2026 NPPES data Interventional Cardiology Physician NPI 1518123991 M.D.
Verify on CMS →

Robert Riley, M.D.

Interventional Cardiology Physician in Bellevue, Washington.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 3,565 in Interventional Cardiology 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
1K
Medicare Part D claims · 199 beneficiaries · Interventional Cardiology Physician avg: 3K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.2/100
▼ 4 pts below national avg 83.5 · Above neutral
Industry payments
$88.4K
75 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Robert Riley, M.D. reported a CMS MIPS final score of 79.2/100 - below the 83.5 national average - and filed 1,222 Medicare Part D claims in 2024.

79.2/100
MIPS score · -4 vs avg
1K
Part D claims, 2024
86%
generic prescribing
Likely
board-certified (heuristic)

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 Robert Riley, M.D.

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 1518123991), first enumerated 08/05/2008.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 1,222 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 79.2/100 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

    $88.4K in reported industry payments (75 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

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

    Source: WMC 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 1518123991 · Interventional Cardiology Physician

NPI-10 · ENUM-MID · TAX-NARROW · MIPS-BELOW · RX-MID · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1518123991
  • ENUM-MID 2008
  • TAX-NARROW 3,565
  • MIPS-BELOW 79.2/100
  • RX-MID 1,222
  • BOOK-THIN 62 in Washington
  • PHOTO-FINISH Lawrence Rajan, MD · ±0.0

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

Robert Riley, M.D.'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.

79 ≥ 26th percentile 26% 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%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 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 Robert Riley, M.D. sits

This provider among interventional cardiology physician peers

Across the 1,235 interventional cardiology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Robert Riley, M.D. writes more Part D claims than 29% of them and scores higher on MIPS quality than 27% - placing this provider in the lower-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 quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 72Robert Riley, M.D., Part D claim volume, percentile in specialty: 29 · MIPS quality, percentile: 27
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one interventional cardiology physician peer from a representative sample of 60; the gold marker is Robert Riley, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Robert Riley, M.D. 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 Robert Riley, M.D.?

Near national average

NPI registry status

Active

Issued 08/05/2008

NPI 1518123991

Primary specialty

Interventional Cardiology Physician

Niche

3,565 US NPIs in this specialty

Medicare Part D claims

1,222 61% vs specialty avg

2024 prescription claims

Specialty avg: 3,147

MIPS final score

79.2/100 4.3 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Washington

How Interventional Cardiology Physician compares to other specialties among Washington providers

Washington providers
Mental Health Counselor8.5%Massage Therapist6.4%Counselor5.7%Behavior Technician4.7%Pharmacist3.8%Physical Therapist3.6%Interventional Cardiology Ph…0%
Largest specialties in Washington (% of in-state providers)

Medicare quality performance, MIPS

Robert Riley, M.D.'s 2023 MIPS final score plotted against the Interventional Cardiology Physician national average

Near national average
MIPS Final Score
79.2/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%79.2%
MIPS final score (Interventional Cardiology Physician) - 79.2/100 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

1135 116TH AVE NE STE 600
Bellevue, WA 98004

Provider Details

NPI 1518123991
Specialty Interventional Cardiology Physician
Credentials M.D.
Gender Male
NPI Issued 08/05/2008

CMS Quality Score (MIPS)

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

79.168
Final Score
Measured-score avg: 83.5
74.5323
Quality
56.0276
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Robert Riley, M.D. 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.

Overlake Medical Clinics LLC
Bellevue, WA

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 Robert Riley, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$88.4K

Largest payer

ShockWave Medical, 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.

License & disciplinary context - Washington WMC 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 ~34K Washington medical licensees in 2023 - they are NOT specific to Robert Riley, M.D.. To verify Robert Riley, M.D.'s current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Robert Riley, M.D. - brand share 14.0%
Interventional Cardiology Physician average

14% brand-name claims vs 86% generic, on 1,222 2024 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

1,222
Total Claims
$212K
Total Drug Cost
199
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,058.833
Total Day Supply
91,565
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$196K
Generic Drug Cost
$16K

Patient Demographics

Average Patient Age
76.2 years
Avg HCC Risk Score
1.38
Gender Split
45% female / 55% male

Top Prescribed Drugs (Medicare Part D)

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

What Robert Riley, M.D. 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
Atorvastatin Calcium
163
Clopidogrel
Clopidogrel Bisulfate
160
Metoprolol Succinate
113
Amlodipine Besylate
79
Eliquis
Apixaban
74
Lisinopril
61
Rosuvastatin Calcium
57
Carvedilol
56
Losartan Potassium
52
Ezetimibe
36

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

Interventional Cardiology Physician Overview

How Robert Riley, M.D. fits within the Interventional Cardiology Physician landscape nationally.

3,565
Interventional Cardiology Physician Providers in US
53
States with Interventional Cardiology Physician
3,147
Avg Claims per Provider

Robert Riley, M.D.'s 1,222 claims are below the specialty average of 3,147.

Nationwide Interventional Cardiology Physician peers with similar MIPS or enrollment year

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

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (79.2 here).

Same NPPES enumeration year (2008)

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

Nearby Interventional Cardiology Physician Providers in Washington

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

One of 62 Interventional Cardiology Physician providers enrolled in Washington, 5 are shown here.

Compare Interventional Cardiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Robert Riley, M.D.'s specialty?
Robert Riley, M.D. specializes in Interventional Cardiology Physician and practices in Bellevue, Washington. Credentials: M.D..
How much does Robert Riley, M.D. prescribe under Medicare Part D?
In 2024, Robert Riley, M.D. wrote 1,222 Medicare Part D claims totaling $212K in drug costs for 199 beneficiaries.
What is Robert Riley, M.D.'s Medicare quality score?
Robert Riley, M.D. has a CMS MIPS Final Score of 79.2/100 (Quality: 74.5, Cost: 56). 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 Robert Riley, M.D. located?
Robert Riley, M.D. is located at 1135 116TH AVE NE STE 600, Bellevue, WA, 98004. Phone: (425) 454-2656.
What is Robert Riley, M.D.'s NPI number?
Robert Riley, M.D.'s National Provider Identifier (NPI) is 1518123991, issued on 08/05/2008.
Does Robert Riley, M.D. prescribe more brand-name or generic drugs?
Robert Riley, M.D.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $196K in brand drug costs.
How many Interventional Cardiology Physician providers are there in the US?
There are 3,565 Interventional Cardiology Physician providers across 53 states in the US. The average Interventional Cardiology Physician provider writes 3,147 Medicare Part D claims per year.
What drugs does Robert Riley, M.D. prescribe most often?
Based on 2024 Medicare Part D data, Robert Riley, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Clopidogrel, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Robert Riley, M.D. accept Medicare?
Robert Riley, M.D. appears in CMS Medicare data with 1,222 Part D claims and 199 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Robert Riley, M.D.'s credentials?
Robert Riley, M.D.'s NPI is 1518123991 with credentials M.D.. 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.