EDWIN RIVERA MD
NPI 1174539134
Radiology - Diagnostic Radiology in Pensacola, FL
About Edwin Rivera Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWIN RIVERA MD (NPI 1174539134) is an individual diagnostic radiology provider in Pensacola, Florida, licensed in Florida (ME0077277) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital, and is a graduate of Other (1991).
NPPES Registry Identity
Specialties & Licenses 6
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Edwin 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.
Medicare Billing Reassignments
2Medicare enrollment records show Edwin Rivera reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pensacola, FL 32501
- Reassigned Medicare billing, Alabama and Florida enrollments
- 23 clinicians in this Medicare group
Pensacola, FL 32514
- Reassigned Medicare billing, Florida enrollment
- 108 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 82
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baptist Hospital
Acute Care Hospitals · Pensacola, FLHca Florida West Hospital
Acute Care Hospitals · Pensacola, FLGulf Breeze Hospital
Acute Care Hospitals · Gulf Breeze, FLNorthwest Florida Community Hospital
Critical Access Hospitals · Chipley, FLJay Hospital
Critical Access Hospitals · Jay, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
PENSACOLA, FL 32501
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 Edwin Rivera's NPI number?
The NPI number for Edwin Rivera is 1174539134. It was assigned to this individual provider in the NPPES registry on July 31, 2006.
Where is Edwin Rivera located?
Edwin Rivera practices at 1000 W Moreno St, Pensacola, FL 32501. The listed phone number is (850) 436-4951.
What is Edwin Rivera's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Edwin Rivera enrolled in Medicare?
Yes. Edwin 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.
Which organizations bill Medicare for Edwin Rivera's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edwin Rivera reassigns Medicare benefits to 2 organizations: Radiology Associates Of Pensacola, PA (Pensacola, FL) and West Florida Medical Center Clinic, PA (Pensacola, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edwin Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edwin Rivera accept?
Health plans from Blue Cross and Blue Shield of Alabama list Edwin 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 Edwin Rivera affiliated with any hospitals?
According to CMS data, Edwin Rivera is affiliated with Baptist Hospital, Hca Florida West Hospital, Gulf Breeze Hospital, Northwest Florida Community Hospital and Jay Hospital.
When was this NPI record last updated?
The NPPES record for Edwin Rivera was last updated on July 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.