NPI registry status
Active
2026 NPPES data Otolaryngology Physician NPI 1225303001 MD
Verify on CMS → Fernando Gomez-Rivera, MD
Otolaryngology Physician in Houston, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,893 in Otolaryngology 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
366
Medicare Part D claims · 181 beneficiaries · Otolaryngology Physician avg: 509
MIPS score
82.4/100
▼ 1 pts below national avg 83.1 · Above neutral
Industry payments
$710.5
44 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Fernando Gomez-Rivera, MD reported a CMS MIPS final score of 82.4/100 - below the 83.1 national average - and filed 366 Medicare Part D claims in 2023.
- 82.4/100
- MIPS score · -1 vs avg
- 366
- Part D claims, 2023
- 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.
Fernando Gomez-Rivera, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
82 39th percentile higher than 39% of 477,587 scored providers
Each bar is a band; taller bars hold more scored 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.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Fernando Gomez-Rivera, MD sits
This provider among otolaryngology physician peers
Across the 3,669 otolaryngology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Fernando Gomez-Rivera, MD writes more Part D claims than 42% of them and scores higher on MIPS quality than 49% - placing this provider in the lower-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 otolaryngology physician peer from a representative sample of 60; the gold marker is Fernando Gomez-Rivera, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Fernando Gomez-Rivera, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - 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 Fernando Gomez-Rivera, MD?
Near national averagePrimary specialty
Otolaryngology Physician
Medicare Part D claims
366 28% vs specialty avg
MIPS final score
82.4/100 0.7 pts vs avg
Specialty distribution in Texas
How Otolaryngology Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Fernando Gomez-Rivera, MD's 2023 MIPS final score plotted against the Otolaryngology Physician national average
- MIPS Final Score
- 82.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Otolaryngology Physician) - 82.4/100 vs national avg 83.1
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).
Fernando Gomez-Rivera, MD appears in the CMS NPPES registry as an Otolaryngology Physician provider holding MD credentials at 11914 ASTORIA BLVD STE 670, Houston, TX, 77089, with a listed phone of (713) 486-1120. NPI 1225303001 was issued on 03/13/2012.
Medicare Part D records for calendar year 2023 show 366 prescription claims written by this provider, covering 181 Medicare beneficiaries and totaling roughly $12K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 82.4/100 for the 2023 performance year (Quality 79.2, Cost 58.5), compared with the national average of 83.1.
Otolaryngology Physician is a mid-sized specialty nationwide, with 10,893 enrolled providers across 54 states and an average of 509 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 | 1225303001 |
|---|---|
| Specialty | Otolaryngology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 03/13/2012 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
82.3883
Final Score
Avg: 83.1
79.2344
Quality
58.5062
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Fernando Gomez-Rivera, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Kelsey-Seybold Medical Group, PLLC
Webster, TX
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
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 Fernando Gomez-Rivera, MD. Source: openpaymentsdata.cms.gov.
Total received
$711
Largest payer
Inspire Medical Systems, 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.
License & disciplinary context - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Fernando Gomez-Rivera, MD. To verify Fernando Gomez-Rivera, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB 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 Texas 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.
366
Total Claims
$12K
Total Drug Cost
181
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 476
- Total Day Supply
- 11,398
- Generic Drug Cost
- $11K
- Antibiotic Claims
- 34
Patient Demographics
- Average Patient Age
- 71.6 years
- Avg HCC Risk Score
- 1.57
- Gender Split
- 57% female / 43% male
- Age Distribution
- <65: 21, 65-74: 91, 75-84: 52, 85+: 17
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Fernando Gomez-Rivera, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Fluticasone Propio…
Fluticasone Propionate
71 claims
- Azelastine Hcl
Azelastine Hcl
53 claims
- Fluocinolone Aceto… 24
Fluocinolone Acetonide Oil
24 claims
- Ofloxacin 22
Ofloxacin
22 claims
- Ipratropium Bromide 21
Ipratropium Bromide
21 claims
- Ciprofloxacin-Dexa… 19
Ciprofloxacin-Dexamethasone
19 claims
- Doxycycline Hyclate 16
Doxycycline Hyclate
16 claims
- Famotidine 16
Famotidine
16 claims
| Drug | Claims |
|---|---|
| Fluticasone Propionate | 71 |
| Azelastine Hcl | 53 |
| Fluocinolone Acetonide Oil | 24 |
| Ofloxacin | 22 |
| Ipratropium Bromide | 21 |
| Ciprofloxacin-Dexamethasone Ciprofloxacin Hcl/Dexameth | 19 |
| Doxycycline Hyclate | 16 |
| Famotidine | 16 |
| Pantoprazole Sodium | 16 |
| Gabapentin | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Otolaryngology Physician Overview
How Fernando Gomez-Rivera, MD fits within the Otolaryngology Physician landscape nationally.
10,893
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider
Fernando Gomez-Rivera, MD's 366 claims are below the specialty average of 509.
Nearby Otolaryngology Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Gomez-Rivera.
Dr. Jason Acevedo
MD
Abilene, TX
Jason Adams
Jbsa Ft Sam Houston, TX
Dr. Jane Admire
MD
Dallas, TX
Dr. Robert Africa
MD
Galveston, TX
Dr. Ashley Agan
MD
Dallas, TX
Compare Otolaryngology 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 Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Otolaryngology 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 Fernando Gomez-Rivera, MD's specialty? ▼
Fernando Gomez-Rivera, MD specializes in Otolaryngology Physician and practices in Houston, Texas. Credentials: MD.
How much does Fernando Gomez-Rivera, MD prescribe under Medicare Part D? ▼
In 2023, Fernando Gomez-Rivera, MD wrote 366 Medicare Part D claims totaling $12K in drug costs for 181 beneficiaries.
What is Fernando Gomez-Rivera, MD's Medicare quality score? ▼
Fernando Gomez-Rivera, MD has a CMS MIPS Final Score of 82.4/100 (Quality: 79.2, Cost: 58.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Fernando Gomez-Rivera, MD located? ▼
Fernando Gomez-Rivera, MD is located at 11914 ASTORIA BLVD STE 670, Houston, TX, 77089. Phone: (713) 486-1120.
What is Fernando Gomez-Rivera, MD's NPI number? ▼
Fernando Gomez-Rivera, MD's National Provider Identifier (NPI) is 1225303001, issued on 03/13/2012.
How many Otolaryngology Physician providers are there in the US? ▼
There are 10,893 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does Fernando Gomez-Rivera, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Fernando Gomez-Rivera, MD's most frequently prescribed drugs include Fluticasone Propionate, Azelastine Hcl, Fluocinolone Acetonide Oil. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Fernando Gomez-Rivera, MD accept Medicare? ▼
Fernando Gomez-Rivera, MD appears in CMS Medicare data with 366 Part D claims and 181 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Fernando Gomez-Rivera, MD's credentials? ▼
Fernando Gomez-Rivera, MD's NPI is 1225303001 with credentials MD. 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
Compiled from official public sources by the PlainDoctor editorial team.
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.