DR. JUSTIN JOSE RIVERA DPM
NPI 1073960522
Podiatrist - Foot & Ankle Surgery in Grass Valley, CA

Active since May 14, 2016PECOS EnrolledAccepts Medicare Assignment
28.91/100
CMS Quality Rating
104 MARGARET LN STE A, GRASS VALLEY, CA 95945(530) 648-1234(530) 648-1235 Get Directions Write a Review

NPPES record last updated: November 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 26, 2019, Jun 6, 2019, May 14, 2016 (3 updates tracked since 2016).

About Dr. Justin Jose Rivera Dpm NPPES

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

DR. JUSTIN JOSE RIVERA DPM (NPI 1073960522) is an individual foot & ankle surgery provider in Grass Valley, California, licensed in California (E5546) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Youngstown, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1073960522
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. JUSTIN JOSE RIVERACredential: DPM
Location Address104 MARGARET LN STE AGrass Valley, CA 95945-5261
Mailing Address104 Margaret Ln Ste AGrass Valley, CA 95945-5261 · (530) 648-1234 · Fax (530) 648-1235
Fax(530) 648-1235
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 14, 2016
Last NPPES UpdateNovember 26, 20193 updates tracked since enumeration
NPI 1073960522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in CA · E5546
104 MARGARET LN STE A, Grass Valley, CA 95945

Secondary Practice Location 1

Location 1500 Gypsy LnYoungstown, OH 44504-1315 · Phone (330) 884-3068 · Fax (330) 884-5730

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. Justin Jose Rivera Dpm 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 ID1759715287
PECOS Enrollment IDI20191219000212
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 15

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 fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
946 services282 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.
649 services302 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.
255 services254 patients
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.
187 services20 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.
113 services27 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
96 services45 patients

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.

28.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.83
Improvement Activities0

Other Providers at the Same Location NPPES 3

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

Podiatrist (Foot & Ankle Surgery)
104 MARGARET LN STE A
GRASS VALLEY, CA 95945
Podiatrist (Foot & Ankle Surgery)
104 MARGARET LN STE A
GRASS VALLEY, CA 95945
Prosthetic/Orthotic Supplier
104 MARGARET LN STE A
GRASS VALLEY, CA 95945

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 Justin Rivera's NPI number?

The NPI number for Justin Rivera is 1073960522. It was assigned to this individual provider in the NPPES registry on May 14, 2016.

Where is Justin Rivera located?

Justin Rivera practices at 104 Margaret Ln Ste A, Grass Valley, CA 95945. The listed phone number is (530) 648-1234.

What is Justin Rivera's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Justin Rivera enrolled in Medicare?

Yes. Justin 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.

When was this NPI record last updated?

The NPPES record for Justin Rivera was last updated on November 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.