DAVID R. RIVERA M.D.
NPI 1013930536
Ophthalmology in Westerly, RI

Q: What is David Rivera's NPI number?

The NPI number for David Rivera is 1013930536. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is David Rivera's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for David Rivera was last updated on November 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment

56.7/100

CMS Quality Rating

45 WELLS ST, SUITE 2020, WESTERLY, RI 02891(401) 596-4959(401) 596-6896 Get Directions Write a Review

NPPES record last updated: November 1, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About David R. Rivera M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID R. RIVERA M.D. (NPI 1013930536) is an individual ophthalmology provider in Westerly, Rhode Island, licensed in Rhode Island (MD9236) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Westerly Hospital, and is a graduate of Georgetown University School Of Medicine (1987).

NPPES Registry Identity

NPI1013930536

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDAVID R. RIVERACredential: M.D.

Location Address45 WELLS ST, SUITE 2020Westerly, RI 02891-2927

Mailing Address45 Wells St, Suite 2020Westerly, RI 02891-2927 · (401) 596-4959 · Fax (401) 596-6896

Phone(401) 596-4959

Fax(401) 596-6896

Sole ProprietorYes

Medical School CMSGeorgetown University School Of MedicineGraduated 1987

Enumeration DateJuly 25, 2006

Last NPPES UpdateNovember 1, 2007

✔ NPI 1013930536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in RI · MD9236

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

45 WELLS ST, Westerly, RI 02891

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Other Identifiers 4

Medicare UPING29988RI

Medicare PIN007058937RI

Medicaid7058937RI

Medicaid003099638CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David R. Rivera M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890794762

PECOS Enrollment IDI20070112000536

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show David Rivera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vision Care Associates, Ltd.

Same address

Ophthalmology

45 WELLS ST, SUITE 2020
Westerly, RI 02891

Reassigned Medicare billing, Rhode Island enrollment
3 clinicians in this Medicare group

NPI 1619068780 (401) 596-4959

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

406 services385 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

231 services204 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

198 services119 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

173 services105 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

166 services123 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

123 services108 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

114 services114 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

60 services60 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

40 services38 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

39 services39 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

17 services17 patients

Removal of growth of eyelid 67840

The removal of an eyelid growth is a procedure performed to eliminate abnormal tissue from your eyelid. It's generally a quick, outpatient treatment. The doctor numbs your eyelid, carefully removes the growth, and may stitch the area if necessary. This can help maintain eye health and vision.

11 services11 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Westerly Hospital

Acute Care Hospitals · Westerly, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410013

Location25 Wells StreetWesterly, RI 02891 · Washington County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02891 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

56.7/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

99.28

Promoting Interoperability

Improvement Activities

Cost

39.73

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020

Other-Vision, Hearing, and Speech Services · category OC000N

2 suppliers25 claims25 services$56.41 avg. paid by Medicare

Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2103

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier11 claims19 services$25.41 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SUSAN M. STUART D.O.

Pediatrics

45 WELLS ST
WESTERLY, RI 02891

Washington County (401) 596-3229

DR. ROBERT MACMARTIN GREENLEE M.D.

Obstetrics & Gynecology

45 WELLS ST, SUITE 104
WESTERLY, RI 02891

Washington County (401) 348-0008

DR. STEPHEN M KUTZ M.D., FACC

Internal Medicine (Cardiovascular Disease)

45 WELLS ST, SUITE 102
WESTERLY, RI 02891

Washington County (401) 596-4499

STEVEN R YOLEN M.D.

Internal Medicine (Gastroenterology)

45 WELLS ST, SUITE 103
WESTERLY, RI 02891

Washington County (401) 596-6330

DR. JON F SCHEIBER M.D.

Internal Medicine (Cardiovascular Disease)

45 WELLS ST, SUITE 102
WESTERLY, RI 02891

Washington County (401) 596-4499

CARDIOLOGY SPECIALISTS, LTD

Internal Medicine (Cardiovascular Disease)

45 WELLS ST, SUITE 102
WESTERLY, RI 02891

Washington County (401) 596-4499

DR. CONSTANTINOS DIMITRIS SALEMIS O.D.

Optometrist

45 WELLS ST, SUITE 2020
WESTERLY, RI 02891

Washington County (401) 596-2020

VISION CARE ASSOCIATES, LTD.

Ophthalmology

45 WELLS ST, SUITE 2020
WESTERLY, RI 02891

Washington County (401) 596-4959

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Rivera's NPI number?

The NPI number for David Rivera is 1013930536. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is David Rivera located?

David Rivera practices at 45 Wells St Suite 2020, Westerly, RI 02891. The listed phone number is (401) 596-4959.

What is David Rivera's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is David Rivera enrolled in Medicare?

Yes. David Rivera is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for David Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Rivera reassigns Medicare benefits to Vision Care Associates, Ltd. (Westerly, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Rivera accept?

Health plans from Anthem Blue Cross and Blue Shield and Providence Health Plan list David Rivera as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is David Rivera affiliated with any hospitals?

According to CMS data, David Rivera is affiliated with Westerly Hospital.

When was this NPI record last updated?

The NPPES record for David Rivera was last updated on November 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.