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MR. LEE JAMES RIVERA
NPI 1255063624
Physician Assistant - Surgical in Edinburg, TX

Active since June 25, 2022PECOS EnrolledAccepts Medicare Assignment
315 E MARK S PENA DR STE B, EDINBURG, TX 78539(956) 362-6890(956) 362-6895 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mr. Lee James Rivera NPPES

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

MR. LEE JAMES RIVERA (NPI 1255063624) is an individual surgical provider in Edinburg, Texas, licensed in Texas (PA17768) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Doctors Hosptal At Renaissance, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1255063624
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. LEE JAMES RIVERA
Location Address315 E MARK S PENA DR STE BEdinburg, TX 78539-6304
Mailing AddressPo Box 4624Mcallen, TX 78502-4624 · (956) 362-6890 · Fax (956) 362-6895
Phone(956) 362-6890
Fax(956) 362-6895
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 25, 2022
Last NPPES UpdateSeptember 17, 2025
NPPES CertifiedSeptember 17, 2025
✔ NPI 1255063624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in TX · PA17768
315 E MARK S PENA DR STE B, Edinburg, TX 78539
Open in Google Maps ↗

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

Mr. Lee James 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 ID9739526922
PECOS Enrollment IDI20240323000023
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

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 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.
27 services24 patients

Hospital Affiliations CMS Care Compare

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

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

DR. HAISSAM SOHAIL ELZAIM MD, PHD
Orthopaedic Surgery
315 E MARK S PENA DR STE B
EDINBURG, TX 78539
Hidalgo County (956) 362-6890

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 Lee Rivera's NPI number?

The NPI number for Lee Rivera is 1255063624. It was assigned to this individual provider in the NPPES registry on June 25, 2022.

Where is Lee Rivera located?

Lee Rivera practices at 315 E Mark S Pena Dr Ste B, Edinburg, TX 78539. The listed phone number is (956) 362-6890.

What is Lee Rivera's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Lee Rivera enrolled in Medicare?

Yes. Lee 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 Lee 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 3 other insurers list Lee 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 Lee Rivera affiliated with any hospitals?

According to CMS data, Lee Rivera is affiliated with Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Lee Rivera was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.