DR. DAVID E RIVADENEIRA M.D.
NPI 1457370785
Colon & Rectal Surgery in Woodbury, NY

Q: What is David Rivadeneira's NPI number?

The NPI number for David Rivadeneira is 1457370785. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Q: What is David Rivadeneira's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Q: When was this NPI record last updated?

The NPPES record for David Rivadeneira was last updated on June 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 July 18, 2006PECOS EnrolledAccepts Medicare Assignment

91.25/100

CMS Quality Rating

321B CROSSWAYS PARK DR, WOODBURY, NY 11797(631) 470-1450(631) 470-1451 Get Directions Write a Review

NPPES record last updated: June 6, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. David E Rivadeneira M.d. NPPES

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

DR. DAVID E RIVADENEIRA M.D. (NPI 1457370785) is an individual colon & rectal surgery provider in Woodbury, New York, licensed in New York (212811) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Huntington Hospital, and maintains a secondary practice location in Smithtown.

NPPES Registry Identity

NPI1457370785

Entity TypeIndividualMale

Primary Taxonomy208C00000X

Provider Legal NameDR. DAVID E RIVADENEIRACredential: M.D.

Location Address321B CROSSWAYS PARK DRWoodbury, NY 11797

Mailing Address321b Crossways Park DrWoodbury, NY 11797-2066 · (631) 470-1450 · Fax (631) 470-1451

Phone(631) 470-1450

Fax(631) 470-1451

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJuly 18, 2006

Last NPPES UpdateJune 6, 2018

✔ NPI 1457370785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

License✔ Licensed in NY · 212811

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

321B CROSSWAYS PARK DR, Woodbury, NY 11797

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Secondary Practice Location 1

Location 148 Route 25A, Suite 007Smithtown, NY 11787-1431 · Phone (631) 862-3600

Other Identifiers 3

Other1636H1NY · Empire Bc.bs

Medicaid02470919NY

Other7019470NY · Aetna

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. David E Rivadeneira M.d. 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 ID345237673

PECOS Enrollment IDI20040428001322

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 22

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.

312 services178 patients

Removal of external hemorrhoids by rubber banding 46221

Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.

253 services102 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

146 services146 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

58 services58 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

57 services55 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.

50 services50 patients

Diagnostic exam of anus using an endoscope 46600

This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.

49 services48 patients

Partial release of large bowel and partial removal of large bowel using an endoscope 44213

This procedure involves using an endoscope, a flexible tube with a camera, to partially release and remove a section of your large bowel. It's a minimally invasive surgery that helps treat conditions like cancer or bowel obstruction.

40 services40 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

31 services31 patients

Biopsy and removal of lymph nodes of abdominal cavity using an endoscope 38570

This procedure involves using a thin, flexible tool called an endoscope to examine and remove lymph nodes in the abdominal area. The endoscope is inserted through a small incision. It allows doctors to view and biopsy, or take samples of, any suspicious tissues for further testing.

24 services24 patients

Partial removal of large bowel and reattachment to rectum using an endoscope 44207

This procedure involves the partial removal of the large bowel, also known as the colon, due to disease or other health concerns. Using an endoscope, a long, flexible tube with a camera, the surgeon will then reconnect the remaining healthy parts of the bowel to the rectum.

23 services23 patients

Diagnostic exam of rectum and lower large bowel using an endoscope 45300

This procedure, known as a sigmoidoscopy, involves using a thin, flexible instrument called an endoscope to examine your lower large bowel and rectum. This helps in identifying any abnormalities or issues that could affect your digestive health.

22 services22 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.

20 services20 patients

Partial removal of large bowel using an endoscope 44204

This procedure involves the use of a thin, flexible tube (endoscope) to partially remove the large bowel. It helps in treating conditions like polyps or tumors. The procedure is minimally invasive, reducing recovery time.

19 services19 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.

17 services17 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.

15 services15 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

15 services13 patients

Pelvic exam under anesthesia 57410

A pelvic exam under anesthesia is a procedure where a healthcare provider examines the lower belly area while the patient is asleep. This helps in accurate evaluation and diagnosis when examination without anesthesia is not possible due to discomfort or pain.

14 services14 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Removal of growth of rectum through anus with removal of a portion of muscle 45172

This procedure involves the removal of an abnormal growth in the rectum. It's done through the anus, with part of the rectum's muscle also being taken out. This helps in preventing the growth from recurring and promotes your overall health.

12 services11 patients

Removal of multiple hemorrhoid groups 46260

This procedure involves removing multiple groups of swollen veins in your lower rectum area. It's usually done under anesthesia. The aim is to alleviate discomfort and prevent complications. Recovery may take a few weeks with specific care instructions to follow.

12 services12 patients

Repair of prolapsed lining of rectum through anus 45505

This procedure addresses a condition where the rectum's lining slips out through the anus. It involves gently pushing the lining back into place and securing it to prevent future occurrences. It's performed under anesthesia for comfort and safety.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Ns/Lij Hs Huntington Hospital

Acute Care Hospitals · Huntington, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330045

Location270 Park AvenueHuntington, NY 11743 · Suffolk County

Emergency services Birthing friendly

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330106

Location300 Community DriveManhasset, NY 11030 · Nassau County

Emergency services Birthing friendly

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330185

Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11797 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

91.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.92

Promoting Interoperability

91.67

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 13

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362