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MARY RIVERA NP
NPI 1215912704
Nurse Practitioner in Johnson City, NY

Active since December 07, 2005PECOS EnrolledAccepts Medicare Assignment
91.73/100
CMS Quality Rating
52 HARRISON ST, SOUTHERN TIER PULMONARY, JOHNSON CITY, NY 13790(607) 729-8845(607) 729-5574 Get Directions Write a Review

NPPES record last updated: June 29, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Rivera Np NPPES

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

MARY RIVERA NP (NPI 1215912704) is an individual nurse practitioner in Johnson City, New York, licensed in New York (301728) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Chenango Memorial Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1215912704
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY RIVERACredential: NP
Location Address52 HARRISON ST, SOUTHERN TIER PULMONARYJohnson City, NY 13790-2120
Mailing Address52 Harrison St, Southern Tier PulmonaryJohnson City, NY 13790-2120 · (607) 729-8845 · Fax (607) 729-5574
Phone(607) 729-8845
Fax(607) 729-5574
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateDecember 7, 2005
Last NPPES UpdateJune 29, 2009
✔ NPI 1215912704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · 301728
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
52 HARRISON ST, Johnson City, NY 13790
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Other Identifiers 2

Medicare UPINB35507
Medicare PINRB6693

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

Mary Rivera Np 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 ID4082796529
PECOS Enrollment IDI20080123000564
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
55 services27 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Chenango Memorial Hospital

Acute Care Hospitals · Norwich, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330033
Location179 North Broad StreetNorwich, NY 13815 · Chenango County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13790 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

91.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.01
Promoting Interoperability100
Improvement Activities40
Cost70.06

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
79%72 patients4/55-star benchmark: 100%
Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation
Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented
100%44 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
86%72 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers18 claims18 services$20.07 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers24 claims24 services$7.60 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers126 claims130 services$109.23 avg. paid by Medicare
Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
1 supplier12 claims720 services$6.33 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
1 supplier15 claims810 services$0.82 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers24 claims24 services$22.88 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 15

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

ERIN MEYER PHARMD
Pharmacist
52 HARRISON ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6775
ELLEN PATRICIA REYNOLDS PCNP
Nurse Practitioner (Primary Care)
52 HARRISON ST
JOHNSON CITY, NY 13790
Broome County (607) 729-1521
MICHAEL CHISDAK MD
Internal Medicine (Pulmonary Disease)
52 HARRISON ST
JOHNSON CITY, NY 13790
Broome County (607) 729-8845
CATHLEEN J BAYNAR FNP
Nurse Practitioner (Family)
52 HARRISON ST
JOHNSON CITY, NY 13790
Broome County (607) 763-5895
JARED M PADO FNP
Nurse Practitioner (Family)
52 HARRISON ST, FL 2
JOHNSON CITY, NY 13790
Broome County (607) 729-1521
MEGHANA NARAPARAJU
Registered Nurse
52 HARRISON ST
JOHNSON CITY, NY 13790
Broome County (607) 748-7468
MRS. OLESYA CRAVEN
Specialist/Technologist, Other (Electroneurodiagnostic)
52 HARRISON ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6628
MOLLY ROBINSON NP
Nurse Practitioner (Family)
52 HARRISON ST
JOHNSON CITY, NY 13790
Broome County (607) 748-7468

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 Mary Rivera's NPI number?

The NPI number for Mary Rivera is 1215912704. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Mary Rivera located?

Mary Rivera practices at 52 Harrison St Southern Tier Pulmonary, Johnson City, NY 13790. The listed phone number is (607) 729-8845.

What is Mary Rivera's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mary Rivera enrolled in Medicare?

Yes. Mary 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.

Is Mary Rivera affiliated with any hospitals?

According to CMS data, Mary Rivera is affiliated with Chenango Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mary Rivera was last updated on June 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.