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DR. GERARDO JOSE GUILLEN RIVERA M.D.
NPI 1366635369
Dentist - Oral and Maxillofacial Surgery in El Paso, TX

Active since August 22, 2007Opted out of Medicare · through May 31, 2028
4504 PARADE WILLOW DR, EL PASO, TX 79922(305) 457-3503 Get Directions Write a Review

NPPES record last updated: January 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gerardo Jose Guillen Rivera M.d. NPPES

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

DR. GERARDO JOSE GUILLEN RIVERA M.D. (NPI 1366635369) is an individual oral and maxillofacial surgery provider in El Paso, Texas, licensed in Texas (28475) and active in the NPI registry since August 2007. He has opted out of Medicare through May 31, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1366635369
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. GERARDO JOSE GUILLEN RIVERACredential: M.D.
Location Address4504 PARADE WILLOW DREl Paso, TX 79922-2235
Mailing Address4504 Parade Willow DrEl Paso, TX 79922 · (305) 457-3503
Phone(305) 457-3503
Sole ProprietorYes
Enumeration DateAugust 22, 2007
Last NPPES UpdateJanuary 20, 2015
✔ NPI 1366635369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TX · 28475
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4504 PARADE WILLOW DR, El Paso, TX 79922
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Other Names 1

Professional Name (2)Dr. Gerardo Jose Guillen Rivera M.d.

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Gerardo Jose Guillen Rivera M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 31, 2016 through May 31, 2028.

Opt-Out Effective DateMay 31, 2016
Opt-Out In Effect ThroughMay 31, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79922 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

ESPINA ORTHODONTICS, PLLC
Dentist (Orthodontics and Dentofacial Orthopedics)
4504 PARADE WILLOW DR
EL PASO, TX 79922
El Paso County (915) 588-0978

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 Gerardo Guillen Rivera's NPI number?

The NPI number for Gerardo Guillen Rivera is 1366635369. It was assigned to this individual provider in the NPPES registry on August 22, 2007. The provider is also known as Dr. Gerardo Jose Guillen Rivera M.D..

Where is Gerardo Guillen Rivera located?

Gerardo Guillen Rivera practices at 4504 Parade Willow Dr, El Paso, TX 79922. The listed phone number is (305) 457-3503.

What is Gerardo Guillen Rivera's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Gerardo Guillen Rivera enrolled in Medicare?

No. Gerardo Guillen Rivera has opted out of Medicare through May 31, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Gerardo Guillen Rivera accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Gerardo Guillen 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.

When was this NPI record last updated?

The NPPES record for Gerardo Guillen Rivera was last updated on January 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.