RICHARD GIL RIVERA PA
NPI 1548226525
Physician Assistant - Medical in Brookhaven, GA

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
3369 BUFORD HWY NE, SUITE 810, BROOKHAVEN, GA 30329(404) 321-4692 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Richard Gil Rivera Pa NPPES

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

RICHARD GIL RIVERA PA (NPI 1548226525) is an individual medical provider in Brookhaven, Georgia, licensed in Georgia (3833) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Emory University School Of Medicine (2001).

NPPES Registry Identity

NPI1548226525
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameRICHARD GIL RIVERACredential: PA
Location Address3369 BUFORD HWY NE, SUITE 810Brookhaven, GA 30329-3722
Mailing Address400 Tower Rd Ne Ste 200Marietta, GA 30060-9412 · (770) 422-1372 · Fax (770) 999-2488
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2001
Enumeration DateApril 26, 2006
Last NPPES UpdateOctober 27, 2021
NPPES CertifiedOctober 27, 2021
NPI 1548226525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in GA · 3833
3369 BUFORD HWY NE, Brookhaven, GA 30329

Other Identifiers 1

Other3833GA · License

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

Richard Gil Rivera Pa 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 ID1153355474
PECOS Enrollment IDI20050926000322
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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
38 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Wellstar Douglas Medical Center

Acute Care Hospitals · Douglasville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110184
Location8954 Hospital DriveDouglasville, GA 30134 · Douglas County
Emergency services Birthing friendly

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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

Dentist (General Practice)
3369 BUFORD HWY NE, SUITE 840
ATLANTA, GA 30329
Nurse Practitioner (Family)
3369 BUFORD HWY NE, SUITE 810
ATLANTA, GA 30329
Family Medicine
3369 BUFORD HWY NE, SUITE 810
ATLANTA, GA 30329
Optometrist
3369 BUFORD HWY NE
BROOKHAVEN, GA 30329
Hearing Aid Equipment
3369 BUFORD HWY NE
ATLANTA, GA 30329
Nurse Practitioner (Family)
3369 BUFORD HWY NE
BROOKHAVEN, GA 30329
Chiropractor
3369 BUFORD HWY NE, SUITE 830B
ATLANTA, GA 30329
Family Medicine
3369 BUFORD HWY NE, SUITE 810
ATLANTA, GA 30329

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 Richard Rivera's NPI number?

The NPI number for Richard Rivera is 1548226525. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Richard Rivera located?

Richard Rivera practices at 3369 Buford Hwy NE Suite 810, Brookhaven, GA 30329. The listed phone number is (404) 321-4692.

What is Richard Rivera's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Richard Rivera enrolled in Medicare?

Yes. Richard 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 Richard Rivera accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Richard 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.

Is Richard Rivera affiliated with any hospitals?

According to CMS data, Richard Rivera is affiliated with Wellstar Kennestone Regional Medical Center, Wellstar Cobb Medical Center and Wellstar Douglas Medical Center.

When was this NPI record last updated?

The NPPES record for Richard Rivera was last updated on October 27, 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.