Jesse Ellsworth Riley, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

90377690501 Issued in UT

Practice address

41 N 400 W Ste a
Payson, UT 84651-2021

Phone

(801) 218-3338

Fax

(801) 658-5351

NPI assigned

Feb 7, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Jesse Riley DPM PC

  dba Elevated Foot and Ankle

  • Foot & Ankle Surgery Podiatrist
  • Payson, UT
  • NPI 1417506213

  0941531727

  Same PAC ID

Specialty

Podiatry

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Canyon Home Care Home health agency, Murray, UT, CCN 467226
• Mountain View Hospital Hospital, Payson, UT, CCN 460013
• Intermountain Health Spanish Fork Hospital Hospital, Spanish Fork, UT, CCN 460062

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jriley18@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jesse Riley DPM PC

  dba Elevated Foot and Ankle

  • Foot & Ankle Surgery Podiatrist
  • Payson, UT
  • NPI 1417506213
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Home Caregivers Partnership, LLC

  dba Canyon Home Care

  • Home Health Agency
  • Murray, UT
  • NPI 1306899265
  Care Compare affiliation
• Ihc Health Services, Inc.

  dba Intermountain Health Spanish Fork Hospital

  • General Acute Care Hospital
  • Spanish Fork, UT
  • NPI 1124661384
  Care Compare affiliation
• Mountain View Hospital, Inc.

  dba Mountain View Hospital

  • General Acute Care Hospital
  • Payson, UT
  • NPI 1487607669
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1548532583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 N 400 W STE A",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846512021",
            "telephone_number": "801-218-3338",
            "fax_number": "801-658-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 N 400 W STE A",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846512021",
            "telephone_number": "801-218-3338",
            "fax_number": "801-658-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "JESSE",
        "middle_name": "ELLSWORTH",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "90377690501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "90377690501",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Alan Reitz, DO
• Reveal Medspa (Reveal Medical Spa)
• Chase Richards, CPPS
• Ridley's Family Markets, Inc (Payson Market Pharmacy #1196)
• Lindsay Riggs
• Rise Physical Therapy
• William Robbins, PHARMD
• Zacharia Isaia Roberts, APRN
• Jared K Robinson, CRNA
• Marisol Robinson

• Foot & Ankle Surgery Podiatrist in Payson, UT
• Providers in Payson, UT by specialty
• Foot & Ankle Surgery Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.