Karoll Cortez Rivero, M,D.
NPI 1285926915 · Infectious Disease Physician · Baltimore, MD
Enrolled with Medicare as Practitioner - Infectious Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karoll Cortez Rivero, M,D. is a Infectious Disease Physician provider in Baltimore, MD (NPI 1285926915).
Provider details
- NPI number
- 1285926915
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M,D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0101231221 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 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
490 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) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 160 | $176 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 112 | $80 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 79 | $133 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 41 | $187 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 35 | $134 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Bictegrav/Emtricit/Tenofov Alabrand: Biktarvy | 38 |
| Ertapenem Sodiumbrand: Ertapenem | 19 |
| Daptomycin | 18 |
| Cefepime Hcl | 15 |
| Abacavir/Dolutegravir/Lamivudibrand: Triumeq | 14 |
| Amoxicillin | 13 |
| Niacinbrand: Niacin Er | 13 |
| Meropenem | 12 |
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 , 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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$938 across 32 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
- 2011-05-13
- Last updated
- 2025-07-09
- Certified
- 2025-07-09
Frequently asked questions
- What is Karoll Cortez Rivero's NPI number?
- Karoll Cortez Rivero's National Provider Identifier (NPI) is 1285926915, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karoll Cortez Rivero's specialty?
- Karoll Cortez Rivero is listed in the NPPES registry with a primary specialty of Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Karoll Cortez Rivero located?
- Karoll Cortez Rivero's practice location on file with NPPES is 6701 N Charles St Ste 5100, Baltimore, MD 21204-6808.
- What is Karoll Cortez Rivero's phone number?
- The practice phone number listed in the NPPES registry for Karoll Cortez Rivero is (443) 849-2327.
- Does Karoll Cortez Rivero accept Medicare?
- Karoll Cortez Rivero is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karoll Cortez Rivero's NPI active?
- Yes — Karoll Cortez Rivero's NPI (1285926915) is active in the NPPES registry as of the last update on 2025-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.