2026 NPPES data Specialist NPI 1376608984 M.D.
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Luis Rivera, M.D.

Specialist 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 69,658 in Specialist, 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
17K
Medicare Part D claims · 671 beneficiaries · Specialist avg: 1K
Generic prescribing
77%
generic claims · 22% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$2.7K
71 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Luis Rivera, M.D. filed 17,200 Medicare Part D claims in 2023 as a Specialist in San Juan, Puerto Rico, prescribing 77% generic.

17K
Part D claims, 2023
77%
generic prescribing
$2.7K
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.

Luis Rivera, M.D.'s Medicare Part D volume vs every U.S. prescriber

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

17,200 Top 2% higher than 98% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. 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

What does the federal data show about Luis Rivera, M.D.?

Quality data not reported

NPI registry status

Active

Issued 12/26/2006

NPI 1376608984

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

17,200 12× vs specialty avg

2023 prescription claims

Specialty avg: 1,474

Specialty distribution in Puerto Rico

How Specialist 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%Specialist — 1.9%Specialist1.9%
Largest specialties in Puerto Rico (% of in-state providers)

Specialty board-certification context

Estimated specialty board-certified rate — Specialist (ABMS / AOA reference)

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

Est. board-certified rate (Specialist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Specialist) — 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).

Luis Rivera, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at CARR.21S-3 NUM.2 LAS LOMAS, San Juan, PR, 00921, with a listed phone of (787) 273-1946. NPI 1376608984 was issued on 12/26/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Rivera 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 17,200 prescription claims written by this provider, covering 671 Medicare beneficiaries and totaling roughly $2.2 million in drug spend, split 22% brand-name and 77% generic by claim count, with an opioid prescribing rate of 0.8%. 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.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

CARR.21S-3 NUM.2 LAS LOMAS
San Juan, PR 00921

Provider Details

NPI 1376608984
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 12/26/2006

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 Luis Rivera, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$2.7K

Largest payer

AstraZeneca Pharmaceuticals LP

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 · Typical

Luis Rivera, M.D. — brand share 22.0%
Specialist average

22% brand-name claims vs 77% generic, on 17,200 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.

17,200
Total Claims
$2.2M
Total Drug Cost
671
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
27,024
Total Day Supply
792,361
Brand vs Generic
22% brand / 77% generic
Brand Drug Cost
$2.0M
Generic Drug Cost
$219K
Opioid Claims
142 (0.8% rate)
Antibiotic Claims
175

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
1.25
Gender Split
59% female / 41% male
Age Distribution
<65: 69, 65-74: 347, 75-84: 192, 85+: 63

Top Prescribed Drugs (Medicare Part D)

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

What Luis Rivera, M.D. 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
Gabapentin
803
Rosuvastatin Calcium
797
Synthroid
Levothyroxine Sodium
707
Losartan Potassium
597
Simvastatin
592
Atorvastatin Calcium
591
Amlodipine Besylate
564
Pantoprazole Sodium
488
Metformin Hcl
482
Farxiga
Dapagliflozin Propanediol
325

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

Specialist Overview

How Luis Rivera, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

Luis Rivera, M.D.'s 17,200 claims are above the specialty average of 1,474.

Nearby Specialist Providers in Puerto Rico

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

Compare Specialist 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 Specialist 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 Luis Rivera, M.D.'s specialty?
Luis Rivera, M.D. specializes in Specialist and practices in San Juan, Puerto Rico. Credentials: M.D..
How much does Luis Rivera, M.D. prescribe under Medicare Part D?
In 2023, Luis Rivera, M.D. wrote 17,200 Medicare Part D claims totaling $2.2M in drug costs for 671 beneficiaries.
Where is Luis Rivera, M.D. located?
Luis Rivera, M.D. is located at CARR.21S-3 NUM.2 LAS LOMAS, San Juan, PR, 00921. Phone: (787) 273-1946.
What is Luis Rivera, M.D.'s NPI number?
Luis Rivera, M.D.'s National Provider Identifier (NPI) is 1376608984, issued on 12/26/2006.
Does Luis Rivera, M.D. prescribe more brand-name or generic drugs?
Luis Rivera, M.D.'s prescribing is 22% brand-name and 77% generic drugs by claim count, with $2.0M in brand drug costs.
Does Luis Rivera, M.D. prescribe opioids?
Yes, Luis Rivera, M.D. had 142 opioid claims in 2023 with an opioid prescribing rate of 0.8%.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does Luis Rivera, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Luis Rivera, M.D.'s most frequently prescribed drugs include Gabapentin, Rosuvastatin Calcium, Synthroid. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Luis Rivera, M.D. accept Medicare?
Luis Rivera, M.D. appears in CMS Medicare data with 17,200 Part D claims and 671 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Luis Rivera, M.D.'s credentials?
Luis Rivera, M.D.'s NPI is 1376608984 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

Compiled from official public sources by the PlainDoctor editorial team.