DR. JOEL RIVERA-RODRIGUEZ M.D.
NPI 1497062186
Internal Medicine in Clearwater, FL

Active since September 02, 2010PECOS EnrolledAccepts Medicare Assignment
1100 S FORT HARRISON AVE, CLEARWATER, FL 33756(727) 447-5454(727) 287-4564 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2021, Sep 1, 2020, Mar 9, 2020 and 3 more (6 updates tracked since 2016).

About Dr. Joel Rivera-rodriguez M.d. NPPES

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

DR. JOEL RIVERA-RODRIGUEZ M.D. (NPI 1497062186) is an individual internal medicine provider in Clearwater, Florida, licensed in Florida (ME127224) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1497062186
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOEL RIVERA-RODRIGUEZCredential: M.D.
Location Address1100 S FORT HARRISON AVEClearwater, FL 33756-3908
Mailing Address1100 S Fort Harrison AveClearwater, FL 33756-3908 · (727) 447-5454 · Fax (727) 287-4564
Fax(727) 287-4564
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 2, 2010
Last NPPES UpdateSeptember 1, 20216 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2021
NPI 1497062186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in FL · ME127224 Licensed in TX · P8180
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1100 S FORT HARRISON AVE, Clearwater, FL 33756

Other Names 1

Former Name (1)Joe E Rivera M.d.

Other Identifiers 2

Medicaid017235400FL
OtherP8180TX · Texas Medical Board

Accepted 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. Joel Rivera-rodriguez 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 ID2860621638
PECOS Enrollment IDI20160719000978
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 3

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.
24 services14 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
21 services14 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.
17 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33756 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%26 patients5/55-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.

Other Providers at the Same Location NPPES 6

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

Internal Medicine
1100 S FORT HARRISON AVE
CLEARWATER, FL 33756
Exclusive Provider Organization
1100 S FORT HARRISON AVE
CLEARWATER, FL 33756
Nurse Practitioner
1100 S FORT HARRISON AVE
CLEARWATER, FL 33756
Internal Medicine
1100 S FORT HARRISON AVE
CLEARWATER, FL 33756
Internal Medicine
1100 S FORT HARRISON AVE
CLEARWATER, FL 33756
Internal Medicine
1100 S FORT HARRISON AVE
CLEARWATER, FL 33756

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 Joel Rivera-rodriguez's NPI number?

The NPI number for Joel Rivera-rodriguez is 1497062186. It was assigned to this individual provider in the NPPES registry on September 2, 2010. The provider is also known as Joe E Rivera M.D..

Where is Joel Rivera-rodriguez located?

Joel Rivera-rodriguez practices at 1100 S Fort Harrison Ave, Clearwater, FL 33756. The listed phone number is (727) 447-5454.

What is Joel Rivera-rodriguez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Joel Rivera-rodriguez enrolled in Medicare?

Yes. Joel Rivera-rodriguez 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 Joel Rivera-rodriguez accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Joel Rivera-rodriguez 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 Joel Rivera-rodriguez was last updated on September 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.