2026 NPPES data Surgery Physician NPI 1699062612 M.D.
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WILHEM RIVERA, M.D.

Surgery Physician in WASHINGTON, District of Columbia. 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
229
Medicare Part D claims · 28 beneficiaries · Surgery Physician avg: 169
Industry payments
$352.89
8 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: WILHEM RIVERA, M.D. is a Surgery Physician ([object Object]) practicing in WASHINGTON, District of Columbia with a Medicare Part D prescribing footprint of 229 claims across 28 beneficiaries . Industry payments of $352.89 across 8 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: WILHEM RIVERA, M.D. filed 229 Medicare Part D claims in 2023 across WASHINGTON, District of Columbia. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

WILHEM RIVERA, 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).

WILHEM RIVERA, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 06/29/2011

NPI 1699062612

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

229 36% vs specialty avg

2023 prescription claims

Specialty avg: 169

Specialty distribution in District of Columbia

How Surgery Physician compares to other specialties among District of Columbia providers

District of Columbia providers

Surgery Physician share within District of Columbia

1. Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Surgery Physician share within District of Columbia

Specialty board-certification context

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

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

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

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

WILHEM RIVERA, M.D. is a Surgery Physician provider practicing in WASHINGTON, District of Columbia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1699062612. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

WILHEM RIVERA, M.D. appears in the CMS NPPES registry as a Surgery Physician provider holding M.D. credentials at 500 INDIANA AVE NW STE 1230, WASHINGTON, DC, 20001, with a listed phone of (202) 879-0220. NPI 1699062612 was issued on 06/29/2011. 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 229 prescription claims written by this provider, covering 28 Medicare beneficiaries and totaling roughly $72K in drug spend. 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.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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

500 INDIANA AVE NW STE 1230
WASHINGTON, DC 20001

Provider Details

NPI 1699062612
Specialty Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 06/29/2011

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

Total received

$353

Largest payer

ABBVIE 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

229
Total Claims
$72K
Total Drug Cost
28
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
233
Total Day Supply
6,952
Generic Drug Cost
$7K

Patient Demographics

Average Patient Age
57.0 years
Avg HCC Risk Score
1.13
Gender Split
54% female / 46% male
Age Distribution
<65: 16, 65-74: 11, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Divalproex Sodium
28
Trazodone Hcl
24
Quetiapine Fumarate
19
Aripiprazole
18
Gabapentin
13
Caplyta
Lumateperone Tosylate
12
Risperidone
11

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

Surgery Physician Overview

How WILHEM RIVERA, M.D. fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

WILHEM RIVERA, M.D.'s 229 claims are above the specialty average of 169.

Nearby Surgery Physician Providers in District of Columbia

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

Compare Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is WILHEM RIVERA, M.D.'s specialty?
WILHEM RIVERA, M.D. specializes in Surgery Physician and practices in WASHINGTON, District of Columbia. Credentials: M.D..
How much does WILHEM RIVERA, M.D. prescribe under Medicare Part D?
In 2023, WILHEM RIVERA, M.D. wrote 229 Medicare Part D claims totaling $72K in drug costs for 28 beneficiaries.
Where is WILHEM RIVERA, M.D. located?
WILHEM RIVERA, M.D. is located at 500 INDIANA AVE NW STE 1230, WASHINGTON, DC, 20001. Phone: (202) 879-0220.
What is WILHEM RIVERA, M.D.'s NPI number?
WILHEM RIVERA, M.D.'s National Provider Identifier (NPI) is 1699062612, issued on 06/29/2011.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does WILHEM RIVERA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, WILHEM RIVERA, M.D.'s most frequently prescribed drugs include Divalproex Sodium, Trazodone Hcl, Quetiapine Fumarate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does WILHEM RIVERA, M.D. accept Medicare?
WILHEM RIVERA, M.D. appears in CMS Medicare data with 229 Part D claims and 28 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify WILHEM RIVERA, M.D.'s credentials?
WILHEM RIVERA, M.D.'s NPI is 1699062612 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