Marcelo Rivera, M.D.
NPI 1942311311 · Specialist · Poway, CA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marcelo Rivera, M.D. is a Specialist provider in Poway, CA (NPI 1942311311).
Provider details
- NPI number
- 1942311311
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- G39240 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
477 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 | 258 | $191 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 100 | $137 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 79 | $121 |
| Residence Visit for Established Patient With High Level of Medical Decision Making, Per Day, If Using Time, at Least 60 Minutes99350 | 15 | $191 |
| Transitional Care Management Services for Problem of High Complexity99496 | 13 | $300 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 98 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 356 | 110 |
| Amlodipine Besylate | 241 | 71 |
| Metformin Hcl | 232 | 68 |
| Losartan Potassium | 225 | 67 |
| Rosuvastatin Calcium | 195 | 63 |
| Simvastatin | 187 | 54 |
| Lisinopril | 169 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2023-06-07
- Certified
- 2023-06-07
Frequently asked questions
- What is Marcelo Rivera's NPI number?
- Marcelo Rivera's National Provider Identifier (NPI) is 1942311311, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marcelo Rivera's specialty?
- Marcelo Rivera is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Marcelo Rivera located?
- Marcelo Rivera's practice location on file with NPPES is 15644 Pomerado Rd, Poway, CA 92064-2400.
- What is Marcelo Rivera's phone number?
- The practice phone number listed in the NPPES registry for Marcelo Rivera is (858) 613-8743.
- Does Marcelo Rivera accept Medicare?
- Marcelo Rivera is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marcelo Rivera's NPI active?
- Yes — Marcelo Rivera's NPI (1942311311) is active in the NPPES registry as of the last update on 2023-06-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.