DR. GUSTAVO D RIVERA MD
NPI 1154573830
Internal Medicine - Gastroenterology in Naples, FL

Active since October 14, 2008PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1064 GOODLETTE ROAD, NAPLES, FL 34102(239) 649-1186(239) 649-1156 Get Directions Write a Review

NPPES record last updated: April 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gustavo D Rivera Md NPPES

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

DR. GUSTAVO D RIVERA MD (NPI 1154573830) is an individual gastroenterology provider in Naples, Florida, licensed in Florida (ME118032) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1154573830
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. GUSTAVO D RIVERACredential: MD
Location Address1064 GOODLETTE ROADNaples, FL 34102
Mailing Address1064 Goodlette RoadNaples, FL 34102 · (239) 649-1186 · Fax (239) 649-1156
Fax(239) 649-1156
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 14, 2008
Last NPPES UpdateApril 19, 2018
NPI 1154573830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in FL · ME118032
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 27156R (PR)
1064 GOODLETTE ROAD, Naples, FL 34102

Accepted 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. Gustavo D 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 ID4880818327
PECOS Enrollment IDI20140624000881
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 17

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.
460 services316 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
253 services234 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.
198 services156 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
190 services188 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.
175 services175 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
84 services84 patients

Hospital Affiliations CMS Care Compare 3

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Naples Community Hospital

Acute Care Hospitals · Naples, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100018
Location350 7th St NNaples, FL 34102 · Collier County
Emergency services Birthing friendly

Physicians Regional Medical Center - Pine Ridge

Acute Care Hospitals · Naples, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100286
Location6101 Pine Ridge RoadNaples, FL 34119 · Collier County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34102 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES

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

Physician Assistant
1064 GOODLETTE ROAD
NAPLES, FL 34102

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 Gustavo Rivera's NPI number?

The NPI number for Gustavo Rivera is 1154573830. It was assigned to this individual provider in the NPPES registry on October 14, 2008.

Where is Gustavo Rivera located?

Gustavo Rivera practices at 1064 Goodlette Road, Naples, FL 34102. The listed phone number is (239) 649-1186.

What is Gustavo Rivera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Gustavo Rivera enrolled in Medicare?

Yes. Gustavo 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 Gustavo Rivera accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Gustavo 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 Gustavo Rivera affiliated with any hospitals?

According to CMS data, Gustavo Rivera is affiliated with Lee Memorial Hospital, Naples Community Hospital and Physicians Regional Medical Center - Pine Ridge.

When was this NPI record last updated?

The NPPES record for Gustavo Rivera was last updated on April 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.