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DR. EDWIN GABRIEL OTERO RIVERA MD, MPH
NPI 1740704303
Hospitalist in San Antonio, TX

Active since July 26, 2017PECOS EnrolledAccepts Medicare Assignment
1310 MCCULLOUGH AVE, SAN ANTONIO, TX 78212(210) 428-5908 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 20, 2024, Mar 4, 2023, May 21, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Edwin Gabriel Otero Rivera Md, Mph NPPES

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

DR. EDWIN GABRIEL OTERO RIVERA MD, MPH (NPI 1740704303) is an individual hospitalist provider in San Antonio, Texas, licensed in Texas (S6471) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1740704303
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. EDWIN GABRIEL OTERO RIVERACredential: MD, MPH
Location Address1310 MCCULLOUGH AVESan Antonio, TX 78212-5601
Mailing AddressPo Box 857Punta Santiago, PR 00741-0857 · (787) 559-3680
Phone(210) 428-5908
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 26, 2017
Last NPPES UpdateSeptember 20, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
✔ NPI 1740704303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TX · S6471
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1310 MCCULLOUGH AVE, San Antonio, TX 78212
Open in Google Maps ↗

Secondary Practice Location 1

Location 11945 Lockhill Selma Rd Ste 204San Antonio, TX 78213-1554 · Phone (210) 464-6426

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company and more.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. Edwin Gabriel Otero Rivera Md, Mph 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 ID4789002163
PECOS Enrollment IDI20200916003231
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 Reassignments

3

Medicare enrollment records show Edwin Otero Rivera reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospital Medicine Services Of Tx, PLLC
6.7 mi
Hospitalist
7700 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 681 clinicians in this Medicare group
NPI 1881392363 (210) 575-4000
Inpatient Progressive Health Of America, PLLC
10 mi
Hospitalist
16620 N US HIGHWAY 281 STE 300
San Antonio, TX 78232
  • Reassigned Medicare billing, Texas enrollment
  • 84 clinicians in this Medicare group
NPI 1417321076 (210) 871-4701
Usacs Integrated Acute Care Services Of Texas, PLLC
85 mi
Internal Medicine
1401 MEDICAL PKWY
Cedar Park, TX 78613
  • Reassigned Medicare billing, Texas enrollment
  • 828 clinicians in this Medicare group
NPI 1801300322 (330) 493-4443

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 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 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.
207 services109 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.
156 services76 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.
78 services78 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.
36 services35 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
33 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Methodist Hospital Stone Oak

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670055
Location1139 E Sonterra Blvd,San Antonio, TX 78258 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78212 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.

Other Providers at the Same Location NPPES 20

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

VICTOR MANUEL GONZALEZ VAZQUEZ
Emergency Medicine
1310 MCCULLOUGH AVE
SAN ANTONIO, TX 78212
Bexar County (210) 575-2200
INPATIENT CARE OF SOUTH TEXAS PLLC
Hospitalist
1310 MCCULLOUGH AVE
SAN ANTONIO, TX 78212
Bexar County (210) 837-4628
JERODINE N MUKWEYI
Physical Therapist
1310 MCCULLOUGH AVE
SAN ANTONIO, TX 78212
Bexar County (210) 757-2278
MEREET SALMAN FNP-C
Nurse Practitioner (Family)
1310 MCCULLOUGH AVE
SAN ANTONIO, TX 78212
Bexar County (210) 757-2200
SHEARER HILLS INPATIENT SERVICES PLLC
Hospitalist
1310 MCCULLOUGH AVE
SAN ANTONIO, TX 78212
Bexar County (469) 401-2386
ERIC PFISTER
Physician Assistant
1310 MCCULLOUGH AVE
SAN ANTONIO, TX 78212
Bexar County (210) 757-2200
MR. MATTHEW RYAN ROSSOMANDO PA-C
Physician Assistant
1310 MCCULLOUGH AVE
SAN ANTONIO, TX 78212
Bexar County (210) 757-2200
DR. AAMIR JALIL SIDDIQI M.D.
Psychiatry & Neurology (Neurology)
1310 MCCULLOUGH AVE
SAN ANTONIO, TX 78212
Bexar County (210) 575-6168

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 Edwin Otero Rivera's NPI number?

The NPI number for Edwin Otero Rivera is 1740704303. It was assigned to this individual provider in the NPPES registry on July 26, 2017.

Where is Edwin Otero Rivera located?

Edwin Otero Rivera practices at 1310 Mccullough Ave, San Antonio, TX 78212. The listed phone number is (210) 428-5908.

What is Edwin Otero Rivera's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Edwin Otero Rivera enrolled in Medicare?

Yes. Edwin Otero 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 organizations bill Medicare for Edwin Otero Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edwin Otero Rivera reassigns Medicare benefits to 3 organizations: Hospital Medicine Services Of Tx, PLLC (San Antonio, TX), Inpatient Progressive Health Of America, PLLC (San Antonio, TX) and Usacs Integrated Acute Care Services Of Texas, PLLC (Cedar Park, TX). Each 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 Edwin Otero Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edwin Otero Rivera accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit and UnitedHealthcare and 1 other insurer list Edwin Otero 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 Edwin Otero Rivera affiliated with any hospitals?

According to CMS data, Edwin Otero Rivera is affiliated with Baptist Medical Center, Methodist Hospital and Methodist Hospital Stone Oak.

When was this NPI record last updated?

The NPPES record for Edwin Otero Rivera was last updated on September 20, 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.