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DR. RICHARD D RIVERO MD
NPI 1861468480
Internal Medicine in Wichita, KS

Active since February 24, 2006PECOS EnrolledAccepts Medicare Assignment
77.53/100
CMS Quality Rating
3351 NORTH WEBB ROAD, WICHITA, KS 67226(316) 393-9933(316) 462-0750 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Richard D Rivero Md NPPES

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

DR. RICHARD D RIVERO MD (NPI 1861468480) is an individual internal medicine provider in Wichita, Kansas, licensed in Kansas (04-30387) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Wesley Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1861468480
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RICHARD D RIVEROCredential: MD
Location Address3351 NORTH WEBB ROADWichita, KS 67226
Mailing Address3351 North Webb RoadWichita, KS 67226 · (316) 393-9933 · Fax (316) 462-0750
Phone(316) 393-9933
Fax(316) 462-0750
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateFebruary 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1861468480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KS · 04-30387
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3351 NORTH WEBB ROAD, Wichita, KS 67226
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Other Identifiers 2

Medicare UPINH94980KS
Medicare ID-Type Unspecified104649KS

Accepted Insurance

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

Dr. Richard D Rivero 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 ID7911972625
PECOS Enrollment IDI20040826001254
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.

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.
684 services245 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.
176 services172 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.
143 services55 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.
131 services130 patients

Hospital Affiliations CMS Care Compare 2

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

Wesley Medical Center

Acute Care Hospitals · Wichita, KS
5/5 CMS rating
OwnershipProprietary
CMS Certification Number170123
Location550 N Hillside StreetWichita, KS 67214 · Sedgwick County
Emergency services Birthing friendly

William Newton Hospital

Critical Access Hospitals · Winfield, KS
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number171383
Location1300 East Fifth AvenueWinfield, KS 67156 · Cowley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67226 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

77.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.73
Promoting Interoperability100
Improvement Activities40
Cost52.39

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%298 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 suppliers17 claims17 services$15.73 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$884.60 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
2 suppliers19 claims19 services$67.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Richard Rivero's NPI number?

The NPI number for Richard Rivero is 1861468480. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Richard Rivero located?

Richard Rivero practices at 3351 North Webb Road, Wichita, KS 67226. The listed phone number is (316) 393-9933.

What is Richard Rivero's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Richard Rivero enrolled in Medicare?

Yes. Richard Rivero 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 Richard Rivero accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Richard Rivero 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 Richard Rivero affiliated with any hospitals?

According to CMS data, Richard Rivero is affiliated with Wesley Medical Center and William Newton Hospital.

When was this NPI record last updated?

The NPPES record for Richard Rivero was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.