2026 NPPES data Legal Medicine NPI 1992741326 M.D.,
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CARLOS RIVERA, M.D.,

Legal Medicine in LONG BRANCH, New Jersey. 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
3K
Medicare Part D claims · 147 beneficiaries · Legal Medicine avg: 3K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$156.76
10 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: CARLOS RIVERA, M.D., is a Legal Medicine ([object Object]) practicing in LONG BRANCH, New Jersey with a Medicare Part D prescribing footprint of 3K claims across 147 beneficiaries — 15% brand-name prescribing . Industry payments of $156.76 across 10 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: CARLOS RIVERA, M.D., filed 3,457 Medicare Part D claims in 2023 across LONG BRANCH, New Jersey. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

CARLOS RIVERA, M.D., at a glance

Quality data not reported

NPI registry status

Active

Issued 06/22/2006

NPI 1992741326

Primary specialty

Legal Medicine

Niche

1,067 US NPIs in this specialty

Medicare Part D claims

3,457 23% vs specialty avg

2023 prescription claims

Specialty avg: 2,821

Specialty distribution in New Jersey

How Legal Medicine compares to other specialties among New Jersey providers

New Jersey providers

Legal Medicine share within New Jersey

1. Legal Medicine42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Legal Medicine share within New Jersey

Specialty board-certification context

Estimated specialty board-certified rate — Legal Medicine (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Legal Medicine ABMS/AOA estimate

Est. board-certified rate (Legal Medicine) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Legal Medicine) — 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, M.D., is a Legal Medicine provider practicing in LONG BRANCH, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.,. NPI: 1992741326. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

CARLOS RIVERA, M.D., appears in the CMS NPPES registry as a Legal Medicine provider holding M.D., credentials at 9 MEMORIAL PKWY, LONG BRANCH, NJ, 07740, with a listed phone of (732) 728-7010. NPI 1992741326 was issued on 06/22/2006. 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 3,457 prescription claims written by this provider, covering 147 Medicare beneficiaries and totaling roughly $539K in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 1.8%. 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.

Legal Medicine is a narrow specialty nationwide, with 1,067 enrolled providers across 51 states and an average of 2,821 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

9 MEMORIAL PKWY
LONG BRANCH, NJ 07740

Provider Details

NPI 1992741326
Specialty Legal Medicine
Credentials M.D.,
Gender Male
NPI Issued 06/22/2006

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 CARLOS RIVERA, M.D.,. Source: openpaymentsdata.cms.gov.

Total received

$157

Largest payer

Corcept Therapeutics

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

CARLOS RIVERA, M.D., — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 3,457 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.

3,457
Total Claims
$539K
Total Drug Cost
147
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,047
Total Day Supply
206,068
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$442K
Generic Drug Cost
$94K
Opioid Claims
62 (1.8% rate)
Antibiotic Claims
124

Patient Demographics

Average Patient Age
71.4 years
Avg HCC Risk Score
1.20
Gender Split
53% female / 47% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Atorvastatin Calcium
189
Amlodipine Besylate
147
Metformin Hcl
126
Rosuvastatin Calcium
124
Lisinopril
118
Pantoprazole Sodium
81
Metoprolol Succinate
78
Celecoxib
72
Diclofenac Sodium
68
Glimepiride
68

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Legal Medicine Overview

How CARLOS RIVERA, M.D., fits within the Legal Medicine landscape nationally.

1,067
Legal Medicine Providers in US
51
States with Legal Medicine
2,821
Avg Claims per Provider

CARLOS RIVERA, M.D.,'s 3,457 claims are above the specialty average of 2,821.

Nearby Legal Medicine Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as RIVERA.

Compare Legal Medicine nationally: see state-by-state distribution →

Frequently Asked Questions

What is CARLOS RIVERA, M.D.,'s specialty?
CARLOS RIVERA, M.D., specializes in Legal Medicine and practices in LONG BRANCH, New Jersey. Credentials: M.D.,.
How much does CARLOS RIVERA, M.D., prescribe under Medicare Part D?
In 2023, CARLOS RIVERA, M.D., wrote 3,457 Medicare Part D claims totaling $539K in drug costs for 147 beneficiaries.
Where is CARLOS RIVERA, M.D., located?
CARLOS RIVERA, M.D., is located at 9 MEMORIAL PKWY, LONG BRANCH, NJ, 07740. Phone: (732) 728-7010.
What is CARLOS RIVERA, M.D.,'s NPI number?
CARLOS RIVERA, M.D.,'s National Provider Identifier (NPI) is 1992741326, issued on 06/22/2006.
Does CARLOS RIVERA, M.D., prescribe more brand-name or generic drugs?
CARLOS RIVERA, M.D.,'s prescribing is 15% brand-name and 85% generic drugs by claim count, with $442K in brand drug costs.
Does CARLOS RIVERA, M.D., prescribe opioids?
Yes, CARLOS RIVERA, M.D., had 62 opioid claims in 2023 with an opioid prescribing rate of 1.8%.
How many Legal Medicine providers are there in the US?
There are 1,067 Legal Medicine providers across 51 states in the US. The average Legal Medicine provider writes 2,821 Medicare Part D claims per year.
What drugs does CARLOS RIVERA, M.D., prescribe most often?
Based on 2023 Medicare Part D data, CARLOS RIVERA, M.D.,'s most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CARLOS RIVERA, M.D., accept Medicare?
CARLOS RIVERA, M.D., appears in CMS Medicare data with 3,457 Part D claims and 147 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CARLOS RIVERA, M.D.,'s credentials?
CARLOS RIVERA, M.D.,'s NPI is 1992741326 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

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