Edmundo Rivera, MD
NPI 1437231115 · Psychiatry Physician · Orange City, FL
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edmundo Rivera, MD is a Psychiatry Physician provider in Orange City, FL (NPI 1437231115).
Provider details
- NPI number
- 1437231115
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- ME62400 (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
365 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 High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 218 | $176 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 147 | $125 |
Typical Medicare-allowed amounts for these services range $125–$176 (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 · 50 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Alprazolam | 281 | 41 |
| Clonazepam | 164 | 24 |
| Duloxetine Hcl | 154 | 27 |
| Lorazepam | 143 | 23 |
| Lamotrigine | 104 | 16 |
| Zolpidem Tartrate | 90 | 14 |
| Trazodone Hcl | 88 | 19 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,400 across 76 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
- 2006-10-20
- Last updated
- 2019-05-10
Frequently asked questions
- What is Edmundo Rivera's NPI number?
- Edmundo Rivera's National Provider Identifier (NPI) is 1437231115, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edmundo Rivera's specialty?
- Edmundo Rivera is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Edmundo Rivera located?
- Edmundo Rivera's practice location on file with NPPES is 296 Treemont Dr, Orange City, FL 32763-7945.
- What is Edmundo Rivera's phone number?
- The practice phone number listed in the NPPES registry for Edmundo Rivera is (386) 774-6001.
- Does Edmundo Rivera accept Medicare?
- Edmundo Rivera is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Edmundo Rivera's NPI active?
- Yes — Edmundo Rivera's NPI (1437231115) is active in the NPPES registry as of the last update on 2019-05-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.