NPPES file of Aug 9, 2026

Justin Jose Rivera, DPM

Foot & Ankle Surgery Podiatrist · Grass Valley, CA

Justin Jose Rivera, DPM is a foot & ankle surgery podiatrist with a practice address in Grass Valley, California, and NPI 1073960522, issued on May 14, 2016. Check the license (California E5546, as entered in NPPES) with the California 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
1073960522
Name
Justin Jose Rivera
Credential
DPM
Primary taxonomy
Foot & Ankle Surgery Podiatrist 213ES0103X
License number
E5546 CA
Self-reported in NPPES; status is on the state search
Practice location
104 Margaret LN Ste A, Grass Valley, CA 95945
Phone
(530) 648-1234
Enumerated
May 14, 2016
Record last updated
Nov 26, 2019 (not updated in 7 years: call before relying on the address or phone)
Fax
(530) 648-1235
Medicare enrollment
Enrolled (PECOS I20191219000212); 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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Also registered at 104 Margaret LN Ste A

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Nathan Payne, DPMFoot & Ankle Surgery Podiatrist1760845473

Verify Justin Jose Rivera in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license E5546
    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 California license search

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69% fewer Medicare Part D claims than the average foot & ankle surgery podiatrist in 2024

104 Medicare Part D claims for 58 beneficiaries, against an average of 335 among the 7,761 providers of this specialty who prescribed in Part D. 16 claims were for opioids.

  1. Justin Rivera104
  2. Specialty average335

Most prescribed

  1. Doxycycline Monohydrate19 claims
  2. Cephalexin17 claims
  3. Oxycodone-Acetaminophen12 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): 28.9 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 score57.8
  2. Costnot scored (reweighted)
  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: $212.43

12 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 6,936 providers of this specialty with any payment received $2,972.24 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Justin Rivera$212.43
  2. Specialty average$2,972.24

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

Justin Jose Rivera among 1,248 foot & ankle surgery podiatrist records in California

Justin Jose Rivera, DPM is one of 1,248 foot & ankle surgery podiatrist records with a practice address in California. 86% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 70% of them.

  • NPI issued2016 · 70% of these records are older, 27% newer
  • In a Medicare fileYes · 86% of these records are
  • In the CMS Doctors and Clinicians fileYes · 78% of these records are
  • Graduated2016 · median 2010 among the 970 with a school on file
  • Record last updated2019 · 54% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 213ES0103X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Foot & Ankle Surgery Podiatrist providers in California

There are 1,248 foot & ankle surgery podiatrist records in California.

The 8 foot & ankle surgery podiatrist records with the nearest ZIP codes

  1. Marc Claydon, DPMGrass Valley, CA 959451447601802
  2. Morgan Garcia, DPMGrass Valley, CA 959451760970081
  3. Nathan Payne, DPMGrass Valley, CA 959451760845473
  4. Rohit DadiChico, CA 959281861986838
  5. Sarah Feddersen, DPMChico, CA 959281609325810
  6. Michael Prado, DPMChico, CA 959261245262948
  7. Sean Stoddard, DPMChico, CA 959261457325169
  8. Chelsea Smith, DPMOroville, CA 959661407095276

Common questions

What is Justin Jose Rivera, DPM's NPI number?

Justin Jose Rivera, DPM's National Provider Identifier (NPI) is 1073960522, issued on May 14, 2016. An NPI identifies a provider in billing; it is not a license.

Where is Justin Jose Rivera, DPM located?

The NPPES record lists a practice address at 104 Margaret LN Ste A, Grass Valley, CA, 95945. Phone: (530) 648-1234. Providers update this record themselves, so call before visiting.

How can I verify Justin Jose Rivera, DPM's license?

NPPES lists California license number E5546, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

How much does Justin Jose Rivera, DPM prescribe under Medicare Part D?

In 2024, Justin Jose Rivera, DPM had 104 Medicare Part D claims for 58 beneficiaries; the average among foot & ankle surgery podiatrist prescribers was 335. Part D covers Medicare prescriptions only.

What is Justin Jose Rivera, DPM's MIPS final score?

The 2023 MIPS final score is 28.9 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.