DR. EDMUNDO I RIVERA MD
NPI 1437231115
Psychiatry & Neurology - Psychiatry in Orange City, FL

Q: What is Edmundo Rivera's NPI number?

The NPI number for Edmundo Rivera is 1437231115. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Q: What is Edmundo Rivera's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Edmundo Rivera was last updated on May 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since October 20, 2006PECOS EnrolledAccepts Medicare Assignment

296 TREEMONT DR, ORANGE CITY, FL 32763(386) 774-6001(386) 774-6044 Get Directions Write a Review

NPPES record last updated: May 10, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Dr. Edmundo I Rivera Md NPPES

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

DR. EDMUNDO I RIVERA MD (NPI 1437231115) is an individual psychiatry provider in Orange City, Florida, licensed in Florida (ME62400) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1437231115

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. EDMUNDO I RIVERACredential: MD

Location Address296 TREEMONT DROrange City, FL 32763-7945

Mailing Address250 Treemont DrOrange City, FL 32763-7945 · (386) 774-6001 · Fax (386) 774-6044

Phone(386) 774-6001

Fax(386) 774-6044

Sole ProprietorYes

Medical School CMSOtherGraduated 1985

Enumeration DateOctober 20, 2006

Last NPPES UpdateMay 10, 2019

✔ NPI 1437231115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in FL · ME62400

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

296 TREEMONT DR, Orange City, FL 32763

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans and more.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. Edmundo I Rivera 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 ID3971763855

PECOS Enrollment IDI20120330000242

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 2

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 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.

218 services72 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.

147 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32763 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

$171.84 typical visit price

range $56.00 – $171.84

Typical copayment $42.96 (range $14.00 – $42.96)

Most-billed visit code 99205

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

MISS LARA BETH MILLER RDMS, RVT, RDCS

Specialist/Technologist Cardiovascular (Sonography)

296 TREEMONT DR
ORANGE CITY, FL 32763

Volusia County (888) 221-9193

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 Edmundo Rivera's NPI number?

The NPI number for Edmundo Rivera is 1437231115. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Edmundo Rivera located?

Edmundo Rivera practices at 296 Treemont Dr, Orange City, FL 32763. The listed phone number is (386) 774-6001.

What is Edmundo Rivera's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Edmundo Rivera enrolled in Medicare?

Yes. Edmundo 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.

What insurance does Edmundo Rivera accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Edmundo 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 Edmundo Rivera was last updated on May 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.