2026 NPPES data General Practice Physician NPI 1538266655 M.D.
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Maria Rivera Ortiz, M.D.

General Practice Physician in Wagner, South Dakota. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 16,677 in General Practice 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
116
Medicare Part D claims · 11 beneficiaries · General Practice Physician avg: 3K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$71.42
3 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Maria Rivera Ortiz, M.D. filed 116 Medicare Part D claims in 2023 as a General Practice Physician in Wagner, South Dakota, prescribing 87% generic.

116
Part D claims, 2023
87%
generic prescribing
$71.42
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.

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

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

116 35th percentile higher than 35% of 1,370,886 prescribers

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

Maria Rivera Ortiz, M.D. 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 Maria Rivera Ortiz, M.D.?

Quality data not reported

NPI registry status

Active

Issued 09/20/2006

NPI 1538266655

Primary specialty

General Practice Physician

Mid-sized

16,677 US NPIs in this specialty

Medicare Part D claims

116 96% vs specialty avg

2023 prescription claims

Specialty avg: 2,872

Specialty distribution in South Dakota

How General Practice Physician compares to other specialties among South Dakota providers

South Dakota providers

Largest specialties in South Dakota (% of in-state providers)

Physical Therapist — 5.6%Physical Therapist5.6%Pharmacist — 5.5%Pharmacist5.5%Registered Nurse — 4.8%Registered Nurse4.8%Family Nurse Practitioner — 4.7%Family Nurse Practitioner4.7%Mental Health Counselor — 4%Mental Health Counselor4%Physician Assistant — 3.7%Physician Assistant3.7%General Practice Physician — 0.2%General Practice Physician0.2%
Largest specialties in South Dakota (% of in-state providers)

Specialty board-certification context

Estimated specialty board-certified rate — General Practice Physician (ABMS / AOA reference)

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

Est. board-certified rate (General Practice Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (General Practice 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).

Maria Rivera Ortiz, M.D. appears in the CMS NPPES registry as a General Practice Physician provider holding M.D. credentials at 111 WASHINGTON AVE NW, Wagner, SD, 57380, with a listed phone of (605) 384-3621. NPI 1538266655 was issued on 09/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Rivera Ortiz 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 116 prescription claims written by this provider, covering 11 Medicare beneficiaries and totaling roughly $9K in drug spend, split 13% brand-name and 87% 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.

General Practice Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 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

111 WASHINGTON AVE NW
Wagner, SD 57380

Provider Details

NPI 1538266655
Specialty General Practice Physician
Credentials M.D.
Gender Female
NPI Issued 09/20/2006

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 Maria Rivera Ortiz, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$71

Largest payer

ARRAY BIOPHARMA 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 · Typical

Maria Rivera Ortiz, M.D. — brand share 13.0%
General Practice Physician average

13% brand-name claims vs 87% generic, on 116 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.

116
Total Claims
$9K
Total Drug Cost
11
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
311
Total Day Supply
9,202
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$8K
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
73.5 years
Avg HCC Risk Score
1.70
Gender Split
0% female / 100% male

General Practice Physician Overview

How Maria Rivera Ortiz, M.D. fits within the General Practice Physician landscape nationally.

16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider

Maria Rivera Ortiz, M.D.'s 116 claims are below the specialty average of 2,872.

Nearby General Practice Physician Providers in South Dakota

Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as Rivera Ortiz.

Compare General Practice 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 South Dakota medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby General Practice 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 Maria Rivera Ortiz, M.D.'s specialty?
Maria Rivera Ortiz, M.D. specializes in General Practice Physician and practices in Wagner, South Dakota. Credentials: M.D..
How much does Maria Rivera Ortiz, M.D. prescribe under Medicare Part D?
In 2023, Maria Rivera Ortiz, M.D. wrote 116 Medicare Part D claims totaling $9K in drug costs for 11 beneficiaries.
Where is Maria Rivera Ortiz, M.D. located?
Maria Rivera Ortiz, M.D. is located at 111 WASHINGTON AVE NW, Wagner, SD, 57380. Phone: (605) 384-3621.
What is Maria Rivera Ortiz, M.D.'s NPI number?
Maria Rivera Ortiz, M.D.'s National Provider Identifier (NPI) is 1538266655, issued on 09/20/2006.
Does Maria Rivera Ortiz, M.D. prescribe more brand-name or generic drugs?
Maria Rivera Ortiz, M.D.'s prescribing is 13% brand-name and 87% generic drugs by claim count, with $8K in brand drug costs.
How many General Practice Physician providers are there in the US?
There are 16,677 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
Does Maria Rivera Ortiz, M.D. accept Medicare?
Maria Rivera Ortiz, M.D. appears in CMS Medicare data with 116 Part D claims and 11 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Maria Rivera Ortiz, M.D.'s credentials?
Maria Rivera Ortiz, M.D.'s NPI is 1538266655 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.