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HECTOR FABIO RIVERA M.D.
NPI 1609194265
Internal Medicine - Interventional Cardiology in North Miami Beach, FL

Active since May 06, 2010PECOS EnrolledAccepts Medicare Assignment
87.41/100
CMS Quality Rating
NORTH PARK PROFESSIONAL BUILDING, 100 NW 170TH STREET SUITE 410, NORTH MIAMI BEACH, FL 33169(305) 654-6850(305) 654-6858 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2022, Nov 3, 2020 (2 updates tracked since 2020).

About Hector Fabio Rivera M.d. NPPES

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

HECTOR FABIO RIVERA M.D. (NPI 1609194265) is an individual interventional cardiology provider in North Miami Beach, Florida, licensed in Florida (ME118541) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1609194265
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameHECTOR FABIO RIVERACredential: M.D.
Location AddressNORTH PARK PROFESSIONAL BUILDING, 100 NW 170TH STREET SUITE 410North Miami Beach, FL 33169
Mailing Address1611 Nw 12th AveMiami, FL 33136-1005 · (305) 439-6933
Phone(305) 654-6850
Fax(305) 654-6858
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 6, 2010
Last NPPES UpdateOctober 11, 20222 updates tracked since enumeration
NPPES CertifiedOctober 6, 2022
✔ NPI 1609194265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in FL · ME118541
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME118541 (FL)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License ME118541 (FL)
NORTH PARK PROFESSIONAL BUILDING, North Miami Beach, FL 33169
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Secondary Practice Location 1

Location 11611 NW 12th AveMiami, FL 33136-1005 · Phone (305) 585-5215

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Hector Fabio Rivera 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 ID6709009350
PECOS Enrollment IDI20220816003703
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 11

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
267 services261 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
84 services54 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
82 services76 patients
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.
51 services34 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.
37 services20 patients
Ultrasound of heart with color-depicted blood flow, rate and valve function 93325
An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.
31 services29 patients

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33169 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

87.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.73
Improvement Activities40
Cost60.03

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 Hector Rivera's NPI number?

The NPI number for Hector Rivera is 1609194265. It was assigned to this individual provider in the NPPES registry on May 6, 2010.

Where is Hector Rivera located?

Hector Rivera practices at North Park Professional Building 100 NW 170th Street Suite 410, North Miami Beach, FL 33169. The listed phone number is (305) 654-6850.

What is Hector Rivera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Hector Rivera enrolled in Medicare?

Yes. Hector 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 Hector Rivera accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 6 other insurers list Hector 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 Hector Rivera affiliated with any hospitals?

According to CMS data, Hector Rivera is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Hector Rivera was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.