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BRADLEY JAMES RIVOTTO DO
NPI 1942959390
Family Medicine - Sports Medicine in Allentown, PA

Active since March 22, 2022PECOS Enrolled
400 N 17TH ST STE 300, ALLENTOWN, PA 18104(610) 969-3500 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 21, 2026, Jun 10, 2025 (2 updates tracked since 2025).

About Bradley James Rivotto Do NPPES

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

BRADLEY JAMES RIVOTTO DO (NPI 1942959390) is an individual sports medicine provider in Allentown, Pennsylvania, licensed in Pennsylvania (OS025713) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lititz, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1942959390
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameBRADLEY JAMES RIVOTTOCredential: DO
Location Address400 N 17TH ST STE 300Allentown, PA 18104-5052
Mailing Address400 N 17th St Ste 300Allentown, PA 18104-5052 · (610) 969-3500 · Fax (610) 969-3605
Phone(610) 969-3500
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 22, 2022
Last NPPES UpdateAugust 21, 20262 updates tracked since enumeration
NPPES CertifiedAugust 21, 2026
✔ NPI 1942959390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in PA · OS025713
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
400 N 17TH ST STE 300, Allentown, PA 18104
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Secondary Practice Location 1

Location 151 Peters Road, Suite 201Lititz, PA 17543-7685 · Phone (717) 626-0238 · Fax (717) 626-1915

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradley James Rivotto Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941688113
PECOS Enrollment IDI20260821001043
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.

Medicare Billing Reassignment

Medicare enrollment records show Bradley Rivotto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lancaster General Medical Group
30 mi
Family Medicine
400 SAINT BERNARDINE ST
Reading, PA 19607
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 727 clinicians in this Medicare group
NPI 1710671615 (717) 544-8070

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18104 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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. CAMILLE A O HAMILTON PHD MPH AGPCNP-BC RN
Nurse Practitioner (Adult Health)
400 N 17TH ST STE 300
ALLENTOWN, PA 18104
Lehigh County (610) 969-3500
DR. JESER VILLANUEVA DO
Family Medicine
400 N 17TH ST STE 300
ALLENTOWN, PA 18104
Lehigh County (610) 969-3500
CARLA CHAMPAGNE DO
Family Medicine
400 N 17TH ST STE 300
ALLENTOWN, PA 18104
Lehigh County (610) 969-3500
ROBERT J MOTLEY MD
Family Medicine
400 N 17TH ST STE 300
ALLENTOWN, PA 18104
Lehigh County (610) 969-3500
NESTOR THOMAS ACEVEDO M.S.W.
Social Worker (Clinical)
400 N 17TH ST STE 300
ALLENTOWN, PA 18104
Lehigh County (610) 969-3500
DR. CYNTHIA GUTIERREZ MD
Family Medicine
400 N 17TH ST STE 300
ALLENTOWN, PA 18104
Lehigh County (610) 969-3500
BRANDON WILLIAMS LPC
Counselor (Professional)
400 N 17TH ST STE 300
ALLENTOWN, PA 18104
Lehigh County (610) 969-3500
MS. ANNE CLAY PHARMACIST
Pharmacist
400 N 17TH ST STE 300
ALLENTOWN, PA 18104
Lehigh County (484) 788-9861

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 Bradley Rivotto's NPI number?

The NPI number for Bradley Rivotto is 1942959390. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Where is Bradley Rivotto located?

Bradley Rivotto practices at 400 N 17th St Ste 300, Allentown, PA 18104. The listed phone number is (610) 969-3500.

What is Bradley Rivotto's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Bradley Rivotto enrolled in Medicare?

Yes. Bradley Rivotto is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bradley Rivotto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Rivotto reassigns Medicare benefits to Lancaster General Medical Group (Reading, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bradley Rivotto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bradley Rivotto was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.