DR. ROSA ISABEL RINCON - RIVERO M.D.
NPI 1306168315
Pediatrics in Worcester, MA

Q: What is Rosa Rincon - Rivero's NPI number?

The NPI number for Rosa Rincon - Rivero is 1306168315. It was assigned to this individual provider in the NPPES registry on February 17, 2010.

Q: What is Rosa Rincon - Rivero's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since February 17, 2010PECOS Enrolled

45 OAK AVE, WORCESTER, MA 01605(508) 756-2020(508) 756-0705 Get Directions Write a Review

NPPES record last updated: March 8, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Rosa Isabel Rincon - Rivero M.d. NPPES

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

DR. ROSA ISABEL RINCON - RIVERO M.D. (NPI 1306168315) is an individual pediatrics provider in Worcester, Massachusetts, licensed in Massachusetts (243334) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306168315

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. ROSA ISABEL RINCON - RIVEROCredential: M.D.

Location Address45 OAK AVEWorcester, MA 01605-2730

Mailing Address45 Oak AveWorcester, MA 01605-2730 · (508) 756-2020 · Fax (508) 756-0705

Phone(508) 756-2020

Fax(508) 756-0705

Sole ProprietorNo

Enumeration DateFebruary 17, 2010

Last NPPES UpdateMarch 8, 2017

✔ NPI 1306168315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MA · 243334

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

45 OAK AVE, Worcester, MA 01605

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rosa Isabel Rincon - Rivero M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Rosa Rincon - Rivero reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Edward M. Kennedy Community Health Center, Inc

2.3 mi

Federally Qualified Health Center (FQHC)

19 TACOMA ST
Worcester, MA 01605

Reassigned Medicare billing, Massachusetts enrollment
147 clinicians in this Medicare group

NPI 1609842152 (508) 852-1805

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

23%303 patients2/55-star benchmark: 87%

Documentation of Current Medications in the Medical Record

100%178 patients5/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

66%340 patients3/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 71% · 110 patients

56%110 patients

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.

Other Providers at the Same Location NPPES 6

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

IAN A. HARDING MD PC

Pediatrics