WILFREDO RIVERA-ORTIZ M.D.
NPI 1629045216
Obstetrics & Gynecology in Bradenton, FL

Active since March 02, 2006PECOS EnrolledAccepts Medicare Assignment
92.61/100
CMS Quality Rating
2318 MANATEE AVE W, BRADENTON, FL 34205(941) 714-7150(941) 741-3242 Get Directions Write a Review

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wilfredo Rivera-ortiz M.d. NPPES

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

WILFREDO RIVERA-ORTIZ M.D. (NPI 1629045216) is an individual obstetrics & gynecology provider in Bradenton, Florida, licensed in Florida (ME64315) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1629045216
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameWILFREDO RIVERA-ORTIZCredential: M.D.
Location Address2318 MANATEE AVE WBradenton, FL 34205-5432
Mailing Address700 8th Ave W, Ste 101Palmetto, FL 34221-4737 · (941) 776-4008 · Fax (941) 845-4963
Fax(941) 741-3242
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateMarch 2, 2006
Last NPPES UpdateMarch 24, 2017
NPI 1629045216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in FL · ME64315
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2318 MANATEE AVE W, Bradenton, FL 34205

Other Identifiers 12

Other23697FL · Bcbs
Other191968FL · Amerigroup
Other00449FL · Universal
OtherP00017941FL · Railroad
Medicaid373435800FL
Other149290FL · Wellcare
Other1755356FL · Medicare Complete
OtherP102212FL · Freedom Health
Medicare UPINF47288FL
Medicare ID-Type Unspecified23697XFL
Other00449FL · Universal Medicare Masterpiece
Other584178469FL · Tricare

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

Wilfredo Rivera-ortiz 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 ID1456487297
PECOS Enrollment IDI20100331000176
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34205 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

92.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.01
Promoting Interoperability100
Improvement Activities40
Cost66.14

Reported Quality Measures

Breast Cancer Screening
78%546 patients4/55-star benchmark: 93%
Cervical Cancer Screening
96%3,194 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
48%27 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
47%885 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
68%522 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
58%310 patients3/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
31%310 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%6,929 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
51%76 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
86%3,003 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
84%3,903 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
51%5,967 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 89% · 3,774 patients
Patients screened: 90% · 3,774 patients
87%352 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
69%430 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 89 patients
Patients totalRate: 16% · 90 patients
16%90 patients3/55-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 14

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

Nurse Practitioner (Family)
2318 MANATEE AVE W
BRADENTON, FL 34205
Obstetrics & Gynecology
2318 MANATEE AVE W
BRADENTON, FL 34205
Obstetrics & Gynecology
2318 MANATEE AVE W
BRADENTON, FL 34205
Advanced Practice Midwife
2318 MANATEE AVE W
BRADENTON, FL 34205
Obstetrics & Gynecology
2318 MANATEE AVE W
BRADENTON, FL 34205
Family Medicine
2318 MANATEE AVE W
BRADENTON, FL 34205
Obstetrics & Gynecology
2318 MANATEE AVE W
BRADENTON, FL 34205
Clinic/Center (Federally Qualified Health Center (FQHC))
2318 MANATEE AVE W
BRADENTON, FL 34205

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 Wilfredo Rivera-ortiz's NPI number?

The NPI number for Wilfredo Rivera-ortiz is 1629045216. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Wilfredo Rivera-ortiz located?

Wilfredo Rivera-ortiz practices at 2318 Manatee Ave W, Bradenton, FL 34205. The listed phone number is (941) 714-7150.

What is Wilfredo Rivera-ortiz's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Wilfredo Rivera-ortiz enrolled in Medicare?

Yes. Wilfredo Rivera-ortiz 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 Wilfredo Rivera-ortiz accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Wilfredo Rivera-ortiz 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 Wilfredo Rivera-ortiz was last updated on March 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.