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GLEN RIVERA PA-C
NPI 1316052111
Physician Assistant in Lexington, VA

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
108 HOUSTON ST STE E, LEXINGTON, VA 24450(540) 463-2227 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 12, 2022, Mar 17, 2018 (2 updates tracked since 2018).

About Glen Rivera Pa-c NPPES

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

GLEN RIVERA PA-C (NPI 1316052111) is an individual physician assistant in Lexington, Virginia, licensed in Virginia (0110002571) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Augusta Health, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1316052111
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGLEN RIVERACredential: PA-C
Location Address108 HOUSTON ST STE ELexington, VA 24450-2455
Mailing Address108 Houston St Ste ELexington, VA 24450-2455 · (540) 463-2227
Phone(540) 463-2227
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 20, 2006
Last NPPES UpdateJanuary 26, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2024
✔ NPI 1316052111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VA · 0110002571
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License C0006682 (MD), 102256 (NC), 0110002571 (VA)
108 HOUSTON ST STE E, Lexington, VA 24450
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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

Glen Rivera Pa-c 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 ID8628025830
PECOS Enrollment IDI20090727000404
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.

Hospital Affiliations CMS Care Compare 4

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

Augusta Health

Acute Care Hospitals · Fishersville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490018
Location78 Medical Center DriveFishersville, VA 22939 · Augusta County
Emergency services Birthing friendly

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490024
Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County
Emergency services Birthing friendly

Lewisgale Hospital Alleghany

Acute Care Hospitals · Low Moor, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490126
LocationOne Arh Lane - PO Box 7Low Moor, VA 24457 · Alleghany County
Emergency services

Carilion Stonewall Jackson Hospital

Critical Access Hospitals · Lexington, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491304
Location1 Health CircleLexington, VA 24450 · Lexington City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24450 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DOUGLAS M. SAWCH MD
Internal Medicine (Cardiovascular Disease)
108 HOUSTON ST STE E
LEXINGTON, VA 24450
Lexington City (540) 463-2227

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 Glen Rivera's NPI number?

The NPI number for Glen Rivera is 1316052111. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Glen Rivera located?

Glen Rivera practices at 108 Houston St Ste E, Lexington, VA 24450. The listed phone number is (540) 463-2227.

What is Glen Rivera's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Glen Rivera enrolled in Medicare?

Yes. Glen 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.

Is Glen Rivera affiliated with any hospitals?

According to CMS data, Glen Rivera is affiliated with Augusta Health, Carilion Medical Center, Lewisgale Hospital Alleghany and Carilion Stonewall Jackson Hospital.

When was this NPI record last updated?

The NPPES record for Glen Rivera was last updated on January 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.