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PATRICIA RIVERA M.D.
NPI 1144684242
Obstetrics & Gynecology - Obstetrics in Mount Pleasant, WI

Active since April 05, 2016PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
3821 SPRING ST, MOUNT PLEASANT, WI 53405(262) 687-8460 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Patricia Rivera M.d. NPPES

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

PATRICIA RIVERA M.D. (NPI 1144684242) is an individual obstetrics provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (69273) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1144684242
Entity TypeIndividualFemale
Primary Taxonomy207VX0000X
Provider Legal NamePATRICIA RIVERACredential: M.D.
Location Address3821 SPRING STMount Pleasant, WI 53405-1667
Mailing Address11254 S Avenue NChicago, IL 60617-7142 · (773) 841-8720
Phone(262) 687-8460
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2016
Enumeration DateApril 5, 2016
Last NPPES UpdateApril 24, 2023
NPPES CertifiedApril 24, 2023
✔ NPI 1144684242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License✔ Licensed in WI · 69273
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3821 SPRING ST, Mount Pleasant, WI 53405
Open in Google Maps ↗

Secondary Practice Location 1

Location 111254 S Avenue NChicago, IL 60617-7142 · Phone (773) 841-8720

Other Identifiers 1

Medicaid100079535WI

Accepted Insurance

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

Patricia 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 ID3072861269
PECOS Enrollment IDI20200923001321
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

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53405 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

Other Providers at the Same Location NPPES 19

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

MRS. RIMA M AL HAJJ GC
Genetic Counselor, MS
3821 SPRING ST, PRENATAL ASSESSMENT CENTER, ST LUKES HEALTH PAVILLION
MOUNT PLEASANT, WI 53405
Racine County (262) 687-3064
ANNE STOLTENBERG ACNP-BC
Nurse Practitioner (Acute Care)
3821 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-8460
DR. KATHERINE FURMAN CANFIELD M.D.
Pediatrics
3821 SPRING ST
RACINE, WI 53405
Racine County (262) 687-3672
PLA XOUA XIONG-HANG M.D.
Obstetrics & Gynecology
3821 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-8460
DR. DUSTIN MARK BROWN M.D.
Obstetrics & Gynecology
3821 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-8460
STUART A. FOX M.D.
Obstetrics & Gynecology (Gynecology)
3821 SPRING ST
RACINE, WI 53405
Racine County (262) 687-8460
JOHN A. PATTERSON M.D.
Obstetrics & Gynecology
3821 SPRING ST
RACINE, WI 53405
Racine County (262) 687-8460
CHRISTINA MARIE SULLIVAN D.O.
Obstetrics & Gynecology
3821 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-8460

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 Patricia Rivera's NPI number?

The NPI number for Patricia Rivera is 1144684242. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Where is Patricia Rivera located?

Patricia Rivera practices at 3821 Spring St, Mount Pleasant, WI 53405. The listed phone number is (262) 687-8460.

What is Patricia Rivera's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Patricia Rivera enrolled in Medicare?

Yes. Patricia 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 Patricia Rivera accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Patricia 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 Patricia Rivera affiliated with any hospitals?

According to CMS data, Patricia Rivera is affiliated with Ascension All Saints Hospital.

When was this NPI record last updated?

The NPPES record for Patricia Rivera was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.