Monica Ortiz-Rivera, MD
NPI 1063962058 · Endocrinology, Diabetes & Metabolism Physician · San Juan, PR
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Monica Ortiz-Rivera, MD is a Endocrinology, Diabetes & Metabolism Physician provider in San Juan, PR (NPI 1063962058).
Provider details
- NPI number
- 1063962058
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 21953 (PR)
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 tenure25% of score
9 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
124 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 45 | $124 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 33 | $88 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 24 | $109 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 22 | $162 |
Typical Medicare-allowed amounts for these services range $88–$162 (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 · 40 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodiumbrand: Synthroid | 303 | 83 |
| Metformin Hclbrand: Metformin Hcl Er | 155 | 53 |
| Insulin Glargine,hum.rec.anlogbrand: Lantus | 103 | 21 |
| Semaglutidebrand: Ozempic | 99 | 21 |
| Linagliptin/Metformin Hclbrand: Jentadueto Xr | 99 | 19 |
| Insulin Lisprobrand: Humalog | 81 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$910 across 22 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-10-13
- Last updated
- 2023-07-24
- Certified
- 2023-07-24
Frequently asked questions
- What is Monica Ortiz-Rivera's NPI number?
- Monica Ortiz-Rivera's National Provider Identifier (NPI) is 1063962058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Monica Ortiz-Rivera's specialty?
- Monica Ortiz-Rivera is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Monica Ortiz-Rivera located?
- Monica Ortiz-Rivera's practice location on file with NPPES is 1492 Ave Ponce De Leon Ste 502, San Juan, PR 00907-4024.
- What is Monica Ortiz-Rivera's phone number?
- The practice phone number listed in the NPPES registry for Monica Ortiz-Rivera is (787) 723-5017.
- Does Monica Ortiz-Rivera accept Medicare?
- Monica Ortiz-Rivera is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Monica Ortiz-Rivera's NPI active?
- Yes — Monica Ortiz-Rivera's NPI (1063962058) is active in the NPPES registry as of the last update on 2023-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.