Regina Rivera, MD
NPI 1053360214 · Emergency Medicine Physician · Sulphur Springs, TX
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Regina Rivera, MD is a Emergency Medicine Physician provider in Sulphur Springs, TX (NPI 1053360214).
Provider details
- NPI number
- 1053360214
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2005002608 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
82 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 23 | $82 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 16 | $13 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 16 | $170 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 14 | $115 |
| Urinalysis, Manual Test81002 | 13 | $3 |
Typical Medicare-allowed amounts for these services range $3–$170 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cefdinir | 17 | 17 |
| Prednisone | 16 | 16 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 12221 Merit DrSuite 1610Dallas, TX 75251-2202Phone: (214) 217-1914
Registry dates
- Enumerated
- 2006-05-08
- Last updated
- 2021-01-11
- Certified
- 2021-01-11
Frequently asked questions
- What is Regina Rivera's NPI number?
- Regina Rivera's National Provider Identifier (NPI) is 1053360214, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Regina Rivera's specialty?
- Regina Rivera is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Regina Rivera located?
- Regina Rivera's practice location on file with NPPES is 115 Airport Rd, Sulphur Springs, TX 75482-2105.
- What is Regina Rivera's phone number?
- The practice phone number listed in the NPPES registry for Regina Rivera is (903) 885-7671.
- Does Regina Rivera accept Medicare?
- Regina Rivera is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Regina Rivera's NPI active?
- Yes — Regina Rivera's NPI (1053360214) is active in the NPPES registry as of the last update on 2021-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.