Edgardo Rivera, M. D.
NPI 1265561070 · Medical Oncology Physician · Kingman, AZ
Enrolled with Medicare as Practitioner - Medical Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edgardo Rivera, M. D. is a Medical Oncology Physician provider in Kingman, AZ (NPI 1265561070).
Provider details
- NPI number
- 1265561070
- Entity type
- Individual
- Primary specialty
- Medical Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M. D.
- Sex
- Male
- Sole proprietor
- No
- License
- J1479 (TX)
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
19 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
1,276 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 | 1,021 | $93 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 171 | $174 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 70 | $139 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 14 | $63 |
Typical Medicare-allowed amounts for these services range $63–$174 (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 |
|---|---|---|
| Letrozole | 659 | 146 |
| Prochlorperazine Maleate | 201 | 120 |
| Anastrozole | 178 | 41 |
| Ondansetronbrand: Ondansetron Odt | 166 | 93 |
| Prednisone | 141 | 40 |
| Exemestane | 123 | 28 |
| Ondansetron Hcl | 106 | 59 |
| Darolutamidebrand: Nubeqa |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$764 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
- 2007-03-05
- Last updated
- 2016-07-07
Frequently asked questions
- What is Edgardo Rivera's NPI number?
- Edgardo Rivera's National Provider Identifier (NPI) is 1265561070, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edgardo Rivera's specialty?
- Edgardo Rivera is listed in the NPPES registry with a primary specialty of Medical Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Edgardo Rivera located?
- Edgardo Rivera's practice location on file with NPPES is 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619.
- What is Edgardo Rivera's phone number?
- The practice phone number listed in the NPPES registry for Edgardo Rivera is (928) 263-5666.
- Does Edgardo Rivera accept Medicare?
- Edgardo Rivera is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Edgardo Rivera's NPI active?
- Yes — Edgardo Rivera's NPI (1265561070) is active in the NPPES registry as of the last update on 2016-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.