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DR. ERICK MANUEL RIVERA-GRANA MD
NPI 1396232591
Ophthalmology - Uveitis and Ocular Inflammatory Disease in Ponce, PR

Active since April 13, 2018PECOS EnrolledAccepts Medicare Assignment
90.17/100
CMS Quality Rating

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 28, 2023, Apr 10, 2023, Jul 21, 2022 and 2 more (5 updates tracked since 2018).

About Dr. Erick Manuel Rivera-grana Md NPPES

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

DR. ERICK MANUEL RIVERA-GRANA MD (NPI 1396232591) is an individual uveitis and ocular inflammatory disease provider in Ponce, Puerto Rico, licensed in Puerto Rico (22299) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1396232591
Entity TypeIndividualMale
Primary Taxonomy207WX0108X
Provider Legal NameDR. ERICK MANUEL RIVERA-GRANACredential: MD
Location Address91 CALLE UNPonce, PR 00730-3749
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011 · (503) 494-3000 · Fax (503) 494-4286
Phone(787) 460-6568
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 2017
Enumeration DateApril 13, 2018
Last NPPES UpdateAugust 18, 20255 updates tracked since enumeration
NPPES CertifiedAugust 18, 2025
✔ NPI 1396232591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmology · Uveitis and Ocular Inflammatory DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207WX0108X
License✔ Licensed in PR · 22299
Definition
An ophthalmologist who specializes in the treatment of intraocular inflammation, scleritis, keratitis and infectious disorders affecting the eye and inflammatory disorders of the adnexa and/or orbit.
Also ListedOphthalmologyTaxonomy 207W00000X · License MD214392 (OR)
Also ListedOphthalmology · Glaucoma SpecialistTaxonomy 207WX0009X · License 22299 (PR)

Secondary Practice Location 1

Location 13181 SW Sam Jackson Park RdPortland, OR 97239-3011 · Phone (503) 494-3000 · Fax (503) 494-4286

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare.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

Dr. Erick Manuel Rivera-grana 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 ID8921489972
PECOS Enrollment IDI20230413002336, I20250926000564
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

3

Medicare enrollment records show Erick Rivera-grana reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Legacy Emanuel Hospital & Health Center
General Acute Care Hospital
1225 NE 2ND AVE
Portland, OR 97232
  • Reassigned Medicare billing, Oregon enrollment
  • 719 clinicians in this Medicare group
NPI 1003367491 (503) 944-8000
Legacy Good Samaritan Hospital And Medical Center
Clinic/Center
1200 NW 23RD AVE
Portland, OR 97210
  • Reassigned Medicare billing, Oregon enrollment
  • 387 clinicians in this Medicare group
NPI 1679597108 (503) 413-7074
Puerto Rico Inflammatory And Surgical Eye Care LLC
Medical Specialty
91 CALLE UN
Ponce, PR 00730
  • Reassigned Medicare billing, Puerto Rico enrollment
NPI 1861379315 (787) 460-6568

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
88 services81 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
71 services62 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
40 services32 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
30 services30 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00730 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
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
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.

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.

90.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.39
Promoting Interoperability100
Improvement Activities40
Cost66.59

Other Providers at the Same Location NPPES

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

PUERTO RICO INFLAMMATORY AND SURGICAL EYE CARE LLC
Clinic/Center (Medical Specialty)
91 CALLE UN
PONCE, PR 00730
Ponce Municipio (787) 460-6568

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 Erick Rivera-grana's NPI number?

The NPI number for Erick Rivera-grana is 1396232591. It was assigned to this individual provider in the NPPES registry on April 13, 2018.

Where is Erick Rivera-grana located?

Erick Rivera-grana practices at 91 Calle Un, Ponce, PR 00730. The listed phone number is (787) 460-6568.

What is Erick Rivera-grana's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Uveitis and Ocular Inflammatory Disease, with taxonomy code 207WX0108X.

Is Erick Rivera-grana enrolled in Medicare?

Yes. Erick Rivera-grana 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 Erick Rivera-grana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erick Rivera-grana reassigns Medicare benefits to 3 organizations: Legacy Emanuel Hospital & Health Center (Portland, OR), Legacy Good Samaritan Hospital And Medical Center (Portland, OR) and Puerto Rico Inflammatory And Surgical Eye Care LLC (Ponce, PR). 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 Erick Rivera-grana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erick Rivera-grana accept?

Health plans from Moda Health Plan, Inc. and Molina Healthcare list Erick Rivera-grana 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 Erick Rivera-grana affiliated with any hospitals?

According to CMS data, Erick Rivera-grana is affiliated with Ohsu Hospital And Clinics and Legacy Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Erick Rivera-grana was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.