Kathy Caraballo Rivera, MD
NPI 1992164230 · Family Medicine Physician · Bayamon, PR
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kathy Caraballo Rivera, MD is a Family Medicine Physician provider in Bayamon, PR (NPI 1992164230).
Provider details
- NPI number
- 1992164230
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 32243R (PR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 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
160 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) |
|---|---|---|
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 77 | $7 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 62 | $104 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 21 | $85 |
Typical Medicare-allowed amounts for these services range $7–$104 (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 · 20 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 68 | 20 |
| Metoprolol Succinate | 44 | 16 |
| Omega-3 Acid Ethyl Esters | 41 | — |
| Gabapentin | 35 | 13 |
| Levothyroxine Sodium | 30 | — |
| Ciprofloxacin Hcl | 30 | 29 |
| Levofloxacin | 29 | 25 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$183 across 8 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
- 2016-02-15
- Last updated
- 2019-08-12
Frequently asked questions
- What is Kathy Caraballo Rivera's NPI number?
- Kathy Caraballo Rivera's National Provider Identifier (NPI) is 1992164230, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kathy Caraballo Rivera's specialty?
- Kathy Caraballo Rivera is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kathy Caraballo Rivera located?
- Kathy Caraballo Rivera's practice location on file with NPPES is Carr #2 Km 11.7, Bayamon, PR 00659.
- What is Kathy Caraballo Rivera's phone number?
- The practice phone number listed in the NPPES registry for Kathy Caraballo Rivera is (787) 201-9026.
- Does Kathy Caraballo Rivera accept Medicare?
- Kathy Caraballo Rivera is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kathy Caraballo Rivera's NPI active?
- Yes — Kathy Caraballo Rivera's NPI (1992164230) is active in the NPPES registry as of the last update on 2019-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.