2026 NPPES data Sports Medicine (Physical Medicine & Rehabilitation) Physician NPI 1639565955 M.D.
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RUBEN RIVERA RIVERA, M.D.

Sports Medicine (Physical Medicine & Rehabilitation) Physician in LEESBURG, Florida. 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
3K
Medicare Part D claims · 537 beneficiaries · Sports Medicine (Physical Medicine & Rehabilitation) Physician avg: 579
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$123.5
7 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RUBEN RIVERA RIVERA, M.D. reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 3,092 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
3K
Part D claims, 2023
96%
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.

RUBEN RIVERA RIVERA, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

75 15th percentile higher than 15% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

RUBEN RIVERA RIVERA, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 RUBEN RIVERA RIVERA, M.D.?

Below national average

NPI registry status

Active

Issued 04/14/2015

NPI 1639565955

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) Physician

Niche

1,267 US NPIs in this specialty

Medicare Part D claims

3,092 434% vs specialty avg

2023 prescription claims

Specialty avg: 579

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Sports Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Florida providers

Florida providers

Sports Medicine (Physical Medicine & Rehabilitation) Physician share within Florida

1. Sports Medicine (Physical Medicine & Rehabilitation) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sports Medicine (Physical Medicine & Rehabilitation) Physician share within Florida

Medicare quality performance — MIPS

RUBEN RIVERA RIVERA, M.D.'s 2023 MIPS final score plotted against the Sports Medicine (Physical Medicine & Rehabilitation) Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Physical Medicine & Rehabilitation) Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Sports Medicine (Physical Medicine & Rehabilitation) Physician) — 75/100 vs national avg 83.1

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).

RUBEN RIVERA RIVERA, M.D. appears in the CMS NPPES registry as a Sports Medicine (Physical Medicine & Rehabilitation) Physician provider holding M.D. credentials at 8112 CENTRALIA CT STE 101, LEESBURG, FL, 34788, with a listed phone of (352) 251-2588. NPI 1639565955 was issued on 04/14/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RIVERA 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 3,092 prescription claims written by this provider, covering 537 Medicare beneficiaries and totaling roughly $116K in drug spend, split 4% brand-name and 96% generic by claim count, with an opioid prescribing rate of 56.3%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.

Sports Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,267 enrolled providers across 52 states and an average of 579 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

8112 CENTRALIA CT STE 101
LEESBURG, FL 34788

Provider Details

NPI 1639565955
Specialty Sports Medicine (Physical Medicine & Rehabilitation) Physician
Credentials M.D.
Gender Male
NPI Issued 04/14/2015

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

75
Final Score
Avg: 83.1

Reporting: Individual

Hospital and facility affiliations

Facilities where RUBEN RIVERA RIVERA, 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.

ABILITY HEALTH SERVICES AND REHABILITATION LP
SANFORD, FL
ABILITY HEALTH SERVICES, INC
SANFORD, FL

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 RUBEN RIVERA RIVERA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$124

Largest payer

Abbott Laboratories

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.

License & disciplinary context — Florida FLDOH 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 — they are NOT specific to RUBEN RIVERA RIVERA, M.D.. To verify RUBEN RIVERA RIVERA, M.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

RUBEN RIVERA RIVERA, M.D. — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 3,092 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.

3,092
Total Claims
$116K
Total Drug Cost
537
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,265
Total Day Supply
90,201
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$43K
Generic Drug Cost
$72K
Opioid Claims
1,740 (56.3% rate)

Patient Demographics

Average Patient Age
70.0 years
Avg HCC Risk Score
1.91
Gender Split
57% female / 43% male
Age Distribution
<65: 125, 65-74: 217, 75-84: 157, 85+: 38

Top Prescribed Drugs (Medicare Part D)

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

What RUBEN RIVERA 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
518
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
343
Gabapentin
332
Tramadol Hcl
317
Pregabalin
234
Oxycodone Hcl
199
Morphine Sulfate Er
Morphine Sulfate
161
Methocarbamol
102
Tizanidine Hcl
85
Cyclobenzaprine Hcl
71

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

Sports Medicine (Physical Medicine & Rehabilitation) Physician Overview

How RUBEN RIVERA RIVERA, M.D. fits within the Sports Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.

1,267
Sports Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
52
States with Sports Medicine (Physical Medicine & Rehabilitation) Physician
579
Avg Claims per Provider

RUBEN RIVERA RIVERA, M.D.'s 3,092 claims are above the specialty average of 579.

Nearby Sports Medicine (Physical Medicine & Rehabilitation) Physician Providers in Florida

Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as RIVERA RIVERA.

Compare Sports Medicine (Physical Medicine & Rehabilitation) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RUBEN RIVERA RIVERA, M.D.'s specialty?
RUBEN RIVERA RIVERA, M.D. specializes in Sports Medicine (Physical Medicine & Rehabilitation) Physician and practices in LEESBURG, Florida. Credentials: M.D..
How much does RUBEN RIVERA RIVERA, M.D. prescribe under Medicare Part D?
In 2023, RUBEN RIVERA RIVERA, M.D. wrote 3,092 Medicare Part D claims totaling $116K in drug costs for 537 beneficiaries.
What is RUBEN RIVERA RIVERA, M.D.'s Medicare quality score?
RUBEN RIVERA RIVERA, M.D. has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RUBEN RIVERA RIVERA, M.D. located?
RUBEN RIVERA RIVERA, M.D. is located at 8112 CENTRALIA CT STE 101, LEESBURG, FL, 34788. Phone: (352) 251-2588.
What is RUBEN RIVERA RIVERA, M.D.'s NPI number?
RUBEN RIVERA RIVERA, M.D.'s National Provider Identifier (NPI) is 1639565955, issued on 04/14/2015.
Does RUBEN RIVERA RIVERA, M.D. prescribe more brand-name or generic drugs?
RUBEN RIVERA RIVERA, M.D.'s prescribing is 4% brand-name and 96% generic drugs by claim count, with $43K in brand drug costs.
Does RUBEN RIVERA RIVERA, M.D. prescribe opioids?
Yes, RUBEN RIVERA RIVERA, M.D. had 1,740 opioid claims in 2023 with an opioid prescribing rate of 56.3%.
How many Sports Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US?
There are 1,267 Sports Medicine (Physical Medicine & Rehabilitation) Physician providers across 52 states in the US. The average Sports Medicine (Physical Medicine & Rehabilitation) Physician provider writes 579 Medicare Part D claims per year.
What drugs does RUBEN RIVERA RIVERA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RUBEN RIVERA RIVERA, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Oxycodone-Acetaminophen, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RUBEN RIVERA RIVERA, M.D. accept Medicare?
RUBEN RIVERA RIVERA, M.D. appears in CMS Medicare data with 3,092 Part D claims and 537 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RUBEN RIVERA RIVERA, M.D.'s credentials?
RUBEN RIVERA RIVERA, M.D.'s NPI is 1639565955 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.
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 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