CARLA RIVERA Y PIEROLA MD
NPI 1841496692
Family Medicine in Madisonville, KY
About Carla Rivera Y Pierola Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLA RIVERA Y PIEROLA MD (NPI 1841496692) is an individual family medicine provider in Madisonville, Kentucky, licensed in Kentucky (41994) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Uf Health Leesburg Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Other Identifiers 1
Accepted 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
Carla Rivera Y Pierola 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.
Medicare Billing Reassignments
21Medicare enrollment records show Carla Rivera Y Pierola reassigns Medicare billing to 21 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Calvert City, KY 42029
- Reassigned Medicare billing, Kentucky enrollment
- 1,441 clinicians in this Medicare group
Martin, KY 41649
- Reassigned Medicare billing, Kentucky enrollment
- 26 clinicians in this Medicare group
Perry, FL 32347
- Reassigned Medicare billing, Florida enrollment
- 23 clinicians in this Medicare group
Orlando, FL 32828
- Reassigned Medicare billing, Florida enrollment
- 133 clinicians in this Medicare group
Leitchfield, KY 42754
- Reassigned Medicare billing, Kentucky enrollment
- 107 clinicians in this Medicare group
Wellington, FL 33414
- Reassigned Medicare billing, Florida enrollment
- 138 clinicians in this Medicare group
Aventura, FL 33180
- Reassigned Medicare billing, Florida enrollment
- 1,912 clinicians in this Medicare group
Prattville, AL 36067
- Reassigned Medicare billing, Alabama enrollment
- 223 clinicians in this Medicare group
Vero Beach, FL 32966
- Reassigned Medicare billing, Florida enrollment
- 160 clinicians in this Medicare group
Delray Beach, FL 33484
- Reassigned Medicare billing, Florida enrollment
- 527 clinicians in this Medicare group
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 4
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Uf Health Leesburg Hospital
Acute Care Hospitals · Leesburg, FLHca Florida Raulerson Hospital
Acute Care Hospitals · Okeechobee, FLBaptist Health Corbin
Acute Care Hospitals · Corbin, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 42431 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
MADISONVILLE, KY 42431
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 Carla Rivera Y Pierola's NPI number?
The NPI number for Carla Rivera Y Pierola is 1841496692. It was assigned to this individual provider in the NPPES registry on June 26, 2007.
Where is Carla Rivera Y Pierola located?
Carla Rivera Y Pierola practices at 200 Clinic Dr, Madisonville, KY 42431. The listed phone number is (270) 825-7200.
What is Carla Rivera Y Pierola's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Carla Rivera Y Pierola enrolled in Medicare?
Yes. Carla Rivera Y Pierola 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 Carla Rivera Y Pierola's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carla Rivera Y Pierola reassigns Medicare benefits to 21 organizations: Baptist Health Medical Group Inc (Calvert City, KY), Beaver Creek Emergency Group LLC (Martin, KY), Bittern Emergency Physicians, LLC (Perry, FL), Carespot Of Orlando Hsi Urgent Care LLC (Orlando, FL), Concord Company Of Tennessee PLLC (Leitchfield, KY) and 16 more organizations, listed in the Medicare section above. 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 Carla Rivera Y Pierola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carla Rivera Y Pierola accept?
Health plans from Blue Cross and Blue Shield of Alabama and Oscar Health Maintenance Organization of Florida list Carla Rivera Y Pierola 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 Carla Rivera Y Pierola affiliated with any hospitals?
According to CMS data, Carla Rivera Y Pierola is affiliated with Uf Health Leesburg Hospital, Hca Florida Raulerson Hospital and Baptist Health Corbin.
When was this NPI record last updated?
The NPPES record for Carla Rivera Y Pierola was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Carla Rivera Y Pierola, MD · NPI 1841496692
Family Medicine physician in Madisonville, Kentucky. Individual provider, active in the CMS NPPES registry since June 26, 2007.
## Identity
- **NPI:** 1841496692 (Entity type: Individual)
- **Enumerated:** June 26, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 41994 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 CLINIC DR, Madisonville, KY 42431-1661
- **Phone:** (270) 825-7200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 21 organizations under Medicare reassignment (form CMS-855R): Baptist Health Medical Group Inc (NPI 1003384694, Calvert City, KY); Beaver Creek Emergency Group LLC (NPI 1689165904, Martin, KY); Bittern Emergency Physicians, LLC (NPI 1003487380, Perry, FL); Carespot Of Orlando Hsi Urgent Care LLC (NPI 1306367503, Orlando, FL); Concord Company Of Tennessee PLLC (NPI 1649743667, Leitchfield, KY); and 16 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** September 9, 2025
- **Other identifiers:** Medicaid 7100053590 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1841496692) · Data from the CMS NPPES public registry.