2026 NPPES data Infectious Disease Physician NPI 1285926915 M,D.
Verify on CMS →

KAROLL CORTEZ RIVERO, M,D.

Infectious Disease Physician in BALTIMORE, Maryland. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
291
Medicare Part D claims · 65 beneficiaries · Infectious Disease Physician avg: 816
Industry payments
$938.02
32 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KAROLL CORTEZ RIVERO, M,D. is a Infectious Disease Physician ([object Object]) practicing in BALTIMORE, Maryland with a Medicare Part D prescribing footprint of 291 claims across 65 beneficiaries . Industry payments of $938.02 across 32 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KAROLL CORTEZ RIVERO, M,D. filed 291 Medicare Part D claims in 2023 across BALTIMORE, Maryland. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

KAROLL CORTEZ RIVERO, M,D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

KAROLL CORTEZ RIVERO, M,D. at a glance

Quality data not reported

NPI registry status

Active

Issued 05/13/2011

NPI 1285926915

Primary specialty

Infectious Disease Physician

Mid-sized

8,292 US NPIs in this specialty

Medicare Part D claims

291 64% vs specialty avg

2023 prescription claims

Specialty avg: 816

Specialty distribution in Maryland

How Infectious Disease Physician compares to other specialties among Maryland providers

Maryland providers

Infectious Disease Physician share within Maryland

1. Infectious Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Infectious Disease Physician share within Maryland

Specialty board-certification context

Estimated specialty board-certified rate — Infectious Disease Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Infectious Disease Physician ABMS/AOA estimate

Est. board-certified rate (Infectious Disease Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Infectious Disease 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).

KAROLL CORTEZ RIVERO, M,D. is a Infectious Disease Physician provider practicing in BALTIMORE, Maryland, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M,D.. NPI: 1285926915. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

KAROLL CORTEZ RIVERO, M,D. appears in the CMS NPPES registry as a Infectious Disease Physician provider holding M,D. credentials at 6701 N CHARLES ST STE 5100, BALTIMORE, MD, 21204, with a listed phone of (443) 849-2327. NPI 1285926915 was issued on 05/13/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CORTEZ RIVERO 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 291 prescription claims written by this provider, covering 65 Medicare beneficiaries and totaling roughly $207K in drug spend. 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.

Infectious Disease Physician is a mid-sized specialty nationwide, with 8,292 enrolled providers across 54 states and an average of 816 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

6701 N CHARLES ST STE 5100
BALTIMORE, MD 21204

Provider Details

NPI 1285926915
Specialty Infectious Disease Physician
Credentials M,D.
Gender Female
NPI Issued 05/13/2011

Hospital and facility affiliations

Facilities where KAROLL CORTEZ RIVERO, M,D. 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.

GREATER BALTIMORE MEDICAL CENTER INC
BALTIMORE, MD

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 KAROLL CORTEZ RIVERO, M,D.. Source: openpaymentsdata.cms.gov.

Total received

$938

Largest payer

Gilead Sciences, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

291
Total Claims
$207K
Total Drug Cost
65
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
329
Total Day Supply
5,621
Generic Drug Cost
$43K
Antibiotic Claims
212

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
2.83
Gender Split
45% female / 55% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ceftriaxone
Ceftriaxone Sodium
33
Biktarvy
Bictegrav/Emtricit/Tenofov Ala
27
Doxycycline Hyclate
24
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
18
Ampicillin-Sulbactam
Ampicillin Sod/Sulbactam Sod
16
Cefazolin Sodium
14
Daptomycin
14
Cefepime Hcl
12
Niacin Er
Niacin
12
Amoxicillin
11

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

Infectious Disease Physician Overview

How KAROLL CORTEZ RIVERO, M,D. fits within the Infectious Disease Physician landscape nationally.

8,292
Infectious Disease Physician Providers in US
54
States with Infectious Disease Physician
816
Avg Claims per Provider

KAROLL CORTEZ RIVERO, M,D.'s 291 claims are below the specialty average of 816.

Nearby Infectious Disease Physician Providers in Maryland

Other clinicians with the same primary specialty enrolled in Maryland, drawn from the same CMS NPPES roster as CORTEZ RIVERO.

Compare Infectious Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KAROLL CORTEZ RIVERO, M,D.'s specialty?
KAROLL CORTEZ RIVERO, M,D. specializes in Infectious Disease Physician and practices in BALTIMORE, Maryland. Credentials: M,D..
How much does KAROLL CORTEZ RIVERO, M,D. prescribe under Medicare Part D?
In 2023, KAROLL CORTEZ RIVERO, M,D. wrote 291 Medicare Part D claims totaling $207K in drug costs for 65 beneficiaries.
Where is KAROLL CORTEZ RIVERO, M,D. located?
KAROLL CORTEZ RIVERO, M,D. is located at 6701 N CHARLES ST STE 5100, BALTIMORE, MD, 21204. Phone: (443) 849-2327.
What is KAROLL CORTEZ RIVERO, M,D.'s NPI number?
KAROLL CORTEZ RIVERO, M,D.'s National Provider Identifier (NPI) is 1285926915, issued on 05/13/2011.
How many Infectious Disease Physician providers are there in the US?
There are 8,292 Infectious Disease Physician providers across 54 states in the US. The average Infectious Disease Physician provider writes 816 Medicare Part D claims per year.
What drugs does KAROLL CORTEZ RIVERO, M,D. prescribe most often?
Based on 2023 Medicare Part D data, KAROLL CORTEZ RIVERO, M,D.'s most frequently prescribed drugs include Ceftriaxone, Biktarvy, Doxycycline Hyclate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KAROLL CORTEZ RIVERO, M,D. accept Medicare?
KAROLL CORTEZ RIVERO, M,D. appears in CMS Medicare data with 291 Part D claims and 65 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KAROLL CORTEZ RIVERO, M,D.'s credentials?
KAROLL CORTEZ RIVERO, M,D.'s NPI is 1285926915 with credentials M,D.. 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