NPPES file of Aug 9, 2026

John Edwin Rivera, M.D.

Family Medicine Physician · Milldale, CT

John Edwin Rivera, M.D. is a family medicine physician with a practice address in Milldale, Connecticut, and NPI 1720044811, issued on Apr 26, 2006. Check the license (Connecticut 042567, as entered in NPPES) on the Connecticut Medical Examining Board; 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
1720044811
Name
John Edwin Rivera
Credential
M.D.
Primary taxonomy
Family Medicine Physician 207Q00000X
License number
042567 CT
Self-reported in NPPES; status is on the state search
Practice location
PO Box 770, Milldale, CT 06467
Phone
(860) 621-5554
Enumerated
Apr 26, 2006
Record last updated
Mar 31, 2026
Fax
(860) 621-3833
Medicare enrollment
Enrolled (PECOS I20040728000950); accepts Medicare assignment
Medical or professional school
Warren Alpert Medical School Of Brown University, 2001
Telehealth
Offers telehealth (CMS)
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 John Edwin Rivera in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersConnecticut Medical Examining Board
    Search for license 042567
    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
Open the Connecticut license search

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98% more Medicare Part D claims than the average family medicine physician in 2024

7,030 Medicare Part D claims for 708 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 14% of claims. 27 claims were for opioids.

  1. John Rivera7,030
  2. Specialty average3,544

Most prescribed

  1. Atorvastatin Calcium546 claims
  2. Rosuvastatin Calcium523 claims
  3. Amlodipine Besylate319 claims
  4. Lisinopril270 claims
  5. Levothyroxine Sodium244 claims
  6. Losartan Potassium229 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 practice group's MIPS final score for 2023 (Medicare payment program): 58.3 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. 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 score72.1
  2. Costout of 100 · 30%98.3
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities0 of 40 points · 15%0.0

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

Industry payments in 2024: $1,622.46

83 payments; by number, the most common kind was food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 55,478 providers of this specialty with any payment received $902.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. John Rivera$1,622.46
  2. Specialty average$902.55

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

John Edwin Rivera among 958 family medicine physician records in Connecticut

John Edwin Rivera, M.D. is one of 958 family medicine physician records with a practice address in Connecticut. 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 2006, is newer than 7% of them.

  • NPI issued2006 · 7% of these records are older, 57% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 64% of these records are
  • Graduated2001 · median 2009 among the 611 with a school on file
  • Record last updated2026 · 56% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Connecticut practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

2 family medicine physician records list a practice address in Milldale

They are 2 of the 14 NPPES records with a practice address in Milldale, and 958 family medicine physician records in Connecticut.

The 8 family medicine physician records with the nearest ZIP codes

  1. John Rivera, M.D.Milldale, CT 064671699731661
  2. Tonya Cremin, D.O.Monroe, CT 064681093890162
  3. Eric Fisher, D.O.Moodus, CT 064691730190034
  4. Daniel Henriquez, M.D.Moodus, CT 064691326573072
  5. Alireza Afshar, MDNewtown, CT 064701750401071
  6. Eurica Chang, M.D.Newtown, CT 064701700265212
  7. Maura Conway, D.O.Newtown, CT 064701275910408
  8. Donald Evans, MDNewtown, CT 064701073543047

Common questions

What is John Edwin Rivera, M.D.'s NPI number?

John Edwin Rivera, M.D.'s National Provider Identifier (NPI) is 1720044811, issued on Apr 26, 2006. An NPI identifies a provider in billing; it is not a license.

Where is John Edwin Rivera, M.D. located?

The NPPES record lists a practice address at PO Box 770, Milldale, CT, 06467. Phone: (860) 621-5554. Providers update this record themselves, so call before visiting.

How can I verify John Edwin Rivera, M.D.'s license?

NPPES lists Connecticut license number 042567, as entered by the provider. Search the Connecticut Medical Examining Board at https://www.elicense.ct.gov/Lookup/LicenseLookup.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does John Edwin Rivera, M.D. prescribe under Medicare Part D?

In 2024, John Edwin Rivera, M.D. had 7,030 Medicare Part D claims for 708 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.

What is John Edwin Rivera, M.D.'s MIPS final score?

The 2023 MIPS final score is 58.3 of 100, reported for the practice group. 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.