SEBASTIAN RIVERA MD
NPI 1164884540
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Orlando, FL

Q: What is Sebastian Rivera's NPI number?

The NPI number for Sebastian Rivera is 1164884540. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Q: What is Sebastian Rivera's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Q: When was this NPI record last updated?

The NPPES record for Sebastian Rivera was last updated on September 7, 2022. 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.

Active since March 24, 2016PECOS EnrolledAccepts Medicare Assignment

84.65/100

CMS Quality Rating

25 W CRYSTAL LAKE ST STE 200, ORLANDO, FL 32806(407) 254-2500(407) 423-2789 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 7, 2022, Aug 30, 2022, Mar 4, 2022 and 2 more (5 updates tracked since 2016).

On this page

About Sebastian Rivera Md NPPES

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

SEBASTIAN RIVERA MD (NPI 1164884540) is an individual orthopaedic surgery of the spine provider in Orlando, Florida, licensed in Florida (ME154646) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1164884540

Entity TypeIndividualMale

Primary Taxonomy207XS0117X

Provider Legal NameSEBASTIAN RIVERACredential: MD

Location Address25 W CRYSTAL LAKE ST STE 200Orlando, FL 32806-4476

Mailing Address25 W Crystal Lake St Ste 200Orlando, FL 32806-4476 · (407) 254-2500 · Fax (407) 423-2789

Phone(407) 254-2500

Fax(407) 423-2789

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 24, 2016

Last NPPES UpdateSeptember 7, 20225 updates tracked since enumeration

NPPES CertifiedSeptember 7, 2022

✔ NPI 1164884540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

Licenses✔ Licensed in FL · ME154646✔ Licensed in KY · 54689

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 54689 (KY)

25 W CRYSTAL LAKE ST STE 200, Orlando, FL 32806

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, CareSource, Florida Blue (BlueCross BlueShield FL) 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

Sebastian 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 ID547679193

PECOS Enrollment IDI20220808001672

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 11

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.

237 services190 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

223 services182 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.

109 services89 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

69 services27 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

64 services26 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.

52 services52 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100007

Location601 E Rollins StOrlando, FL 32803 · Orange County

Emergency services Birthing friendly

Oviedo Medical Center

Acute Care Hospitals · Oviedo, FL

4/5 CMS rating

OwnershipProprietary

CMS Certification Number100329

Location8300 Red Bug Lake RdOviedo, FL 32765 · Seminole County

Emergency services Birthing friendly

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.

84.65/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.59

Promoting Interoperability

Improvement Activities

Cost

75.93

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.

CALLIE ANN JEWETT MD

Orthopaedic Surgery (Sports Medicine)