Antonio R. Rivera, M.D.
Internal Medicine Physician · Falls Church, VA
Antonio R. Rivera, M.D. is an internal medicine physician with a practice address in Falls Church, Virginia, and NPI 1649212978, issued on Jun 12, 2006. Check the license (Virginia 0101230403, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.
- Name
- Antonio R. Rivera
- Credential
- M.D.
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License numbers
- 0101230403 VA
MD31691 DC
D0055635 MD
Self-reported in NPPES; status is on the state search - Practice location
- 6319 Castle PL, Falls Church, VA 22044
- Phone
- (703) 532-1222
- Enumerated
- Jun 12, 2006
- Record last updated
- Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (703) 532-5100
- Medicare enrollment
- Enrolled (PECOS I20040710000140); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 3,599 in Virginia → Look up another NPI →
Also registered at 6319 Castle PL
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Antonio R. Rivera in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersVirginia Department of Health Professions
Search for license 0101230403Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
49% more Medicare Part D claims than the average internal medicine physician in 2024
4,732 Medicare Part D claims for 274 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 11% of claims. 97 claims were for opioids.
Most prescribed
- Pantoprazole Sodium240 claims
- Amlodipine Besylate233 claims
- Atorvastatin Calcium210 claims
- Metformin Hcl207 claims
- Levothyroxine Sodium161 claims
- Losartan Potassium123 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 28.5 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $72.74
4 payments; by number, the most common kind was food and beverage; the largest payer was Amgen Inc. The 50,334 providers of this specialty with any payment received $1,303.06 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Antonio R. Rivera among 3,599 internal medicine physician records in Virginia
Antonio R. Rivera, M.D. is one of 3,599 internal medicine physician records with a practice address in Virginia. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 9% of them.
- NPI issued2006 · 9% of these records are older, 55% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 62% of these records are
- Graduated1981 · median 2003 among the 2,234 with a school on file
- Record last updated2007 · 53% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
181 internal medicine physician records list a practice address in Falls Church
They are 181 of the 3,991 NPPES records with a practice address in Falls Church, and 3,599 internal medicine physician records in Virginia.
All 3,599 in Virginia → Every provider in Falls Church → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Jaime Camacho Fuentes, M.D.Falls Church, VA 220441881668606
- Anu George, M.D.Falls Church, VA 220441558391136
- Ronald Karpick, MDFalls Church, VA 220441538250345
- Bayani Manalo, MDFalls Church, VA 220441104916170
- Mukund Morjaria, MDFalls Church, VA 220441497703888
- Mary O'Donnell, M.D.Falls Church, VA 220441013030642
- Nick Pham, M.D.Falls Church, VA 220441801082508
- James Sipes, MDFalls Church, VA 220441083893226
Common questions
What is Antonio R. Rivera, M.D.'s NPI number?
Antonio R. Rivera, M.D.'s National Provider Identifier (NPI) is 1649212978, issued on Jun 12, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Antonio R. Rivera, M.D. located?
The NPPES record lists a practice address at 6319 Castle PL, Falls Church, VA, 22044. Phone: (703) 532-1222. Providers update this record themselves, so call before visiting.
How can I verify Antonio R. Rivera, M.D.'s license?
NPPES lists Virginia license number 0101230403, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Antonio R. Rivera, M.D. prescribe under Medicare Part D?
In 2024, Antonio R. Rivera, M.D. had 4,732 Medicare Part D claims for 274 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Antonio R. Rivera, M.D.'s MIPS final score?
The 2023 MIPS final score is 28.5 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.