2026 NPPES data Case Manager/Care Coordinator NPI 1861130536
Verify on CMS →

Carlos Rivera

Case Manager/Care Coordinator in Weston, Florida. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
17
Medicare Part D claims · Case Manager/Care Coordinator avg: 859

What the federal data shows

Carlos Rivera filed 17 Medicare Part D claims in 2023 as a Case Manager/Care Coordinator in Weston, Florida.

17
Part D claims, 2023

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.

Carlos Rivera's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

17 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about Carlos Rivera?

Quality data not reported

NPI registry status

Active

Issued 05/23/2022

NPI 1861130536

Primary specialty

Case Manager/Care Coordinator

High-volume

160,120 US NPIs in this specialty

Medicare Part D claims

17 98% vs specialty avg

2023 prescription claims

Specialty avg: 859

Specialty distribution in Florida

How Case Manager/Care Coordinator compares to other specialties among Florida providers

Florida providers

Case Manager/Care Coordinator share within Florida

1. Case Manager/Care Coordinator42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Case Manager/Care Coordinator share within Florida

Specialty board-certification context

Estimated specialty board-certified rate — Case Manager/Care Coordinator (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Case Manager/Care Coordinator ABMS/AOA estimate

Est. board-certified rate (Case Manager/Care Coordinator) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Case Manager/Care Coordinator) — ABMS / AOA estimate

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).

Carlos Rivera appears in the CMS NPPES registry as a Case Manager/Care Coordinator provider at 2950 CLEVELAND CLINIC BLVD, Weston, FL, 33331, with a listed phone of (954) 696-2152. NPI 1861130536 was issued on 05/23/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Rivera most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 17 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $265 in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Case Manager/Care Coordinator is a high-volume specialty nationwide, with 160,120 enrolled providers across 54 states and an average of 859 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

2950 CLEVELAND CLINIC BLVD
Weston, FL 33331

Provider Details

NPI 1861130536
Specialty Case Manager/Care Coordinator
Gender Male
NPI Issued 05/23/2022

License & disciplinary context — Florida FLDOH 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 — they are NOT specific to Carlos Rivera. To verify Carlos Rivera's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

17
Total Claims
$265
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
17
Total Day Supply
143
Brand Drug Cost
$0
Generic Drug Cost
$265

Patient Demographics

Average Patient Age
66.8 years
Avg HCC Risk Score
1.28

Case Manager/Care Coordinator Overview

How Carlos Rivera fits within the Case Manager/Care Coordinator landscape nationally.

160,120
Case Manager/Care Coordinator Providers in US
54
States with Case Manager/Care Coordinator
859
Avg Claims per Provider

Carlos Rivera's 17 claims are below the specialty average of 859.

Nearby Case Manager/Care Coordinator Providers in Florida

Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Rivera.

Compare Case Manager/Care Coordinator 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 Florida medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Case Manager/Care Coordinator 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.

Frequently Asked Questions

What is Carlos Rivera's specialty?
Carlos Rivera specializes in Case Manager/Care Coordinator and practices in Weston, Florida.
How much does Carlos Rivera prescribe under Medicare Part D?
In 2023, Carlos Rivera wrote 17 Medicare Part D claims totaling $265 in drug costs for N/A beneficiaries.
Where is Carlos Rivera located?
Carlos Rivera is located at 2950 CLEVELAND CLINIC BLVD, Weston, FL, 33331. Phone: (954) 696-2152.
What is Carlos Rivera's NPI number?
Carlos Rivera's National Provider Identifier (NPI) is 1861130536, issued on 05/23/2022.
How many Case Manager/Care Coordinator providers are there in the US?
There are 160,120 Case Manager/Care Coordinator providers across 54 states in the US. The average Case Manager/Care Coordinator provider writes 859 Medicare Part D claims per year.
Does Carlos Rivera accept Medicare?
Carlos Rivera appears in CMS Medicare data with 17 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Carlos Rivera's credentials?
Carlos Rivera's NPI is 1861130536. 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

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.
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