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DR. EDMUNDO RIVERA MD
NPI 1033367206
Surgery in Lincoln, NE

Active since August 29, 2008PECOS EnrolledAccepts Medicare Assignment
82.22/100
CMS Quality Rating
4740 A ST, SUITE 100, LINCOLN, NE 68510(402) 483-7825(402) 483-7839 Get Directions Write a Review

NPPES record last updated: March 20, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Edmundo Rivera Md NPPES

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

DR. EDMUNDO RIVERA MD (NPI 1033367206) is an individual surgery provider in Lincoln, Nebraska, licensed in Nebraska (28645) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and is a graduate of Creighton University School Of Medicine (2008).

NPPES Registry Identity

NPI1033367206
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. EDMUNDO RIVERACredential: MD
Location Address4740 A ST, SUITE 100Lincoln, NE 68510-4824
Mailing Address4740 A St, Suite 100Lincoln, NE 68510-4824 · (402) 483-7825 · Fax (402) 483-7839
Phone(402) 483-7825
Fax(402) 483-7839
Sole ProprietorYes
Medical School CMSCreighton University School Of MedicineGraduated 2008
Enumeration DateAugust 29, 2008
Last NPPES UpdateMarch 20, 2017
✔ NPI 1033367206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NE · 28645
Definition
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.
4740 A ST, Lincoln, NE 68510
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Other Identifiers 1

Medicaid47059807113NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Edmundo Rivera Md 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 ID7517108228
PECOS Enrollment IDI20150804006110
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.

Areas of Expertise CMS Part B claims 10

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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
285 services85 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
264 services63 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.
211 services119 patients
Management of oxygen chamber therapy 99183
Oxygen chamber therapy involves breathing pure oxygen in a pressurized room or tube. It's used to treat various conditions like wounds that won't heal due to diabetes or radiation injury. In this therapy, your body's tissues get more oxygen to promote healing and fight infection.
207 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
96 services96 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
71 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Bryan Medical Center

Acute Care Hospitals · Lincoln, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280003
Location1600 South 48th StLincoln, NE 68506 · Lancaster County
Emergency services Birthing friendly

Chi Health St. Elizabeth

Acute Care Hospitals · Lincoln, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280020
Location555 South 70th StLincoln, NE 68510 · Lancaster County
Emergency services Birthing friendly

Thayer County Health Services

Critical Access Hospitals · Hebron, NE
OwnershipGovernment - Local
CMS Certification Number281304
Location120 Park AveHebron, NE 68370 · Thayer County
Emergency services

Chi Health St. Mary's

Critical Access Hospitals · Nebraska City, NE
OwnershipVoluntary non-profit - Church
CMS Certification Number281342
Location1301 Grundman BlvdNebraska City, NE 68410 · Otoe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68510 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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.

82.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.55
Improvement Activities40
Cost35.61

Referred Medical Equipment & Supplies CMS DME claims 4

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

Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing A6207
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims26 services$7.13 avg. paid by Medicare
Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing A6253
DME-Medical/Surgical Supplies · category DA023N
1 supplier21 claims361 services$6.08 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims678 services$0.11 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
1 supplier26 claims1,329 services$0.38 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 8

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

ZIJUN HAO M.D.
Surgery
4740 A ST, SUITE 100
LINCOLN, NE 68510
Lancaster County (402) 483-7825
RICHARD M PITSCH JR. M.D.
Colon & Rectal Surgery
4740 A ST, SUITE 100
LINCOLN, NE 68510
Lancaster County (402) 483-7825
ROY L MAURER PA - C
Physician Assistant (Surgical)
4740 A ST, SUITE 100
LINCOLN, NE 68510
Lancaster County (402) 483-7825
MRS. CHRISTY M. SNYDER PA
Physician Assistant
4740 A ST, SUITE 200
LINCOLN, NE 68510
Lancaster County (402) 484-5656
THOMAS B WHITTLE M.D.
Surgery (Vascular Surgery)
4740 A ST, SUITE 100
LINCOLN, NE 68510
Lancaster County (402) 483-7825
LOUIS J GOGELA JR. M.D.
Surgery
4740 A ST, SUITE 100
LINCOLN, NE 68510
Lancaster County (402) 483-7825
MATTHEW A. GOETTSCH MD
Surgery (Vascular Surgery)
4740 A ST, SUITE 100
LINCOLN, NE 68510
Lancaster County (402) 483-7825
TIMOTHY J YRASTORZA PA-C
Physician Assistant (Surgical)
4740 A ST, SUITE 100
LINCOLN, NE 68510
Lancaster County (402) 483-7825

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 Edmundo Rivera's NPI number?

The NPI number for Edmundo Rivera is 1033367206. It was assigned to this individual provider in the NPPES registry on August 29, 2008.

Where is Edmundo Rivera located?

Edmundo Rivera practices at 4740 A St Suite 100, Lincoln, NE 68510. The listed phone number is (402) 483-7825.

What is Edmundo Rivera's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Edmundo Rivera enrolled in Medicare?

Yes. Edmundo 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.

What insurance does Edmundo Rivera accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Edmundo 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 Edmundo Rivera affiliated with any hospitals?

According to CMS data, Edmundo Rivera is affiliated with Bryan Medical Center, Chi Health St. Elizabeth, Thayer County Health Services and Chi Health St. Mary's.

When was this NPI record last updated?

The NPPES record for Edmundo Rivera was last updated on March 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.