DR. JOSE ROLANDO RIVAS MD
NPI 1275516981
Emergency Medicine in Garland, TX

Active since November 28, 2005PECOS EnrolledAccepts Medicare Assignment
89.49/100
CMS Quality Rating
2696 W WALNUT ST, GARLAND, TX 75042(972) 487-3000 Get Directions Write a Review

NPPES record last updated: April 16, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jose Rolando Rivas Md NPPES

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

DR. JOSE ROLANDO RIVAS MD (NPI 1275516981) is an individual emergency medicine provider in Garland, Texas, licensed in Texas (H4846) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (1986).

NPPES Registry Identity

NPI1275516981
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JOSE ROLANDO RIVASCredential: MD
Location Address2696 W WALNUT STGarland, TX 75042
Mailing Address5146 Miller AveDallas, TX 75206-6419 · (214) 515-5584 · Fax (214) 515-9921
Sole ProprietorYes
Medical School CMSHarvard Medical SchoolGraduated 1986
Enumeration DateNovember 28, 2005
Last NPPES UpdateApril 16, 2010
NPI 1275516981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in TX · H4846
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

2696 W WALNUT ST, Garland, TX 75042

Other Identifiers 5

Medicare ID-Type Unspecified819651
Medicare PIN8C6269TX
Other8X5664TX · Blue Cross/blue Shield
Other48643200TX · Dept. Of Labor
Medicare UPINE02287

Accepted 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

Dr. Jose Rolando Rivas 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.

PECOS PAC ID3173583788
PECOS Enrollment IDI20041018000354
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 10

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 custodial care facility, group care, or assisted living visit, typically 1 hour 99337
This service involves a healthcare professional visiting an established patient in a group care facility or assisted living for about an hour. The visit may include health checks, medication management, and addressing any health concerns to maintain the patient's well-being.
228 services117 patients
Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes 99336
This is a routine visit for established patients residing in care facilities like nursing homes or assisted living. The visit typically lasts about 40 minutes, during which the healthcare provider checks your overall health, discusses any concerns, and adjusts care plans as needed.
199 services106 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
197 services83 patients
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
157 services92 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
115 services104 patients
New patient custodial care facility, group care, or assisted living visit, typically 75 minutes 99328
This service involves an initial visit to a new patient in a custodial care facility, group care, or assisted living. The visit typically lasts 75 minutes and focuses on assessing the patient's health status, understanding their needs, and planning their ongoing care.
95 services95 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75042 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

89.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.82
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
2 suppliers25 claims27 services$45.35 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
3 suppliers55 claims55 services$74.31 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers55 claims55 services$32.71 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$16.26 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers12 claims12 services$8.64 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 12

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

General Acute Care Hospital
2696 W WALNUT ST
GARLAND, TX 75042
General Acute Care Hospital
2696 W WALNUT ST
GARLAND, TX 75042
General Acute Care Hospital
2696 W WALNUT ST
GARLAND, TX 75042
Psychologist
2696 W WALNUT ST
GARLAND, TX 75042
Counselor (Professional)
2696 W WALNUT ST
GARLAND, TX 75042
Psychiatric Hospital
2696 W WALNUT ST
GARLAND, TX 75042
General Acute Care Hospital
2696 W WALNUT ST
GARLAND, TX 75042
Registered Nurse
2696 W WALNUT ST
GARLAND, TX 75042

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 Jose Rivas's NPI number?

The NPI number for Jose Rivas is 1275516981. It was assigned to this individual provider in the NPPES registry on November 28, 2005.

Where is Jose Rivas located?

Jose Rivas practices at 2696 W Walnut St, Garland, TX 75042. The listed phone number is (972) 487-3000.

What is Jose Rivas's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jose Rivas enrolled in Medicare?

Yes. Jose Rivas 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 Jose Rivas accept?

Health plans from Blue Cross and Blue Shield of Texas list Jose Rivas 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 Jose Rivas was last updated on April 16, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.