DR. JUAN RIVERA M.D.
NPI 1629023965
Internal Medicine - Pulmonary Disease in Mcallen, TX

Q: What is Juan Rivera's NPI number?

The NPI number for Juan Rivera is 1629023965. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Q: What is Juan Rivera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Juan Rivera was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 24, 2006PECOS EnrolledAccepts Medicare Assignment

1200 E SAVANNAH AVE STE 16, MCALLEN, TX 78503(956) 631-3344(956) 631-3881 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 27, 2024, Jul 10, 2024, Jul 8, 2021 (3 updates tracked since 2021).

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About Dr. Juan Rivera M.d. NPPES

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

DR. JUAN RIVERA M.D. (NPI 1629023965) is an individual pulmonary disease provider in Mcallen, Texas, licensed in Texas (K0173) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1629023965

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. JUAN RIVERACredential: M.D.

Location Address1200 E SAVANNAH AVE STE 16Mcallen, TX 78503-1728

Mailing Address1200 E Savannah Ste 16Mcallen, TX 78503 · (956) 631-3344 · Fax (956) 631-3881

Phone(956) 631-3344

Fax(956) 631-3881

Sole ProprietorNo

Medical School CMSOtherGraduated 1984

Enumeration DateMay 24, 2006

Last NPPES UpdateSeptember 27, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2024

✔ NPI 1629023965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in TX · K0173

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

1200 E SAVANNAH AVE STE 16, Mcallen, TX 78503

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Other Identifiers 1

Medicaid096886904TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Juan 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 ID1456243112

PECOS Enrollment IDI20040326001158

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.

Medicare Billing Reassignment

Medicare enrollment records show Juan Rivera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Valley Pulmonary Group, PLLC

Same address

Pulmonary Disease

1200 E SAVANNAH AVE STE 16
Mcallen, TX 78503

Reassigned Medicare billing, Texas enrollment
5 clinicians in this Medicare group

NPI 1952497398 (956) 631-3344

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

195 services116 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.

40 services40 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

35 services35 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

32 services32 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

29 services29 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

South Texas Health System

Acute Care Hospitals · Edinburg, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450119

Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County

Emergency services Birthing friendly

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX

3/5 CMS rating

OwnershipPhysician

CMS Certification Number450869

Location5501 South MccollEdinburg, TX 78539 · Hidalgo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78503 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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%299 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.

Referred Medical Equipment & Supplies CMS DME claims 21

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

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

7 suppliers43 claims43 services$86.89 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

4 suppliers44 claims106 services$31.72 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

3 suppliers17 claims68 services$18.66 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

5 suppliers26 claims26 services$53.04 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

8 suppliers42 claims42 services$17.26 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

9 suppliers61 claims61 services$13.55 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

8 suppliers77 claims345 services$2.16 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

3 suppliers25 claims25 services$11.07 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers86 claims88 services$17.29 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers40 claims40 services$911.35 avg. paid by Medicare

High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483

DME-Other DME · category DE000N

2 suppliers53 claims53 services$844.02 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

3 suppliers74 claims75 services$12.00 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

9 suppliers56 claims67 services$4.05 avg. paid by Medicare

Respiratory suction pump, home model, portable or stationary, electric E0600

DME-Other DME · category DE000N

1 supplier11 claims13 services$38.18 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers82 claims83 services$32.50 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers118 claims120 services$83.27 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

3 suppliers14 claims14 services$32.85 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

8 suppliers15 claims3,288 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

9 suppliers17 claims1,330 services$0.08 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier21 claims21 services$25.66 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

15 suppliers25 claims25 services$21.99 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

MIGUEL E MORILLA HOLGUIN MD

Internal Medicine (Infectious Disease)

1200 E SAVANNAH AVE STE 16
MCALLEN, TX 78503

Hidalgo County (956) 631-3344

POTENCIANO R GARCIA JR. M.D.

Internal Medicine (Pulmonary Disease)

1200 E SAVANNAH AVE STE 16
MCALLEN, TX 78503

Hidalgo County (956) 631-3344

VALLEY PULMONARY GROUP, PLLC

Internal Medicine (Pulmonary Disease)

1200 E SAVANNAH AVE STE 16
MCALLEN, TX 78503

Hidalgo County (956) 631-3344

SARA IZAMAR PEREZ

Physician Assistant

1200 E SAVANNAH AVE STE 16
MCALLEN, TX 78503

Hidalgo County (956) 631-3344

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 Juan Rivera's NPI number?

The NPI number for Juan Rivera is 1629023965. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Juan Rivera located?

Juan Rivera practices at 1200 E Savannah Ave Ste 16, Mcallen, TX 78503. The listed phone number is (956) 631-3344.

What is Juan Rivera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Juan Rivera enrolled in Medicare?

Yes. Juan 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.

Which organization bills Medicare for Juan Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Rivera reassigns Medicare benefits to Valley Pulmonary Group, PLLC (Mcallen, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Juan Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Juan Rivera accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Juan 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 Juan Rivera affiliated with any hospitals?

According to CMS data, Juan Rivera is affiliated with South Texas Health System and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Juan Rivera was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.