Carlos Rivera, MD
NPI 1356459630 · Endocrinology, Diabetes & Metabolism Physician · Miami, FL
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carlos Rivera, MD is a Endocrinology, Diabetes & Metabolism Physician provider in Miami, FL (NPI 1356459630).
Provider details
- NPI number
- 1356459630
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- ME0053431 (FL)
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
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
293 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 | 156 | $128 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 112 | $9 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 25 | $177 |
Typical Medicare-allowed amounts for these services range $9–$177 (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 · 78 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Insulin Glargine,hum.rec.anlogbrand: Lantus Solostar | 1,177 | 214 |
| Glipizide | 500 | 118 |
| Levothyroxine Sodium | 459 | 126 |
| Pen Needle, Diabeticbrand: Comfort Ez Pen Needle | 315 | 53 |
| Metformin Hcl | 304 | 92 |
| Insulin Aspart Prot/Insuln Aspbrand: Insulin Aspart Prot Mix 70-30 | 286 | 52 |
| Pen Needle, Diabetic |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$86 across 3 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
- 2006-08-28
- Last updated
- 2020-09-24
- Certified
- 2020-09-24
Frequently asked questions
- What is Carlos Rivera's NPI number?
- Carlos Rivera's National Provider Identifier (NPI) is 1356459630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carlos Rivera's specialty?
- Carlos Rivera is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Carlos Rivera located?
- Carlos Rivera's practice location on file with NPPES is 8260 W Flagler St, Miami, FL 33144-2069.
- What is Carlos Rivera's phone number?
- The practice phone number listed in the NPPES registry for Carlos Rivera is (305) 220-5191.
- Does Carlos Rivera accept Medicare?
- Carlos Rivera is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carlos Rivera's NPI active?
- Yes — Carlos Rivera's NPI (1356459630) is active in the NPPES registry as of the last update on 2020-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.