James Rielly
Surgery - Vascular Surgery โข Provo, UT
395 W Cougar Blvd Ste 503
Provo, UT 846043323
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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James Rielly is listed in NPPES under Surgery - Vascular Surgery.
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NPI assigned on September 8, 2005; this date does not establish years in practice.
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Published CMS data list 1,705 Original Medicare Part B services in 2022.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022. Published rows only; this is not a quality measure.
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Published Part B service records, 2022:
- Q9967 โ Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml: 1,636 service units.
- 36902 โ Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist: 23 service units.
- 36901 โ Insertion of needle and/or tube into hemodialysis circuit with review by radiologist: 17 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2021 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2022). CPT notice
See all 5 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 50 Medicare Part D prescriptions, including refills, in 2018.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2018. Published rows only; this is not a quality measure.
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Published Part D records, 2018:
- Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) โ 26 prescription fills, including refills.
- Clopidogrel (Clopidogrel Bisulfate) โ 13 prescription fills, including refills.
- Eliquis (Apixaban) โ 11 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2018. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 6,071 in 2018 to 1,705 in 2022.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2018โ2022.
Practice Location & Contact Primary Location
395 W Cougar Blvd Ste 503
Provo, UT 846043323
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 4 distinct additional practice-address records in Atlanta, GA; Columbia, SC; Greenville, NC and 1 more. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 3 distinct group names: Intermountain Medical Group Denver Llc; Intermountain Medical Group Grand Junction, Llc; Trinity Health Of New England Provider Network Organization Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Boston University School Of Medicine
1987
What Public CMS Data Show
Surgery - Vascular Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $52,592 in 2022
The total amount Medicare approved for these services in 2022. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022.
Paid by Medicare
About $41,348 in 2022
The part of the Medicare-allowed amount that Medicare itself paid in 2022, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022.
30-day fills
74 standardized 30-day fills in 2018
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$5,152 in 2018
The total cost of these prescriptions in 2018, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2018.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $17.80 in 2020
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2020.
Years since graduation
39 years (graduated 1987)
CMS Doctors and Clinicians data list 1987 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2005
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
James Rielly has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists James Rielly as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Provo and Utah
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for James Rielly are from 2022.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for James Rielly are from 2018.
5 active clinicians are listed under Surgery - Vascular Surgery with a practice address in Provo, UT (36 in Utah).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 72% from 6,071 in 2018 to 1,705 in 2022.
- 2018: 6,071
- 2019: 9,776
- 2020: 39
- 2021: 1,267
- 2022: 1,705
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Medicare-allowed amount
Medicare-allowed amount decreased 91% from $586,326 in 2018 to $52,592 in 2022.
- 2018: $586,326
- 2019: $322,335
- 2020: $4,096
- 2021: $18,710
- 2022: $52,592
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Paid by Medicare
Paid by Medicare decreased 91% from $465,627 in 2018 to $41,348 in 2022.
- 2018: $465,627
- 2019: $252,058
- 2020: $3,282
- 2021: $15,014
- 2022: $41,348
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 40% from 83 in 2014 to 50 in 2018.
- 2014: 83
- 2015: 116
- 2016: 101
- 2017: 127
- 2018: 50
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30-day fills
30-day fills decreased 37% from 118 in 2014 to 74 in 2018.
- 2014: 118
- 2015: 134
- 2016: 122
- 2017: 165
- 2018: 74
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Part D drug cost
Part D drug cost increased 210% from $1,663 in 2014 to $5,152 in 2018.
- 2014: $1,663
- 2015: $1,846
- 2016: $1,379
- 2017: $6,800
- 2018: $5,152
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $171.53 in 2019 to $17.80 in 2020.
- 2019: $171.53
- 2020: $17.80
Sources: CMS Medicare Physician & Other Practitioners (2022), CMS Medicare Part D Prescribers (2018), CMS Open Payments (2020), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2020 (payments made January 1 โ December 31, 2020): fewer than 11 records totaling $17.80.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Amarin Pharma Inc. |
Food and Beverage
In-kind items and services
|
Vascepa | General | $17.80 |
Source: CMS Open Payments, program year 2020, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2021 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2022; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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Q9967
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
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1,636 | 35 | $2.94 | $0.12 |
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36902
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist
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23 | 16 | $1858.00 | $1533.33 |
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36901
Insertion of needle and/or tube into hemodialysis circuit with review by radiologist
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17 | 16 | $1078.02 | $896.09 |
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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17 | 14 | $150.29 | $69.82 |
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99152
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
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12 | 12 | $74.56 | $59.01 |
Source: CMS Part B by Provider and Service, 2022; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2018.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 26 | 66 | $175.50 | 26 |
| Clopidogrel | Clopidogrel Bisulfate | 13 | 1,110 | $362.80 | โ |
| Eliquis | Apixaban | 11 | 321 | $4,613.23 | โ |
Source: CMS Part D by Provider and Drug, 2018; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-03-14NUCC Taxonomy Code: 2086S0129X
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
NUCC Taxonomy Code: 2086S0129X
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
NUCC Taxonomy Code: 2086S0129X
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - VASCULAR SURGERY
I20231215001904
UT
3577564228
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Intermountain Medical Group Denver Llc
None, Broomfield, CO 80021
Phone: 7208074461
Intermountain Medical Group Denver Llc
340 Exempla Cir, Denver, CO 800263384
Phone: 7203998021
Intermountain Medical Group Denver Llc
340 Exempla Cir, Lafayette, CO 800263384
Phone: 3036731390
Intermountain Medical Group Grand Junction, Llc
1050 Wellington Ave, Grand Junction, CO 815018121
Phone: 9702985864
Intermountain Medical Group Denver Llc
8350 Colorado Blvd, Firestone, CO 805046803
Phone: 3036731370
Intermountain Medical Group Denver Llc
500 Eldorado Blvd, Broomfield, CO 800213408
Trinity Health Of New England Provider Network Organization Inc
1000 Asylum Ave, Hartford, CT 061051719
Phone: 8602464000
Secondary Practice Locations
1002 Lindbergh Dr Ne, Suite 2001
Atlanta, GA 303243721
Phone: 7706282855
115 Heart Dr
Greenville, NC 278348982
Phone: 2527444400
3 Richland Medical Park Dr Ste 330
Columbia, SC 292036862
Phone: 8034347100
1703 Innovation Dr Ste 4120
York, PA 174088815
Phone: 7178495576
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Surgery - Vascular Surgery
Doctor of Medicine (M.D.)
Surgery - Vascular Surgery
Doctor of Medicine (M.D.)
Nurse Anesthetist, Certified Registered
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Surgery (license number reported to NPPES: NY 249582)
Registered at 395 W COUGAR BLVD STE 503, PROVO, UT 846043323 (Tel: 8013749100)
Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128
Surgery (license number reported to NPPES: PA MD469103)
Registered at 409 S 2ND ST STE 2F, HARRISBURG, PA 171041612
Surgery (license number reported to NPPES: NY 249582)
Surgery (license number reported to NPPES: SC 83219)
Registered at 1002 LINDBERGH DR NE, SUITE 2001, ATLANTA, GA 303243721 (Tel: 7706282855)
Registered at 1002 LINDBERGH DR NE, SUITE 2001, ATLANTA, GA 303243721
Recorded as JAMES RIELLY
Surgery (license number reported to NPPES: NY 249582)
Recorded as JAMES RIELLY, MD
Surgery (license number reported to NPPES: SC 83219)
Registered at 1002 LINDBERGH DR NE, ATLANTA, GA 30324 (Tel: 7062822855)
Registered at 1002 LINDBERGH DR NE, ATLANTA, GA 303243721 (Tel: 9175207858)
NPI status registered as active in NPPES database
Registered at 5A MEDICAL PARK DR, POMONA, NY 109703516 (Tel: 8453620075)
Registered at 5A MEDICAL PARK DR, POMONA, NY 109703516 (Tel: 8453620075)
Recorded as JAMES RIELLY
Surgery (license number reported to NPPES: NY 249582)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Surgery - Vascular Surgery Specialists in Provo
Healthcare providers in ProvoMailing Address
Po Box 27128
Salt Lake City, UT 841270128