CARLA RIVERA Y PIEROLA MD
NPI 1841496692
Family Medicine in Madisonville, KY

Active since June 26, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
200 CLINIC DR, MADISONVILLE, KY 42431(270) 825-7200 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1841496692
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCARLA RIVERA Y PIEROLACredential: MD
Location Address200 CLINIC DRMadisonville, KY 42431-1661
Mailing Address200 Clinic DrMadisonville, KY 42431-1661 · (270) 825-7200
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 26, 2007
Last NPPES UpdateSeptember 9, 2025
NPPES CertifiedSeptember 9, 2025
NPI 1841496692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 41994
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 ListedEmergency MedicineTaxonomy 207P00000X · License 41994 (KY), ME111032 (FL)
Also ListedInternal MedicineTaxonomy 207R00000X · License ME111032 (FL)

Secondary Practice Locations 2

Location 117021 US Highway 441Mount Dora, FL 32757-6734 · Phone (352) 265-5911 · Fax (352) 265-5606
Location 2600 E Dixie AveLeesburg, FL 34748-5925 · Phone (352) 265-5911 · Fax (352) 265-5606

Other Identifiers 1

Medicaid7100053590KY

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

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.

PECOS PAC ID1557438280
PECOS Enrollment IDI20151001000588, I20251011000313, I20260508000023
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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
149 services149 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
83 services83 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services15 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.
12 services12 patients

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, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100084
Location600 E Dixie AveLeesburg, FL 34748 · Lake County
Emergency services Birthing friendly

Hca Florida Raulerson Hospital

Acute Care Hospitals · Okeechobee, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100252
Location1796 Hwy 441 NorthOkeechobee, FL 34972 · Okeechobee County

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Physician 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.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

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.

Case Manager/Care Coordinator
200 CLINIC DR
MADISONVILLE, KY 42431
Family Medicine
200 CLINIC DR
MADISONVILLE, KY 42431
Psychiatry & Neurology (Neurology)
200 CLINIC DR
MADISONVILLE, KY 42431
Internal Medicine (Nephrology)
200 CLINIC DR
MADISONVILLE, KY 42431
Orthopaedic Surgery
200 CLINIC DR
MADISONVILLE, KY 42431
Family Medicine
200 CLINIC DR
MADISONVILLE, KY 42431
Counselor
200 CLINIC DR
MADISONVILLE, KY 42431
200 CLINIC DR
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.

What insurance does Carla Rivera Y Pierola accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company 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 10 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.