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RUDY RIVERA
NPI 1205374162
Physician Assistant in San Antonio, TX

Active since February 10, 2017PECOS EnrolledAccepts Medicare Assignment
150 E SONTERRA BLVD, SUITE 220, SAN ANTONIO, TX 78258(210) 481-6800(210) 481-1444 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 18, 2018, Feb 10, 2017 (2 updates tracked since 2017).

About Rudy Rivera NPPES

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

RUDY RIVERA (NPI 1205374162) is an individual physician assistant in San Antonio, Texas and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1205374162
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRUDY RIVERA
Location Address150 E SONTERRA BLVD, SUITE 220San Antonio, TX 78258-4098
Mailing Address18818 Meisner Dr, Ste 102San Antonio, TX 78258-3569 · (210) 481-6800 · Fax (210) 481-1444
Phone(210) 481-6800
Fax(210) 481-1444
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 10, 2017
Last NPPES UpdateSeptember 18, 20182 updates tracked since enumeration
✔ NPI 1205374162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
150 E SONTERRA BLVD, San Antonio, TX 78258
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Rudy Rivera 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 ID5092068510
PECOS Enrollment IDI20181031001866
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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
178 services101 patients
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.
177 services94 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
64 services64 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
64 services64 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
53 services27 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
39 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78258 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$215.60 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.

NANCY E BULA
Physical Therapist
150 E SONTERRA BLVD, 300
SAN ANTONIO, TX 78258
Bexar County (210) 489-7220
ROBERT A ZAJAC MD
Internal Medicine (Infectious Disease)
150 E SONTERRA BLVD, SUITE 170
SAN ANTONIO, TX 78258
Bexar County (210) 481-2800
MAGNOLIA WOMEN'S CARE, P.L.L.C.
Obstetrics & Gynecology
150 E SONTERRA BLVD, SUITE 250
SAN ANTONIO, TX 78258
Bexar County (210) 748-7153
ALLISON HUTCHERSON PA-C
Physician Assistant (Medical)
150 E SONTERRA BLVD, STE 170
SAN ANTONIO, TX 78258
Bexar County (210) 481-2800
PHILLIP J TRUEMAN
Physical Therapist
150 E SONTERRA BLVD, 300
SAN ANTONIO, TX 78258
Bexar County (210) 489-7270
BRAD S TOLIN M.D.
Orthopaedic Surgery (Sports Medicine)
150 E SONTERRA BLVD, 300
SAN ANTONIO, TX 78258
Bexar County (210) 489-7240
SAN ANTONIO TX ENDOSCOPY ASC LP
Clinic/Center (Ambulatory Surgical)
150 E SONTERRA BLVD, SUITE 110
SAN ANTONIO, TX 78258
Bexar County (210) 491-9998
ROBERT A ZAJAC MD PA
Internal Medicine (Infectious Disease)
150 E SONTERRA BLVD, SUITE 170
SAN ANTONIO, TX 78258
Bexar County (210) 481-2800

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 Rudy Rivera's NPI number?

The NPI number for Rudy Rivera is 1205374162. It was assigned to this individual provider in the NPPES registry on February 10, 2017.

Where is Rudy Rivera located?

Rudy Rivera practices at 150 E Sonterra Blvd Suite 220, San Antonio, TX 78258. The listed phone number is (210) 481-6800.

What is Rudy Rivera's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Rudy Rivera enrolled in Medicare?

Yes. Rudy 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 Rudy Rivera accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Rudy 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.

When was this NPI record last updated?

The NPPES record for Rudy Rivera was last updated on September 18, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.