ALAN LEN RIVERA M.D.
NPI 1871569665
Internal Medicine in Wauseon, OH

Active since February 23, 2006PECOS EnrolledAccepts Medicare Assignment
735 S SHOOP AVE, WAUSEON, OH 43567(419) 335-3242(419) 335-3222 Get Directions Write a Review

NPPES record last updated: September 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alan Len Rivera M.d. NPPES

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

ALAN LEN RIVERA M.D. (NPI 1871569665) is an individual internal medicine provider in Wauseon, Ohio, licensed in Ohio (35.078607) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Elbert Memorial Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1871569665
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameALAN LEN RIVERACredential: M.D.
Location Address735 S SHOOP AVEWauseon, OH 43567-1735
Mailing Address735 S Shoop AveWauseon, OH 43567-1735 · (419) 335-3242 · Fax (419) 335-3222
Fax(419) 335-3222
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateFebruary 23, 2006
Last NPPES UpdateSeptember 28, 2016
NPI 1871569665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in OH · 35.078607 Licensed in GA · 057245
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.
Also ListedHospitalistTaxonomy 208M00000X · License 35.078607 (OH)
735 S SHOOP AVE, Wauseon, OH 43567

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

Alan Len Rivera M.d. 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 ID9739185687
PECOS Enrollment IDI20220729000151
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

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
20 services16 patients

Hospital Affiliations CMS Care Compare

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

Elbert Memorial Hospital

Critical Access Hospitals · Elberton, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111337
Location4 Medical DriveElberton, GA 30635 · Elbert County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43567 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers22 claims62 services$5.63 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers13 claims15 services$1.09 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
1 supplier12 claims12 services$12.58 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 suppliers23 claims23 services$86.35 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
1 supplier11 claims1,320 services$0.08 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
1 supplier11 claims660 services$0.69 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 20

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

Nurse Practitioner (Family)
735 S SHOOP AVE
WAUSEON, OH 43567
Physician Assistant
735 S SHOOP AVE
WAUSEON, OH 43567
Family Medicine
735 S SHOOP AVE
WAUSEON, OH 43567
Family Medicine
735 S SHOOP AVE
WAUSEON, OH 43567
Nurse Practitioner (Family)
735 S SHOOP AVE
WAUSEON, OH 43567
Nurse Practitioner (Family)
735 S SHOOP AVE
WAUSEON, OH 43567
Nurse Practitioner (Family)
735 S SHOOP AVE
WAUSEON, OH 43567
Physician Assistant (Medical)
735 S SHOOP AVE
WAUSEON, OH 43567

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 Alan Rivera's NPI number?

The NPI number for Alan Rivera is 1871569665. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Alan Rivera located?

Alan Rivera practices at 735 S Shoop Ave, Wauseon, OH 43567. The listed phone number is (419) 335-3242.

What is Alan Rivera's specialty?

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

Is Alan Rivera enrolled in Medicare?

Yes. Alan 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 Alan Rivera accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Alan 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 Alan Rivera affiliated with any hospitals?

According to CMS data, Alan Rivera is affiliated with Elbert Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Alan Rivera was last updated on September 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.