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DR. PAULINO RIVERA-TORRES MD
NPI 1427266972
Internal Medicine - Gastroenterology in Irving, TX

Active since May 18, 2007PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
701 TUSCAN DRIVE, SUITE 110, IRVING, TX 75039(214) 496-1100(214) 496-1110 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Paulino Rivera-torres Md NPPES

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

DR. PAULINO RIVERA-TORRES MD (NPI 1427266972) is an individual gastroenterology provider in Irving, Texas, licensed in New Mexico (MD2016-0273) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of Johns Hopkins University School Of Medicine (2002).

NPPES Registry Identity

NPI1427266972
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. PAULINO RIVERA-TORRESCredential: MD
Location Address701 TUSCAN DRIVE, SUITE 110Irving, TX 75039
Mailing Address1100 Lead Ave SeAlbuquerque, NM 87106-5215 · (505) 224-7000 · Fax (214) 231-2159
Phone(214) 496-1100
Fax(214) 496-1110
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2002
Enumeration DateMay 18, 2007
Last NPPES UpdateJanuary 8, 2024
NPPES CertifiedJanuary 8, 2024
✔ NPI 1427266972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NM · MD2016-0273
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
701 TUSCAN DRIVE, Irving, TX 75039
Open in Google Maps ↗

Other Identifiers 1

Other8S9976TX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

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

Dr. Paulino Rivera-torres 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 ID8527135987
PECOS Enrollment IDI20160824001830
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.

Areas of Expertise CMS Part B claims 6

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
63 services63 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
32 services32 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
16 services13 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
14 services13 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.
14 services14 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75039 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Other Providers at the Same Location NPPES 2

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

SHEILA CHAREE HALTOM-WILSON APN
Nurse Practitioner (Family)
701 TUSCAN DRIVE, SUITE 110
IRVING, TX 75039
Dallas County (214) 496-1100
DIAGNOSTIC ANGLES, INC.
Clinic/Center (Radiology, Mobile)
701 TUSCAN DRIVE, SUITE 280
IRVING, TX 75039
Dallas County (214) 496-0500

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 Paulino Rivera-torres's NPI number?

The NPI number for Paulino Rivera-torres is 1427266972. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Paulino Rivera-torres located?

Paulino Rivera-torres practices at 701 Tuscan Drive Suite 110, Irving, TX 75039. The listed phone number is (214) 496-1100.

What is Paulino Rivera-torres's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Paulino Rivera-torres enrolled in Medicare?

Yes. Paulino Rivera-torres 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.

What insurance does Paulino Rivera-torres accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Paulino Rivera-torres 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 Paulino Rivera-torres affiliated with any hospitals?

According to CMS data, Paulino Rivera-torres is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Paulino Rivera-torres was last updated on January 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.