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DR. LUIS RAUL RIVERA CRESPO M.D.
NPI 1912236019
Internal Medicine in Las Cruces, NM

Active since December 18, 2009PECOS EnrolledAccepts Medicare Assignment
72.77/100
CMS Quality Rating
2801 E MISSOURI AVE, SUITE 7, LAS CRUCES, NM 88011(575) 521-8500(575) 521-8400 Get Directions Write a Review

NPPES record last updated: October 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Luis Raul Rivera Crespo M.d. NPPES

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

DR. LUIS RAUL RIVERA CRESPO M.D. (NPI 1912236019) is an individual internal medicine provider in Las Cruces, New Mexico, licensed in Illinois (125053694) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS, is affiliated with Sierra Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1912236019
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. LUIS RAUL RIVERA CRESPOCredential: M.D.
Location Address2801 E MISSOURI AVE, SUITE 7Las Cruces, NM 88011-5061
Mailing Address525e Lohman Ave DLas Cruces, NM 88001-3394 · (575) 652-4426 · Fax (575) 652-4426
Phone(575) 521-8500
Fax(575) 521-8400
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateDecember 18, 2009
Last NPPES UpdateOctober 14, 2015
✔ NPI 1912236019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IL · 125053694✔ Licensed in NM · MD2011-1053
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.
2801 E MISSOURI AVE, Las Cruces, NM 88011
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Other Identifiers 1

OtherR16053678259IL · Driver License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, 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. Luis Raul Rivera Crespo 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 ID1951571231
PECOS Enrollment IDI20160225002496
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 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.
442 services141 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.
98 services96 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.
70 services41 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.
69 services69 patients

Hospital Affiliations CMS Care Compare 2

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

Sierra Medical Center

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450668
Location1625 Medical Center DrEl Paso, TX 79902 · El Paso County
Emergency services

The Hospitals Of Providence Horizon City Campus

Acute Care Hospitals · Horizon City, TX
OwnershipProprietary
CMS Certification Number670124
Location13600 Horizon Street, Suite 100Horizon City, TX 79928 · El Paso County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88011 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

72.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.47
Promoting Interoperability100
Improvement Activities40
Cost47.77

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…
100%87 patients5/55-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 4

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

Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
1 supplier12 claims12 services$12.42 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
1 supplier33 claims33 services$65.55 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$10.41 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier33 claims33 services$30.57 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

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

JOSE G HERNANDEZ MD LLC
Internal Medicine
2801 E MISSOURI AVE, STE 9
LAS CRUCES, NM 88011
Doña Ana County (575) 323-3193

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 Luis Rivera Crespo's NPI number?

The NPI number for Luis Rivera Crespo is 1912236019. It was assigned to this individual provider in the NPPES registry on December 18, 2009.

Where is Luis Rivera Crespo located?

Luis Rivera Crespo practices at 2801 E Missouri Ave Suite 7, Las Cruces, NM 88011. The listed phone number is (575) 521-8500.

What is Luis Rivera Crespo's specialty?

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

Is Luis Rivera Crespo enrolled in Medicare?

Yes. Luis Rivera Crespo 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 Luis Rivera Crespo accept?

Health plans from Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Luis Rivera Crespo 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 Luis Rivera Crespo affiliated with any hospitals?

According to CMS data, Luis Rivera Crespo is affiliated with Sierra Medical Center and The Hospitals Of Providence Horizon City Campus.

When was this NPI record last updated?

The NPPES record for Luis Rivera Crespo was last updated on October 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.