NPI registry status
Active
2026 NPPES data Internal Medicine Physician NPI 1649212978 M.D.
Verify on CMS → Antonio Rivera, M.D.
Internal Medicine Physician in Falls Church, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 172,737 in Internal Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
5K
Medicare Part D claims · 293 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
28.5/100
▼ 55 pts below national avg 83.5 · Below average
Industry payments
$72.74
4 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Antonio Rivera, M.D. reported a CMS MIPS final score of 28.5/100 - below the 83.5 national average - and filed 5,219 Medicare Part D claims in 2023.
- 28.5/100
- MIPS score · -55 vs avg
- 5K
- Part D claims, 2023
- 88%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Antonio Rivera, M.D.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
29 ≥ 3rd percentile 3% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Antonio Rivera, M.D. sits
This provider among internal medicine physician peers
Across the 34,612 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Antonio Rivera, M.D. writes more Part D claims than 82% of them and scores higher on MIPS quality than 4% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one internal medicine physician peer from a representative sample of 60; the gold marker is Antonio Rivera, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Antonio Rivera, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Antonio Rivera, M.D.?
Below national averagePrimary specialty
Internal Medicine Physician
Medicare Part D claims
5,219 92% vs specialty avg
MIPS final score
28.5/100 55 pts vs avg
Specialty distribution in Virginia
How Internal Medicine Physician compares to other specialties among Virginia providers
Medicare quality performance, MIPS
Antonio Rivera, M.D.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average
- MIPS Final Score
- 28.5/100
- vs 83.5 national avg · 2023 performance year
MIPS final score (Internal Medicine Physician) - 28.5/100 vs national avg 83.5
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Antonio Rivera, M.D. appears in the CMS NPPES registry as an Internal Medicine Physician provider holding M.D. credentials at 6319 CASTLE PL, Falls Church, VA, 22044, with a listed phone of (703) 532-1222. NPI 1649212978 was issued on 06/12/2006.
Medicare Part D records for calendar year 2023 show 5,219 prescription claims written by this provider, covering 293 Medicare beneficiaries and totaling roughly $654K in drug spend, split 11% brand-name and 88% generic by claim count, with an opioid prescribing rate of 1.8%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 28.5/100 for the 2023 performance year (Quality 0, Cost 94.8), compared with the 83.5 average among clinicians with a measured score.
Internal Medicine Physician is a high-volume specialty nationwide, with 172,737 enrolled providers across 56 states and an average of 2,716 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1649212978 |
|---|---|
| Specialty | Internal Medicine Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 06/12/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
28.4543
Final Score
Measured-score avg: 83.5
0
Quality
94.8477
Cost
Reporting: Individual
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Antonio Rivera, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$73
Largest payer
Amgen Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Typical
Antonio Rivera, M.D. - brand share 11.0%
Internal Medicine Physician average
11% brand-name claims vs 88% generic, on 5,219 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
5,219
Total Claims
$654K
Total Drug Cost
293
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 10,881
- Total Day Supply
- 310,006
- Brand vs Generic
- 11% brand / 88% generic
- Brand Drug Cost
- $538K
- Generic Drug Cost
- $115K
- Opioid Claims
- 96 (1.8% rate)
- Antibiotic Claims
- 246
Patient Demographics
- Average Patient Age
- 75.2 years
- Avg HCC Risk Score
- 1.07
- Gender Split
- 57% female / 43% male
- Age Distribution
- <65: 20, 65-74: 117, 75-84: 111, 85+: 45
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Antonio Rivera, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Pantoprazole Sodium
Pantoprazole Sodium
280 claims
- Amlodipine Besylate
Amlodipine Besylate
272 claims
- Atorvastatin Calcium
Atorvastatin Calcium
235 claims
- Metformin Hcl
Metformin Hcl
215 claims
- Levothyroxine Sodium
Levothyroxine Sodium
167 claims
- Lisinopril
Lisinopril
151 claims
- Losartan Potassium
Losartan Potassium
136 claims
- Jardiance
Jardiance
122 claims
| Drug | Claims |
|---|---|
| Pantoprazole Sodium | 280 |
| Amlodipine Besylate | 272 |
| Atorvastatin Calcium | 235 |
| Metformin Hcl | 215 |
| Levothyroxine Sodium | 167 |
| Lisinopril | 151 |
| Losartan Potassium | 136 |
| Jardiance Empagliflozin | 122 |
| Azithromycin | 105 |
| Gabapentin | 102 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Internal Medicine Physician Overview
How Antonio Rivera, M.D. fits within the Internal Medicine Physician landscape nationally.
172,737
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider
Antonio Rivera, M.D.'s 5,219 claims are above the specialty average of 2,716.
Nearby Internal Medicine Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Rivera.
Dr. Caren Aaron
M.D.
Martinsville, VA
Dr. Michael Abadier
DO
Gloucester, VA
Dr. Salma Abbas
MD
Richmond, VA
Dr. Gohar Abbasi
MD
Chester, VA
Dr. Mustafa Abbasi
MD
Alexandria, VA
Compare Internal Medicine Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Internal Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Antonio Rivera, M.D.'s specialty? ▼
Antonio Rivera, M.D. specializes in Internal Medicine Physician and practices in Falls Church, Virginia. Credentials: M.D..
How much does Antonio Rivera, M.D. prescribe under Medicare Part D? ▼
In 2023, Antonio Rivera, M.D. wrote 5,219 Medicare Part D claims totaling $654K in drug costs for 293 beneficiaries.
What is Antonio Rivera, M.D.'s Medicare quality score? ▼
Antonio Rivera, M.D. has a CMS MIPS Final Score of 28.5/100 (Quality: 0, Cost: 94.8). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Antonio Rivera, M.D. located? ▼
Antonio Rivera, M.D. is located at 6319 CASTLE PL, Falls Church, VA, 22044. Phone: (703) 532-1222.
What is Antonio Rivera, M.D.'s NPI number? ▼
Antonio Rivera, M.D.'s National Provider Identifier (NPI) is 1649212978, issued on 06/12/2006.
Does Antonio Rivera, M.D. prescribe more brand-name or generic drugs? ▼
Antonio Rivera, M.D.'s prescribing is 11% brand-name and 88% generic drugs by claim count, with $538K in brand drug costs.
Does Antonio Rivera, M.D. prescribe opioids? ▼
Yes, Antonio Rivera, M.D. had 96 opioid claims in 2023 with an opioid prescribing rate of 1.8%.
How many Internal Medicine Physician providers are there in the US? ▼
There are 172,737 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Antonio Rivera, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Antonio Rivera, M.D.'s most frequently prescribed drugs include Pantoprazole Sodium, Amlodipine Besylate, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Antonio Rivera, M.D. accept Medicare? ▼
Antonio Rivera, M.D. appears in CMS Medicare data with 5,219 Part D claims and 293 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Antonio Rivera, M.D.'s credentials? ▼
Antonio Rivera, M.D.'s NPI is 1649212978 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.