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DR. MIGUEL PABLO RIVERA M.D.
NPI 1104840404
Internal Medicine - Endocrinology, Diabetes & Metabolism in Metairie, LA

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
3939 HOUMA BLVD, SUITE 216, METAIRIE, LA 70006(504) 888-3292(504) 888-3692 Get Directions Write a Review

NPPES record last updated: September 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Miguel Pablo Rivera M.d. NPPES

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

DR. MIGUEL PABLO RIVERA M.D. (NPI 1104840404) is an individual endocrinology, diabetes & metabolism provider in Metairie, Louisiana, licensed in Louisiana (07271R) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with East Jefferson General Hospital, and is a graduate of University Of Puerto Rico School Of Medicine (1983).

NPPES Registry Identity

NPI1104840404
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. MIGUEL PABLO RIVERACredential: M.D.
Location Address3939 HOUMA BLVD, SUITE 216Metairie, LA 70006-6673
Mailing Address3939 Houma Blvd, Suite 216Metairie, LA 70006-6673 · (504) 888-3292 · Fax (504) 888-3692
Phone(504) 888-3292
Fax(504) 888-3692
Sole ProprietorYes
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1983
Enumeration DateJuly 27, 2006
Last NPPES UpdateSeptember 10, 2012
✔ NPI 1104840404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in LA · 07271R
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
3939 HOUMA BLVD, Metairie, LA 70006
Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type Unspecified54624LA
Medicare UPIND04247LA
Medicaid1377392LA
Other110042235LA · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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. Miguel Pablo 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 ID2264625722
PECOS Enrollment IDI20101018000564
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 4

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 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.
451 services202 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.
261 services53 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
35 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70006 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
Most-billed visit code 99214
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%256 patients5/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
100%180 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers11 claims140 services$16.99 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers11 claims330 services$2.37 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
2 suppliers24 claims24 services$172.75 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
18 suppliers70 claims251 services$6.66 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers16 claims16 services$2.93 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers36 claims58 services$1.17 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 20

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

BIANCHINI-ETHERTON
Psychologist (Cognitive & Behavioral)
3939 HOUMA BLVD, SUITE #223
METAIRIE, LA 70006
Jefferson Parish (504) 780-1702
DR. CELIA LEE STOREY D.P.M.
Podiatrist
3939 HOUMA BLVD, BLDG. 6, SUITE 224
METAIRIE, LA 70006
Jefferson Parish (504) 454-2900
BIANCHINI-BRENNAN, LLC
Psychologist (Clinical)
3939 HOUMA BLVD, STE 223
METAIRIE, LA 70006
Jefferson Parish (504) 780-1702
DR. WARREN ROGER BOURGEOIS III M.D.
Orthopaedic Surgery
3939 HOUMA BLVD, SUITE 18
METAIRIE, LA 70006
Jefferson Parish (504) 455-0093
RENAL MD LLC
Specialist
3939 HOUMA BLVD, BUILDING 3 SUITE 7
METAIRIE, LA 70006
Jefferson Parish (504) 373-5539
DR. MARIA A PALMER M.D.
Psychiatry & Neurology (Neurology)
3939 HOUMA BLVD, #5
METAIRIE, LA 70006
Jefferson Parish (504) 888-5315
MR. ROBERT A PORCHE P.T.
Physical Therapist (Orthopedic)
3939 HOUMA BLVD, SUITE 17
METAIRIE, LA 70006
Jefferson Parish (504) 885-9121
JOHN G BURVANT M.D.
Orthopaedic Surgery
3939 HOUMA BLVD, SUITE 21
METAIRIE, LA 70006
Jefferson Parish (504) 885-6464

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 Miguel Rivera's NPI number?

The NPI number for Miguel Rivera is 1104840404. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Miguel Rivera located?

Miguel Rivera practices at 3939 Houma Blvd Suite 216, Metairie, LA 70006. The listed phone number is (504) 888-3292.

What is Miguel Rivera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Miguel Rivera enrolled in Medicare?

Yes. Miguel 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 Miguel Rivera accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Miguel 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 Miguel Rivera affiliated with any hospitals?

According to CMS data, Miguel Rivera is affiliated with East Jefferson General Hospital.

When was this NPI record last updated?

The NPPES record for Miguel Rivera was last updated on September 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.