NPPES file of Aug 9, 2026

Gerardo Rivera Roman, MD

Internal Medicine Physician · Aguadilla, PR

Gerardo Rivera Roman, MD is an internal medicine physician with a practice address in Aguadilla, Puerto Rico, and NPI 1033461934, issued on Oct 3, 2012. Check the license (Puerto Rico 020042, as entered in NPPES) with the Puerto Rico board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1033461934
Name
Gerardo Rivera Roman
Credential
MD
Primary taxonomy
Internal Medicine Physician 207R00000X
License numbers
020042 PR
0101259841 VA
Self-reported in NPPES; status is on the state search
Practice location
#645 Calle # 18, Aguadilla, PR 00603
Phone
(757) 763-8618
Enumerated
Oct 3, 2012
Record last updated
Mar 18, 2026
Medicare enrollment
Enrolled (PECOS I20160810000521); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Gerardo Rivera Roman in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Puerto Rico board licenses this profession
    Search for license 020042
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Puerto Rico license search

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88% fewer Medicare Part D claims than the average internal medicine physician in 2024

373 Medicare Part D claims for 155 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 13% of claims. 19 claims were for opioids.

  1. Gerardo Rivera Roman373
  2. Specialty average3,176

Most prescribed

  1. Prednisone31 claims
  2. Amoxicillin-Clavulanate Potass25 claims
  3. Farxiga19 claims
  4. Metoprolol Succinate18 claims
  5. Atorvastatin Calcium11 claims
  6. Doxycycline Hyclate11 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): 95.1 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.

  1. Qualityout of 100 · 30% of the final score86.3
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Sentara Medical GroupHampton, VA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Gerardo Rivera Roman among 1,146 internal medicine physician records in Puerto Rico

Gerardo Rivera Roman, MD is one of 1,146 internal medicine physician records with a practice address in Puerto Rico. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 65% of them.

  • NPI issued2012 · 65% of these records are older, 34% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 52% of these records are
  • Graduated2008 · median 1996 among the 595 with a school on file
  • Record last updated2026 · 55% 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 Puerto Rico practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

24 internal medicine physician records list a practice address in Aguadilla

They are 24 of the 649 NPPES records with a practice address in Aguadilla, and 1,146 internal medicine physician records in Puerto Rico.

The 8 internal medicine physician records with the nearest ZIP codes

  1. Roberto Alers Fernandez, M.D.Aguadilla, PR 006031417952649
  2. Wilfredo Alonso, M.D.Aguadilla, PR 006031790923050
  3. Oscar Caban Badillo, MDAguadilla, PR 006031578602629
  4. Christian Colon RipollAguadilla, PR 006031497173546
  5. Pedro Falto Detres, MDAguadilla, PR 006031194796433
  6. Vivian GarzaAguadilla, PR 006031003395062
  7. Gilmar Gonzalez Romero, M.D.Aguadilla, PR 006031083945661
  8. Annabelle Lipsett, M.D.Aguadilla, PR 006031265489272

Common questions

What is Gerardo Rivera Roman, MD's NPI number?

Gerardo Rivera Roman, MD's National Provider Identifier (NPI) is 1033461934, issued on Oct 3, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Gerardo Rivera Roman, MD located?

The NPPES record lists a practice address at #645 Calle # 18, Aguadilla, PR, 00603. Phone: (757) 763-8618. Providers update this record themselves, so call before visiting.

How can I verify Gerardo Rivera Roman, MD's license?

NPPES lists Puerto Rico license number 020042, as entered by the provider. Search the Puerto Rico board that licenses this profession; the NPPES record confirms identity only.

How much does Gerardo Rivera Roman, MD prescribe under Medicare Part D?

In 2024, Gerardo Rivera Roman, MD had 373 Medicare Part D claims for 155 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.

What is Gerardo Rivera Roman, MD's MIPS final score?

The 2023 MIPS final score is 95.1 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.