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OMAR RIVERA-RIVERA M.D.
NPI 1649547712
Family Medicine in Mayaguez, PR

Active since November 17, 2011PECOS EnrolledAccepts Medicare Assignment
79.52/100
CMS Quality Rating
349 AVE HOSTOS, MEDICAL EMPORIUM 2 SUITE 29A, MAYAGUEZ, PR 00680(787) 552-2148 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2021, Mar 30, 2017, Mar 13, 2017 (3 updates tracked since 2017).

About Omar Rivera-rivera M.d. NPPES

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

OMAR RIVERA-RIVERA M.D. (NPI 1649547712) is an individual family medicine provider in Mayaguez, Puerto Rico, licensed in Puerto Rico (19269) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS, is affiliated with Deaconess Hospital Inc, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1649547712
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameOMAR RIVERA-RIVERACredential: M.D.
Location Address349 AVE HOSTOS, MEDICAL EMPORIUM 2 SUITE 29AMayaguez, PR 00680-1509
Mailing Address349 Ave Hostos, Medical Emporium 2 Suite 29aMayaguez, PR 00680-1509 · (787) 690-2157
Phone(787) 552-2148
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 17, 2011
Last NPPES UpdateJune 2, 20213 updates tracked since enumeration
NPPES CertifiedJune 2, 2021
✔ NPI 1649547712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PR · 19269
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License 01079100A (IN)

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Omar Rivera-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 ID8820365133
PECOS Enrollment IDI20170919000578
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 5

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.

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.
597 services185 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
228 services224 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
151 services68 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
105 services104 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
100 services44 patients

Hospital Affiliations CMS Care Compare

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

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00680 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
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
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.

79.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability100
Improvement Activities40
Cost50.9

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers29 claims29 services$17.94 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers39 claims39 services$7.11 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
3 suppliers33 claims33 services$96.93 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 5

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

DR. ASHWIN V. DESHMUKH MD
Orthopaedic Surgery
349 AVE HOSTOS
MAYAGUEZ, PR 00680
Mayagüez Municipio (310) 274-1926
DR. TRINA PEARL STELJES MD
Surgery
349 AVE HOSTOS, MEDICAL EMPORIUM II A-24
MAYAGUEZ, PR 00680
Mayagüez Municipio (787) 834-7740
JEAN PIERRE CARRASQUILLO
Surgery
349 AVE HOSTOS, MEDICAL EMPORIUM II SUITE A-29
MAYAGUEZ, PR 00680
Mayagüez Municipio (787) 690-2157
LAURA MATA BALDERAS M.D.
Family Medicine
349 AVE HOSTOS, MEDICAL EMPORIUM II SUITE A29
MAYAGUEZ, PR 00680
Mayagüez Municipio (787) 690-2157
CENTRO QUIROPRACTICO DE MAYAGUEZ, CSP
Chiropractor
349 AVE HOSTOS, MEDICAL EMPORIUM II, SUITE A33
MAYAGUEZ, PR 00680
Mayagüez Municipio (787) 265-4477

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 Omar Rivera-rivera's NPI number?

The NPI number for Omar Rivera-rivera is 1649547712. It was assigned to this individual provider in the NPPES registry on November 17, 2011.

Where is Omar Rivera-rivera located?

Omar Rivera-rivera practices at 349 Ave Hostos Medical Emporium 2 Suite 29A, Mayaguez, PR 00680. The listed phone number is (787) 552-2148.

What is Omar Rivera-rivera's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Omar Rivera-rivera enrolled in Medicare?

Yes. Omar Rivera-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 Omar Rivera-rivera accept?

Health plans from CareSource list Omar Rivera-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 Omar Rivera-rivera affiliated with any hospitals?

According to CMS data, Omar Rivera-rivera is affiliated with Deaconess Hospital Inc.

When was this NPI record last updated?

The NPPES record for Omar Rivera-rivera was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.