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DR. MARCELO R RIVERA M.D.
NPI 1942311311
Specialist in Poway, CA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
15644 POMERADO RD, #300, POWAY, CA 92064(858) 613-8743(858) 613-9274 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 7, 2023, Dec 16, 2015 (2 updates tracked since 2015).

About Dr. Marcelo R Rivera M.d. NPPES

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

DR. MARCELO R RIVERA M.D. (NPI 1942311311) is an individual specialist in Poway, California, licensed in California (G39240) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (1976).

NPPES Registry Identity

NPI1942311311
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. MARCELO R RIVERACredential: M.D.
Location Address15644 POMERADO RD, #300Poway, CA 92064-2400
Mailing Address15644 Pomerado Rd, #300Poway, CA 92064-2400 · (858) 613-8743 · Fax (858) 613-9274
Phone(858) 613-8743
Fax(858) 613-9274
Sole ProprietorYes
Medical School CMSRush Medical College Of Rush UniversityGraduated 1976
Enumeration DateAugust 31, 2006
Last NPPES UpdateJune 7, 20232 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
✔ NPI 1942311311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G39240
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
15644 POMERADO RD, Poway, CA 92064
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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. Marcelo R 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 ID3173692316
PECOS Enrollment IDI20080514000586
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 6

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.

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.
258 services132 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.
100 services63 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
79 services79 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
15 services14 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
13 services11 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services11 patients

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.

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers13 claims13 services$39.78 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers13 claims78 services$1.49 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers20 claims20 services$23.24 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.

DR. ROBERT GUSTAVE LAWSON D.P.M.
Podiatrist (Primary Podiatric Medicine)
15644 POMERADO RD, SUITE 300
POWAY, CA 92064
San Diego County (858) 485-1494
LAURIE MIXTER MS, RD, HHP
Massage Therapist
15644 POMERADO RD, SUITE 304
POWAY, CA 92064
San Diego County (760) 315-1555
DR. LAUREN ELISABETH PICHARD PSY.D.
Psychologist
15644 POMERADO RD, SUITE 305
POWAY, CA 92064
San Diego County (760) 846-0361
MRS. PERLA FIGA KIMBALL L.AC
Acupuncturist
15644 POMERADO RD, STE.400
POWAY, CA 92064
San Diego County (858) 613-0792
ROGER A. BITAR MD
Internal Medicine (Infectious Disease)
15644 POMERADO RD, SUITE 202
POWAY, CA 92064
San Diego County (858) 312-5459
DR. BARRY EDWARD ALLER D.D.S.
Dentist (General Practice)
15644 POMERADO RD, #101
POWAY, CA 92064
San Diego County (858) 487-5521
SANDEEP ASHU SONI M.D.
Internal Medicine (Infectious Disease)
15644 POMERADO RD, SUITE 202
POWAY, CA 92064
San Diego County (858) 312-5459
ARTHRITIS CARE AND RESEARCH CENTER
Specialist
15644 POMERADO RD, SUITE #102
POWAY, CA 92064
San Diego County (858) 312-1717

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 Marcelo Rivera's NPI number?

The NPI number for Marcelo Rivera is 1942311311. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Marcelo Rivera located?

Marcelo Rivera practices at 15644 Pomerado Rd #300, Poway, CA 92064. The listed phone number is (858) 613-8743.

What is Marcelo Rivera's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Marcelo Rivera enrolled in Medicare?

Yes. Marcelo 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.

When was this NPI record last updated?

The NPPES record for Marcelo Rivera was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.