DENISE MARIE RIVERS DO
NPI 1932193471
Internal Medicine - Nephrology in Knoxville, TN

Q: What is Denise Rivers's NPI number?

The NPI number for Denise Rivers is 1932193471. It was assigned to this individual provider in the NPPES registry on September 9, 2005. The provider is also known as Denise Marie Harris Do.

Q: What is Denise Rivers's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Denise Rivers was last updated on August 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since September 09, 2005PECOS Enrolled

93.52/100

CMS Quality Rating

1932 ALCOA HWY, C-460, KNOXVILLE, TN 37920(865) 546-9246(865) 523-6466 Get Directions Write a Review

NPPES record last updated: August 21, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Denise Marie Rivers Do NPPES

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

DENISE MARIE RIVERS DO (NPI 1932193471) is an individual nephrology provider in Knoxville, Tennessee, licensed in Tennessee (DO1365) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932193471

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameDENISE MARIE RIVERSCredential: DO

Location Address1932 ALCOA HWY, C-460Knoxville, TN 37920-1527

Mailing Address1932 Alcoa Hwy, C-460Knoxville, TN 37920-1527 · (865) 546-9246 · Fax (865) 523-6466

Phone(865) 546-9246

Fax(865) 523-6466

Sole ProprietorNo

Enumeration DateSeptember 9, 2005

Last NPPES UpdateAugust 21, 2012

✔ NPI 1932193471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in TN · DO1365

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1932 ALCOA HWY, Knoxville, TN 37920

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Other Names 1

Other Name (5)Denise Marie Harris Do

Other Identifiers 5

Medicare UPINH20322

Medicare ID-Type Unspecified3306471TN

Other390007390TN · Railroad Medicare

Medicaid3723987TN

Other3155223TN · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Denise Marie Rivers Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 14

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.

394 services117 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

160 services125 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

126 services77 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

123 services29 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.

117 services48 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

100 services70 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

86 services30 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.

71 services66 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

55 services55 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

41 services31 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.

38 services34 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

34 services26 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

27 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37920 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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.

93.52/100

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

Individually scored

Quality

74.73

Promoting Interoperability

Improvement Activities

Cost

84.43

Reported Quality Measures

Advance Care Plan

0%471 patients1/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

59%87 patients3/55-star benchmark: 87%

Controlling High Blood Pressure

57%391 patients3/55-star benchmark: 98%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

98%171 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

99%1,827 patients4/55-star benchmark: 100%

e-Prescribing

98%255 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

18%1,657 patients2/55-star benchmark: 61%

Provide Patients Electronic Access to Their Health Information

91%358 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 480 patients

Patients totalRate: 1% · 480 patients

1%480 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 6

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

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

6 suppliers52 claims3,900 services$0.28 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers16 claims1,320 services$0.01 avg. paid by Medicare

Cyclosporine, oral, 25 mg J7515

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers23 claims3,720 services$0.56 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

7 suppliers27 claims2,820 services$0.19 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

12 suppliers57 claims57 services$17.96 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

10 suppliers79 claims87 services$11.47 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.

SUSAN S HOUCHINS NP

Nurse Practitioner (Obstetrics & Gynecology)

1932 ALCOA HWY, 150
KNOXVILLE, TN 37920

Knox County (865) 546-1642

HANNAH M. NEMEC MD

Surgery

1932 ALCOA HWY
KNOXVILLE, TN 37920

Knox County (865) 251-4658

REGINA MORRISON PHILLIPS N.P.

Nurse Practitioner

1932 ALCOA HWY, SUITE 580
KNOXVILLE, TN 37920

Knox County (865) 305-6333

MORGAN ANDERSON PA-C

Physician Assistant (Surgical)

1932 ALCOA HWY, SUITE 360
KNOXVILLE, TN 37920

Knox County (865) 524-1869

ROCIO A HUET M.D.

Internal Medicine

1932 ALCOA HWY, STE 470
KNOXVILLE, TN 37920

Knox County (865) 971-3529

UNIVERSITY HEALTH SYSTEM, INC

General Practice

1932 ALCOA HWY, BLDG C SUITE 550
KNOXVILLE, TN 37920

Knox County (865) 546-6554

WILLIAM CASON P.A.

Physician Assistant (Surgical)

1932 ALCOA HWY, STE 255
KNOXVILLE, TN 37920

Knox County (865) 524-1869

NEPHROLOGY ASSOCIATES OF KNOXVILLE, PC

Internal Medicine (Nephrology)

1932 ALCOA HWY, STE C460
KNOXVILLE, TN 37920

Knox County (865) 546-9246

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 Denise Rivers's NPI number?

The NPI number for Denise Rivers is 1932193471. It was assigned to this individual provider in the NPPES registry on September 9, 2005. The provider is also known as Denise Marie Harris Do.

Where is Denise Rivers located?

Denise Rivers practices at 1932 Alcoa Hwy C-460, Knoxville, TN 37920. The listed phone number is (865) 546-9246.

What is Denise Rivers's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Denise Rivers enrolled in Medicare?

Yes. Denise Rivers is registered in the Medicare PECOS enrollment system.

What insurance does Denise Rivers accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Denise Rivers 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.

When was this NPI record last updated?

The NPPES record for Denise Rivers was last updated on August 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.