Sebastian Rivera, MD
Orthopaedic Surgery of the Spine Physician · Orlando, FL
Sebastian Rivera, MD is an orthopaedic surgery of the spine physician with a practice address in Orlando, Florida, and NPI 1164884540, issued on Mar 24, 2016. Check the license (Florida ME154646, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.
- Name
- Sebastian Rivera
- Credential
- MD
- Primary taxonomy
- Orthopaedic Surgery of the Spine Physician 207XS0117X
- License numbers
- ME154646 FL
54689 KY
Self-reported in NPPES; status is on the state search - Practice location
- 25 W Crystal Lake St Ste 200, Orlando, FL 32806
- Phone
- (407) 254-2500
- Enumerated
- Mar 24, 2016
- Record last updated
- Sep 7, 2022
- Fax
- (407) 423-2789
- Medicare enrollment
- Enrolled (PECOS I20220808001672); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest orthopaedic surgery of the spine physician records → All 164 in Florida → Look up another NPI →
Also registered at 25 W Crystal Lake St Ste 200
A shared address usually means a shared clinic or building; it does not show who employs whom.
- William Baldwin, M.D.Orthopaedic Surgery Physician1528405131
- Daniel BilyardSurgical Physician Assistant1093433138
- Andrew BoltAthletic Trainer1245850882
- Ryan Davis, M.D.Adult Reconstructive Orthopaedic Surgery Physician1972036184
- Sophia Davis, D.O.Orthopaedic Surgery Physician1235419193
- Scott Heck, PTAPhysical Therapy Assistant1114794898
Verify Sebastian Rivera in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersFlorida health license search
Search for license ME154646Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
5% more Medicare Part D claims than the average orthopaedic surgery of the spine physician in 2024
400 Medicare Part D claims for 218 beneficiaries, against an average of 381 among the 1,714 providers of this specialty who prescribed in Part D. 55 claims were for opioids.
Most prescribed
- Methylprednisolone126 claims
- Gabapentin65 claims
- Celecoxib36 claims
- Meloxicam33 claims
- Oxycodone-Acetaminophen28 claims
- Tramadol Hcl24 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 84.7 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $1,678.86
20 payments; by number, the most common kind was food and beverage; the largest payer was Stryker Corporation. The 1,726 providers of this specialty with any payment received $34,071.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 3 group practices
- Ability Health Services And Rehabilitation LPSanford, FL
- Ability Health Services, IncSanford, FL
- Orlando Orthopaedic Center MD PAOrlando, FL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sebastian Rivera among 164 orthopaedic surgery of the spine physician records in Florida
Sebastian Rivera, MD is one of 164 orthopaedic surgery of the spine physician records with a practice address in Florida. 88% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 90% of them.
- NPI issued2016 · 90% of these records are older, 7% newer
- In a Medicare fileYes · 88% of these records are
- In the CMS Doctors and Clinicians fileYes · 68% of these records are
- Graduated2016 · median 2003 among the 111 with a school on file
- Record last updated2022 · 51% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XS0117X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Orthopaedic Surgery of the Spine Physician providers in Florida
There are 164 orthopaedic surgery of the spine physician records in Florida.
All 164 in Florida → Every provider in Orlando → Orthopaedic Surgery of the Spine Physician nationwide →
The 8 orthopaedic surgery of the spine physician records with the nearest ZIP codes
- G McBride, MDOrlando, FL 328061780655597
- Ravi Patel, M.D.Orlando, FL 328061942442462
- Steven Weber, DOOrlando, FL 328061528031606
- Andrew Appel, M.D.Orlando, FL 328191538102124
- James Manzanares, M.D.Orlando, FL 328221689616989
- Stephen Goll, MDWinter Park, FL 327891689645426
- Hamadi Murphy, MDOrlando, FL 328261023548443
- Abimbola Afolabi, MDOrlando, FL 328271568697951
Common questions
What is Sebastian Rivera, MD's NPI number?
Sebastian Rivera, MD's National Provider Identifier (NPI) is 1164884540, issued on Mar 24, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Sebastian Rivera, MD located?
The NPPES record lists a practice address at 25 W Crystal Lake St Ste 200, Orlando, FL, 32806. Phone: (407) 254-2500. Providers update this record themselves, so call before visiting.
How can I verify Sebastian Rivera, MD's license?
NPPES lists Florida license number ME154646, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Sebastian Rivera, MD prescribe under Medicare Part D?
In 2024, Sebastian Rivera, MD had 400 Medicare Part D claims for 218 beneficiaries; the average among orthopaedic surgery of the spine physician prescribers was 381. Part D covers Medicare prescriptions only.
What is Sebastian Rivera, MD's MIPS final score?
The 2023 MIPS final score is 84.7 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.