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: August 16, 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 7

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
778 services207 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
351 services157 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
294 services128 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.
160 services76 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.
111 services49 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.
76 services69 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 11

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

Psychologist
2696 W WALNUT ST
GARLAND, TX 75042
Psychiatry & Neurology (Psychiatry)
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
Registered Nurse
2696 W WALNUT ST
GARLAND, TX 75042
Psychiatry & Neurology (Psychiatry)
2696 W WALNUT ST
GARLAND, TX 75042
General Acute Care Hospital
2696 W WALNUT ST
GARLAND, TX 75042
Counselor (Professional)
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.