EDGARDO RIVERA M. D.
NPI 1265561070
Internal Medicine - Medical Oncology in Kingman, AZ

Q: What is Edgardo Rivera's NPI number?

The NPI number for Edgardo Rivera is 1265561070. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Q: What is Edgardo Rivera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Q: When was this NPI record last updated?

The NPPES record for Edgardo Rivera was last updated on July 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 05, 2007PECOS EnrolledAccepts Medicare Assignment

83.2/100

CMS Quality Rating

3269 N STOCKTON HILL RD, KINGMAN, AZ 86409(928) 263-5666(928) 692-4648 Get Directions Write a Review

NPPES record last updated: July 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Edgardo Rivera M. D. NPPES

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

EDGARDO RIVERA M. D. (NPI 1265561070) is an individual medical oncology provider in Kingman, Arizona, licensed in Arizona (44221) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Puerto Rico School Of Medicine (1990).

NPPES Registry Identity

NPI1265561070

Entity TypeIndividualMale

Primary Taxonomy207RX0202X

Provider Legal NameEDGARDO RIVERACredential: M. D.

Location Address3269 N STOCKTON HILL RDKingman, AZ 86409-3619

Mailing Address3269 N Stockton Hill RdKingman, AZ 86409-3619 · (928) 263-5666 · Fax (928) 692-4648

Phone(928) 263-5666

Fax(928) 692-4648

Sole ProprietorNo

Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1990

Enumeration DateMarch 5, 2007

Last NPPES UpdateJuly 7, 2016

✔ NPI 1265561070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RX0202X

Licenses✔ Licensed in AZ · 44221✔ Licensed in TX · J1479

Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

3269 N STOCKTON HILL RD, Kingman, AZ 86409

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Other Identifiers 6

OtherP00442974TX · Railroad Medicare

Medicaid041341102TX

Medicare PIN8J4383TX

Medicare PINZ145021AZ

Medicare PINZ147355AZ

Other8W1057TX · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, UnitedHealthcare.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

Edgardo Rivera M. D. 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 ID4082712674

PECOS Enrollment IDI20110512000854

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 4

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.

1,021 services413 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

171 services171 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

70 services62 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.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86409 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

$168.60 typical visit price

range $55.44 – $168.60

Typical copayment $42.15 (range $13.86 – $42.15)

Most-billed visit code 99205

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

83.2/100

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

Scored as part of a group practice

Quality

87.73

Promoting Interoperability

Improvement Activities

Cost

71.28

Referred Medical Equipment & Supplies CMS DME claims 2

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

Capecitabine, oral, 500 mg J8521

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers25 claims1,966 services$0.64 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

3 suppliers17 claims17 services$18.98 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.

LINDSAY J ESCOBEDO DO, ND, MBA

Student in an Organized Health Care Education/Training Program