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RICARDO GARCIA-RIVERA M.D.
NPI 1366434334
Psychiatry & Neurology - Neurology in Homestead, FL

Active since August 16, 2005PECOS EnrolledAccepts Medicare Assignment
15720 SW 258TH ST, HOMESTEAD, FL 33031(305) 227-7021 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 2, 2026, Jan 8, 2020 (2 updates tracked since 2020).

About Ricardo Garcia-rivera M.d. NPPES

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

RICARDO GARCIA-RIVERA M.D. (NPI 1366434334) is an individual neurology provider in Homestead, Florida, licensed in Florida (ME 40533) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and maintains a secondary practice location in Montgomery.

NPPES Registry Identity

NPI1366434334
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameRICARDO GARCIA-RIVERACredential: M.D.
Location Address15720 SW 258TH STHomestead, FL 33031-2036
Mailing Address8720 N Kendall Dr Ste 108Miami, FL 33176-2208 · (305) 554-7679
Phone(305) 227-7021
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateAugust 16, 2005
Last NPPES UpdateJune 25, 20262 updates tracked since enumeration
NPPES CertifiedJune 25, 2026
✔ NPI 1366434334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in FL · ME 40533
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
15720 SW 258TH ST, Homestead, FL 33031
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Secondary Practice Location 1

Location 12105 E South BlvdMontgomery, AL 36116-2409 · Phone (334) 288-2100

Other Identifiers 1

Medicaid068437600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ricardo Garcia-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 ID143112607
PECOS Enrollment IDI20040817001013, I20250507003336
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 Reassignments

9

Medicare enrollment records show Ricardo Garcia-rivera reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Florida Neurological Services Inc
15 mi
Neurology
11750 SW 40TH ST
Miami, FL 33175
  • Reassigned Medicare billing, Florida enrollment
NPI 1508112624 (305) 223-3000
South Georgia Medical Center Inc
406 mi
General Acute Care Hospital
2501 N PATTERSON ST
Valdosta, GA 31602
  • Reassigned Medicare billing, Georgia enrollment
  • 118 clinicians in this Medicare group
NPI 1144096553 (229) 433-1000
Novant Medical Group, Inc.
588 mi
Family Medicine
710 SUNSET BLVD N, SUITE B
Sunset Beach, NC 28468
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Novant Health Medical Group, LLC
  • 2,998 clinicians in this Medicare group
NPI 1649342072 (910) 575-0006
Capstone Health Services Foundation PC
656 mi
Family Medicine
105 US HIGHWAY 80 E STE 215
Demopolis, AL 36732
  • Reassigned Medicare billing, Alabama enrollment
  • 307 clinicians in this Medicare group
NPI 1952805400 (334) 654-8081
Whatley Health Services Inc
679 mi
Federally Qualified Health Center (FQHC)
3532 GREENSBORO AVE
Tuscaloosa, AL 35401
  • Reassigned Medicare billing, Alabama enrollment
  • 244 clinicians in this Medicare group
NPI 1063606358 (205) 349-3250
Forsyth Memorial Hospital Inc
708 mi
Family Medicine
110 W MEDICAL PARK DR
Lexington, NC 27292
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,202 clinicians in this Medicare group
NPI 1720378615 (336) 248-8692
Upmc Altoona Regional Health Services, Inc
1,039 mi
Family Medicine
1414 9TH AVE, STATION MEDICAL CENTER
Altoona, PA 16602
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 338 clinicians in this Medicare group
NPI 1396724217 (814) 946-1655
Access Telecare, PLLC
1,106 mi
Internal Medicine
1717 MAIN ST STE 5850
Dallas, TX 75201
  • Reassigned Medicare billing, Indiana, Michigan, North Carolina, New Jersey and Pennsylvania enrollments
  • 149 clinicians in this Medicare group
NPI 1013303080 (972) 449-0540
Middlesex Hospital
1,192 mi
Family
80 S MAIN ST
Middletown, CT 06457
  • Reassigned Medicare billing, Connecticut enrollment
  • 178 clinicians in this Medicare group
NPI 1972563138 (860) 358-6394

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

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
79 services41 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
67 services65 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
56 services28 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
31 services28 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
22 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100008
Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County
Emergency services Birthing friendly

Homestead Hospital

Acute Care Hospitals · Homestead, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100125
Location975 Baptist WayHomestead, FL 33033 · Miami-Dade County
Emergency services Birthing friendly

Sgmc Health

Acute Care Hospitals · Valdosta, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110122
Location2501 North Patterson Street, PO Box 1727Valdosta, GA 31602 · Lowndes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33031 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

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 Ricardo Garcia-rivera's NPI number?

The NPI number for Ricardo Garcia-rivera is 1366434334. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Ricardo Garcia-rivera located?

Ricardo Garcia-rivera practices at 15720 SW 258th St, Homestead, FL 33031. The listed phone number is (305) 227-7021.

What is Ricardo Garcia-rivera's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Ricardo Garcia-rivera enrolled in Medicare?

Yes. Ricardo Garcia-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.

Which organizations bill Medicare for Ricardo Garcia-rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ricardo Garcia-rivera reassigns Medicare benefits to 9 organizations: South Florida Neurological Services Inc (Miami, FL), South Georgia Medical Center Inc (Valdosta, GA), Novant Medical Group, Inc. (Sunset Beach, NC), Capstone Health Services Foundation PC (Demopolis, AL), Whatley Health Services Inc (Tuscaloosa, AL) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ricardo Garcia-rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ricardo Garcia-rivera accept?

Health plans from AmeriHealth Caritas Next list Ricardo Garcia-rivera 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.

Is Ricardo Garcia-rivera affiliated with any hospitals?

According to CMS data, Ricardo Garcia-rivera is affiliated with Baptist Hospital Of Miami, Homestead Hospital and Sgmc Health.

When was this NPI record last updated?

The NPPES record for Ricardo Garcia-rivera was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.