RAFAEL RIVERA-RIVERA MD
NPI 1669432209
Internal Medicine - Critical Care Medicine in Wichita Falls, TX

Q: What is Rafael Rivera-rivera's NPI number?

The NPI number for Rafael Rivera-rivera is 1669432209. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Q: What is Rafael Rivera-rivera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Active since March 27, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1208 BROOK AVE, WICHITA FALLS, TX 76301(940) 322-4480(940) 322-8420 Get Directions Write a Review

NPPES record last updated: March 6, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Rafael Rivera-rivera Md NPPES

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

RAFAEL RIVERA-RIVERA MD (NPI 1669432209) is an individual critical care medicine provider in Wichita Falls, Texas, licensed in Texas (J3890) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with United Regional Health Care System, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1669432209

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameRAFAEL RIVERA-RIVERACredential: MD

Location Address1208 BROOK AVEWichita Falls, TX 76301-5602

Mailing Address1208 Brook AveWichita Falls, TX 76301-5602 · (940) 322-4480 · Fax (940) 322-8420

Phone(940) 322-4480

Fax(940) 322-8420

Sole ProprietorYes

Medical School CMSOtherGraduated 1988

Enumeration DateMarch 27, 2006

Last NPPES UpdateMarch 6, 2014

✔ NPI 1669432209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in TX · J3890

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License J3890 (TX)

1208 BROOK AVE, Wichita Falls, TX 76301

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Other Identifiers 2

Medicare PIN00102DTX

Medicaid096321701TX

Accepted Insurance

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

Rafael Rivera-rivera Md 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 ID1456368794

PECOS Enrollment IDI20071115000600

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 19

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.

431 services276 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.

417 services192 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.

199 services104 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.

166 services116 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

91 services91 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.

89 services89 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

87 services87 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

86 services16 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.

86 services60 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.

50 services50 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.

48 services46 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

44 services44 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

44 services41 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.

32 services32 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.

31 services31 patients

Test to determine lung volumes using sensors 94726

25 services25 patients

Test to examine how well the lungs exchange gases 94729

25 services25 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

17 services17 patients

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

16 services16 patients

Hospital Affiliations CMS Care Compare

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

United Regional Health Care System

Acute Care Hospitals · Wichita Falls, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450010

Location1600 11th StreetWichita Falls, TX 76301 · Wichita County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76301 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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 31

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers28 claims28 services$38.03 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

6 suppliers55 claims123 services$1.51 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

3 suppliers12 claims12 services$13.68 avg. paid by Medicare

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

DME-Other DME · category DE001N

8 suppliers68 claims68 services$94.04 avg. paid by Medicare

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

DME-Other DME · category DE001N

9 suppliers71 claims175 services$35.51 avg. paid by Medicare

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

DME-Other DME · category DE001N

4 suppliers13 claims70 services$22.07 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

4 suppliers16 claims16 services$65.31 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

7 suppliers49 claims49 services$18.82 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

7 suppliers50 claims50 services$15.90 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

7 suppliers71 claims344 services$2.35 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

6 suppliers34 claims34 services$6.77 avg. paid by Medicare

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

DME-Other DME · category DE001N

5 suppliers31 claims31 services$11.74 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 suppliers111 claims112 services$17.93 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

2 suppliers25 claims25 services$38.03 avg. paid by Medicare

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

DME-Other DME · category DE005N

3 suppliers25 claims25 services$915.20 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

4 suppliers24 claims24 services$93.79 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

1 supplier54 claims54 services$826.03 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier12 claims13 services$15.68 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers38 claims38 services$5.29 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers13 claims13 services$42.99 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

8 suppliers289 claims292 services$87.59 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

3 suppliers28 claims28 services$32.46 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

5 suppliers62 claims3,720 services$4.23 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

4 suppliers14 claims720 services$6.45 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 suppliers46 claims10,207 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

6 suppliers22 claims3,450 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

9 suppliers87 claims5,406 services$0.80 avg. paid by Medicare

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644

DME-Drugs Administered Through DME · category DG006N

3 suppliers15 claims520 services$0.15 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

6 suppliers53 claims278,250 services$0.15 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

3 suppliers37 claims37 services$24.95 avg. paid by Medicare

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

DME-Other DME · category DE000N

16 suppliers167 claims167 services$25.89 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 10

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

JORDAN MATTHEW TERASAKI M.D.

Internal Medicine (Pulmonary Disease)

1208 BROOK AVE
WICHITA FALLS, TX 76301

Wichita County (940) 322-4480

SATISH CHADA M.D.

Internal Medicine (Critical Care Medicine)

1208 BROOK AVE
WICHITA FALLS, TX 76301

Wichita County (940) 322-4480

DR. DANIEL HUFFMAN BOLIN M.D.

Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)

1208 BROOK AVE
WICHITA FALLS, TX 76301

Wichita County (940) 761-3333

DURE FERNANDEZ MD LLC

Internal Medicine (Critical Care Medicine)

1208 BROOK AVE
WICHITA FALLS, TX 76301

Wichita County (940) 322-4480

DANIEL HUFFMAN BOLIN

Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)

1208 BROOK AVE
WICHITA FALLS, TX 76301

Wichita County (940) 761-3333

PULMONARY SERVICES OF NORTH TEXAS PLLC

Internal Medicine (Critical Care Medicine)

1208 BROOK AVE
WICHITA FALLS, TX 76301

Wichita County (940) 322-4480

JOSHUA BRIGGS MSN

Nurse Practitioner (Family)

1208 BROOK AVE
WICHITA FALLS, TX 76301

Wichita County (940) 322-4480

BREION TAFOYA DO PLLC

Internal Medicine (Pulmonary Disease)

1208 BROOK AVE
WICHITA FALLS, TX 76301

Wichita County (940) 322-4480

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 Rafael Rivera-rivera's NPI number?

The NPI number for Rafael Rivera-rivera is 1669432209. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Rafael Rivera-rivera located?

Rafael Rivera-rivera practices at 1208 Brook Ave, Wichita Falls, TX 76301. The listed phone number is (940) 322-4480.

What is Rafael Rivera-rivera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Rafael Rivera-rivera enrolled in Medicare?

Yes. Rafael 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 Rafael Rivera-rivera accept?

Health plans from Blue Cross and Blue Shield of Texas list Rafael 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 Rafael Rivera-rivera affiliated with any hospitals?

According to CMS data, Rafael Rivera-rivera is affiliated with United Regional Health Care System.

When was this NPI record last updated?

The NPPES record for Rafael Rivera-rivera was last updated on March 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.