1. Home
  2. Directory
  3. Colorado
  4. Pueblo
  5. Family Medicine
  6. NPI Profile

KRISTINE M RIVERA DO
NPI 1437186376
Family Medicine in Pueblo, CO

Active since June 27, 2006PECOS Enrolled
86.08/100
CMS Quality Rating
4020 JERRY MURPHY ROAD, PUEBLO, CO 81001(719) 546-3600(719) 546-0931 Get Directions Write a Review

NPPES record last updated: March 4, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kristine M Rivera Do NPPES

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

KRISTINE M RIVERA DO (NPI 1437186376) is an individual family medicine provider in Pueblo, Colorado, licensed in Colorado (40835) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2001).

NPPES Registry Identity

NPI1437186376
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKRISTINE M RIVERACredential: DO
Location Address4020 JERRY MURPHY ROADPueblo, CO 81001
Mailing Address4020 Jerry Murphy RoadPueblo, CO 81001 · (719) 546-3600 · Fax (719) 546-0931
Phone(719) 546-3600
Fax(719) 546-0931
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2001
Enumeration DateJune 27, 2006
Last NPPES UpdateMarch 4, 2008
✔ NPI 1437186376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · 40835
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4020 JERRY MURPHY ROAD, Pueblo, CO 81001
Open in Google Maps ↗

Other Identifiers 3

Medicare PINC811151CO
Medicaid17334349CO
Medicare UPINI03821

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristine M Rivera Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163403312
PECOS Enrollment IDI20040525001183
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 Reassignment

Medicare enrollment records show Kristine Rivera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Family Clinic Of Fort Collins
158 mi
Family Medicine
1212 E ELIZABETH ST
Fort Collins, CO 80524
  • Reassigned Medicare billing, Colorado enrollment
  • 9 clinicians in this Medicare group
NPI 1770671497 (970) 482-2791

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 14

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 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.
201 services115 patients
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.
144 services107 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
125 services125 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
86 services86 patients
Administration of vaccine, each additional vaccine 90472
Administering an additional vaccine involves giving you an extra immunization to protect against other diseases. This is done after the first vaccine, often during the same visit. It's a safe, effective way to bolster your immune system against multiple illnesses.
44 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
44 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81001 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

86.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability100
Improvement Activities40
Cost53.61

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
39%41 patients
Appropriate Treatment for Upper Respiratory Infection (URI)
80%25 patients4/55-star benchmark: 100%
Breast Cancer Screening
82%332 patients4/55-star benchmark: 93%
Cervical Cancer Screening
64%301 patients3/55-star benchmark: 98%
Colorectal Cancer Screening
81%506 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
64%200 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
19%43 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
65%1,572 patients3/55-star benchmark: 100%
e-Prescribing
98%5,818 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
25%351 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
54%759 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
60%510 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 96% · 614 patients
95%614 patients
Provide Patients Electronic Access to Their Health Information
99%876 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
73%218 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 15% · 369 patients
Patients totalRate: 25% · 369 patients
27%369 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers14 claims49 services$4.85 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers12 claims72 services$2.14 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$76.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kristine Rivera's NPI number?

The NPI number for Kristine Rivera is 1437186376. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Kristine Rivera located?

Kristine Rivera practices at 4020 Jerry Murphy Road, Pueblo, CO 81001. The listed phone number is (719) 546-3600.

What is Kristine Rivera's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kristine Rivera enrolled in Medicare?

Yes. Kristine Rivera is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kristine Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristine Rivera reassigns Medicare benefits to The Family Clinic Of Fort Collins (Fort Collins, CO). The 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 Kristine Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristine Rivera accept?

Health plans from UnitedHealthcare list Kristine 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 Kristine Rivera was last updated on March 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.