALING ASSOCIATES OF DE LLC
JEFFERSON CITY, MO
HEALING PARTNERS PLUS PLLC
SAINT LOUIS, MO
WOUND CARE PLUS LLC
POTOSI, MO

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 LAUREN RILEY. Source: openpaymentsdata.cms.gov.

Total received

$378

Largest payer

Otsuka Pharmaceutical Development & Commercialization, Inc.

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

84
Total Claims
$883
Total Drug Cost
60
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
84
Total Day Supply
797
Generic Drug Cost
$805
Antibiotic Claims
50

Patient Demographics

Average Patient Age
69.4 years
Avg HCC Risk Score
0.94
Gender Split
77% female / 23% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
14
Cephalexin
12
Doxycycline Hyclate
11
Prednisone
11

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

Adult Medicine Physician Overview

How LAUREN RILEY fits within the Adult Medicine Physician landscape nationally.

2,481
Adult Medicine Physician Providers in US
52
States with Adult Medicine Physician
2,807
Avg Claims per Provider

LAUREN RILEY's 84 claims are below the specialty average of 2,807.

Nearby Adult Medicine Physician Providers in Missouri

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

Compare Adult Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is LAUREN RILEY's specialty?
LAUREN RILEY specializes in Adult Medicine Physician and practices in BLUE SPRINGS, Missouri.
How much does LAUREN RILEY prescribe under Medicare Part D?
In 2023, LAUREN RILEY wrote 84 Medicare Part D claims totaling $883 in drug costs for 60 beneficiaries.
What is LAUREN RILEY's Medicare quality score?
LAUREN RILEY has a CMS MIPS Final Score of 75.9695/100 (Quality: 82.3, Cost: 19.015). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is LAUREN RILEY located?
LAUREN RILEY is located at 1100 NW SOUTH OUTER RD STE 200, BLUE SPRINGS, MO, 64015. Phone: (888) 256-3814.
What is LAUREN RILEY's NPI number?
LAUREN RILEY's National Provider Identifier (NPI) is 1992374573, issued on 06/18/2021.
How many Adult Medicine Physician providers are there in the US?
There are 2,481 Adult Medicine Physician providers across 52 states in the US. The average Adult Medicine Physician provider writes 2,807 Medicare Part D claims per year.
What drugs does LAUREN RILEY prescribe most often?
Based on 2023 Medicare Part D data, LAUREN RILEY's most frequently prescribed drugs include Amoxicillin-Clavulanate Potass, Cephalexin, Doxycycline Hyclate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LAUREN RILEY accept Medicare?
LAUREN RILEY appears in CMS Medicare data with 84 Part D claims and 60 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LAUREN RILEY's credentials?
LAUREN RILEY's NPI is 1992374573. 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

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 (2023). 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 April 2026 (NPPES) / 2023 (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