2026 NPPES data Endocrinology, Diabetes & Metabolism Physician NPI 1124554449 MD
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Ivan Rivera Nazario, MD

Endocrinology, Diabetes & Metabolism Physician in San Juan, Puerto Rico. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 7,852 in Endocrinology, Diabetes & Metabolism 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
385
Medicare Part D claims · 69 beneficiaries · Endocrinology, Diabetes & Metabolism Physician avg: 3K
Generic prescribing
49%
generic claims · 46% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$917.32
33 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Ivan Rivera Nazario, MD filed 385 Medicare Part D claims in 2023 as a Endocrinology, Diabetes & Metabolism Physician in San Juan, Puerto Rico, prescribing 49% generic.

385
Part D claims, 2023
49%
generic prescribing
$917.32
industry payments (Sunshine Act)

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.

Ivan Rivera Nazario, MD's Medicare Part D volume vs every U.S. prescriber

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

385 Top 43% higher than 57% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 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

Board-eligible specialty (heuristic — not verified)

Ivan Rivera Nazario, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Ivan Rivera Nazario, MD?

Quality data not reported

NPI registry status

Active

Issued 05/05/2017

NPI 1124554449

Primary specialty

Endocrinology, Diabetes & Metabolism Physician

Mid-sized

7,852 US NPIs in this specialty

Medicare Part D claims

385 85% vs specialty avg

2023 prescription claims

Specialty avg: 2,639

Specialty distribution in Puerto Rico

How Endocrinology, Diabetes & Metabolism Physician compares to other specialties among Puerto Rico providers

Puerto Rico providers

Largest specialties in Puerto Rico (% of in-state providers)

General Practice Physician — 10%General Practice Physician10%Student in an Organized Health Care Education/Training Program — 8.9%Student in an Organized Health Care Education/Training Program8.9%Pharmacist — 8%Pharmacist8%Pharmacy Technician — 5.1%Pharmacy Technician5.1%Clinical Psychologist — 4.7%Clinical Psychologist4.7%Clinical Social Worker — 4.2%Clinical Social Worker4.2%Endocrinology, Diabetes & Metabolism Physician — 0.2%Endocrinology, Diabetes & Metabolism Physician0.2%
Largest specialties in Puerto Rico (% of in-state providers)

Specialty board-certification context

Estimated specialty board-certified rate — Endocrinology, Diabetes & Metabolism Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Endocrinology, Diabetes & Metabolism Physician ABMS/AOA estimate

Est. board-certified rate (Endocrinology, Diabetes & Metabolism Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Endocrinology, Diabetes & Metabolism Physician) — 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).

Ivan Rivera Nazario, MD appears in the CMS NPPES registry as a Endocrinology, Diabetes & Metabolism Physician provider holding MD credentials at HOSPITAL MUNICIPAL DE SAN JUAN BARRIO MONACILLO, San Juan, PR, 00928, with a listed phone of (787) 480-0000. NPI 1124554449 was issued on 05/05/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Rivera Nazario 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 385 prescription claims written by this provider, covering 69 Medicare beneficiaries and totaling roughly $108K in drug spend, split 46% brand-name and 49% generic by claim count. 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.

Endocrinology, Diabetes & Metabolism Physician is a mid-sized specialty nationwide, with 7,852 enrolled providers across 54 states and an average of 2,639 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

HOSPITAL MUNICIPAL DE SAN JUAN BARRIO MONACILLO
San Juan, PR 00928

Provider Details

NPI 1124554449
Specialty Endocrinology, Diabetes & Metabolism Physician
Credentials MD
Gender Male
NPI Issued 05/05/2017

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 Ivan Rivera Nazario, MD. Source: openpaymentsdata.cms.gov.

Total received

$917

Largest payer

Boehringer Ingelheim Pharmaceuticals, 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.

Brand vs generic prescribing mix · Above average

Ivan Rivera Nazario, MD — brand share 46.0%
Endocrinology, Diabetes & Metabolism Physician average

46% brand-name claims vs 49% generic, on 385 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.

385
Total Claims
$108K
Total Drug Cost
69
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
512
Total Day Supply
14,326
Brand vs Generic
46% brand / 49% generic
Brand Drug Cost
$102K
Generic Drug Cost
$3K
Antibiotic Claims
21

Patient Demographics

Average Patient Age
70.4 years
Avg HCC Risk Score
1.88
Gender Split
64% female / 36% male

Top Prescribed Drugs (Medicare Part D)

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

What Ivan Rivera Nazario, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
48
Synthroid
Levothyroxine Sodium
38
Trulicity
Dulaglutide
27
Synjardy Xr
Empagliflozin/Metformin Hcl
25
Gabapentin
15
Losartan Potassium
13
Jardiance
Empagliflozin
11
Lantus Solostar
"Insulin Glargine
N/A

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

Endocrinology, Diabetes & Metabolism Physician Overview

How Ivan Rivera Nazario, MD fits within the Endocrinology, Diabetes & Metabolism Physician landscape nationally.

7,852
Endocrinology, Diabetes & Metabolism Physician Providers in US
54
States with Endocrinology, Diabetes & Metabolism Physician
2,639
Avg Claims per Provider

Ivan Rivera Nazario, MD's 385 claims are below the specialty average of 2,639.

Nearby Endocrinology, Diabetes & Metabolism Physician Providers in Puerto Rico

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

Compare Endocrinology, Diabetes & Metabolism 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 Puerto Rico medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Endocrinology, Diabetes & Metabolism 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.

Frequently Asked Questions

What is Ivan Rivera Nazario, MD's specialty?
Ivan Rivera Nazario, MD specializes in Endocrinology, Diabetes & Metabolism Physician and practices in San Juan, Puerto Rico. Credentials: MD.
How much does Ivan Rivera Nazario, MD prescribe under Medicare Part D?
In 2023, Ivan Rivera Nazario, MD wrote 385 Medicare Part D claims totaling $108K in drug costs for 69 beneficiaries.
Where is Ivan Rivera Nazario, MD located?
Ivan Rivera Nazario, MD is located at HOSPITAL MUNICIPAL DE SAN JUAN BARRIO MONACILLO, San Juan, PR, 00928. Phone: (787) 480-0000.
What is Ivan Rivera Nazario, MD's NPI number?
Ivan Rivera Nazario, MD's National Provider Identifier (NPI) is 1124554449, issued on 05/05/2017.
Does Ivan Rivera Nazario, MD prescribe more brand-name or generic drugs?
Ivan Rivera Nazario, MD's prescribing is 46% brand-name and 49% generic drugs by claim count, with $102K in brand drug costs.
How many Endocrinology, Diabetes & Metabolism Physician providers are there in the US?
There are 7,852 Endocrinology, Diabetes & Metabolism Physician providers across 54 states in the US. The average Endocrinology, Diabetes & Metabolism Physician provider writes 2,639 Medicare Part D claims per year.
What drugs does Ivan Rivera Nazario, MD prescribe most often?
Based on 2023 Medicare Part D data, Ivan Rivera Nazario, MD's most frequently prescribed drugs include Atorvastatin Calcium, Synthroid, Trulicity. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ivan Rivera Nazario, MD accept Medicare?
Ivan Rivera Nazario, MD appears in CMS Medicare data with 385 Part D claims and 69 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ivan Rivera Nazario, MD's credentials?
Ivan Rivera Nazario, MD's NPI is 1124554449 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

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

Compiled from official public sources by the PlainDoctor editorial team.