NPI registry status
Active
2026 NPPES data Diagnostic Ultrasound Physician NPI 1255301214 M.D.
Verify on CMS → Ricardo Rivera, M.D.
Diagnostic Ultrasound Physician 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 441 in Diagnostic Ultrasound 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 · 108 beneficiaries · Diagnostic Ultrasound Physician avg: 1K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 84 pts below national avg 83.5 · Penalty band
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Ricardo Rivera, M.D. reported a CMS MIPS final score of 0/100 - below the 83.5 national average - and filed 116 Medicare Part D claims in 2024.
- 0/100
- MIPS score · -83 vs avg
- 116
- Part D claims, 2024
- 86%
- generic prescribing
- Likely
- board-certified (heuristic)
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.
Federal trust snapshot
What official records show about Ricardo Rivera, M.D.
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1255301214), first enumerated 01/24/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 116 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 0/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1255301214 · Diagnostic Ultrasound Physician
NPI-10 · ENUM-LEGACY · TAX-TRACE · MIPS-LOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1255301214
- ENUM-LEGACY 2006
- TAX-TRACE 441
- MIPS-LOW 0/100
- RX-LIGHT 116
- BOOK-THIN 8 in Puerto Rico
- PHOTO-FINISH Michael Crade, M.D. · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Rivera · this pr… 0
Rivera · this provider
0 MIPS pts
- Michael Crade, M… 0
Michael Crade, M.D.
0 MIPS pts
- Brian Gamble, M.… 7.4
Brian Gamble, M.D.
7.4 MIPS pts
- Gregory Connor, … 17
Gregory Connor, MD
17 MIPS pts
- Mahmoud Dakhel, …
Mahmoud Dakhel, MD
73.3 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Ricardo Rivera, M.D.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
0 ≥ 0th percentile 0% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
✓
Board certification likely (heuristic, not verified)
Ricardo Rivera, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Ricardo Rivera, M.D.?
Below national averagePrimary specialty
Diagnostic Ultrasound Physician
Medicare Part D claims
116 89% vs specialty avg
MIPS final score
0/100 83.5 pts vs avg
Specialty distribution in Puerto Rico
How Diagnostic Ultrasound Physician compares to other specialties among Puerto Rico providers
Medicare quality performance, MIPS
Ricardo Rivera, M.D.'s 2023 MIPS final score plotted against the Diagnostic Ultrasound Physician national average
- MIPS Final Score
- 0/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1255301214 |
|---|---|
| Specialty | Diagnostic Ultrasound Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 01/24/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
0
Final Score
Measured-score avg: 83.5
0
Quality
Reporting: Individual
Brand vs generic prescribing mix · Typical
Ricardo Rivera, M.D. - brand share 14.0%
Diagnostic Ultrasound Physician average
14% brand-name claims vs 86% generic, on 116 2024 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 2024.
116
Total Claims
$2K
Total Drug Cost
108
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 116
- Total Day Supply
- 263
- Brand vs Generic
- 14% brand / 86% generic
- Brand Drug Cost
- $746
- Generic Drug Cost
- $786
Patient Demographics
- Average Patient Age
- 71.4 years
- Avg HCC Risk Score
- 1.69
- Gender Split
- 79% female / 21% male
- Age Distribution
- <65: 18, 65-74: 50, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Methylprednisolone | 75 |
| Alprazolam | 34 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Diagnostic Ultrasound Physician Overview
How Ricardo Rivera, M.D. fits within the Diagnostic Ultrasound Physician landscape nationally.
441
Diagnostic Ultrasound Physician Providers in US
46
States with Diagnostic Ultrasound Physician
1,056
Avg Claims per Provider
Ricardo Rivera, M.D.'s 116 claims are below the specialty average of 1,056.
Nationwide Diagnostic Ultrasound Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Rivera, both outside Puerto Rico so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (0 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Diagnostic Ultrasound Physician Providers in Puerto Rico
Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as Rivera.
One of 8 Diagnostic Ultrasound Physician providers enrolled in Puerto Rico, 5 are shown here.
Dr. Maria Del Rosario-Guzman
MD
Caguas, PR
Dr. Yadira Mateo
M.D.
Ponce, PR
Dr. Rafael Molina
MD
Guaynabo, PR
Dr. Jose Nassar
MD
Humacao, PR
Dr. Jose Nassar
MD
Humacao, PR
Compare Diagnostic Ultrasound Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Ricardo Rivera, M.D.'s specialty? ▼
Ricardo Rivera, M.D. specializes in Diagnostic Ultrasound Physician and practices in San Juan, Puerto Rico. Credentials: M.D..
How much does Ricardo Rivera, M.D. prescribe under Medicare Part D? ▼
In 2024, Ricardo Rivera, M.D. wrote 116 Medicare Part D claims totaling $2K in drug costs for 108 beneficiaries.
What is Ricardo Rivera, M.D.'s Medicare quality score? ▼
Ricardo Rivera, M.D. has a CMS MIPS Final Score of 0/100 (Quality: 0). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ricardo Rivera, M.D. located? ▼
Ricardo Rivera, M.D. is located at 400 AVE DOMENECH, San Juan, PR, 00918. Phone: (787) 705-5677.
What is Ricardo Rivera, M.D.'s NPI number? ▼
Ricardo Rivera, M.D.'s National Provider Identifier (NPI) is 1255301214, issued on 01/24/2006.
Does Ricardo Rivera, M.D. prescribe more brand-name or generic drugs? ▼
Ricardo Rivera, M.D.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $746 in brand drug costs.
How many Diagnostic Ultrasound Physician providers are there in the US? ▼
There are 441 Diagnostic Ultrasound Physician providers across 46 states in the US. The average Diagnostic Ultrasound Physician provider writes 1,056 Medicare Part D claims per year.
What drugs does Ricardo Rivera, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Ricardo Rivera, M.D.'s most frequently prescribed drugs include Methylprednisolone, Alprazolam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ricardo Rivera, M.D. accept Medicare? ▼
Ricardo Rivera, M.D. appears in CMS Medicare data with 116 Part D claims and 108 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ricardo Rivera, M.D.'s credentials? ▼
Ricardo Rivera, M.D.'s NPI is 1255301214 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
View source datasets and methodology notes
- 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 (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.