Carlos Rivera, M.D.,
NPI 1992741326 · Legal Medicine · Long Branch, NJ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carlos Rivera, M.D., is a Legal Medicine provider in Long Branch, NJ (NPI 1992741326).
Provider details
- NPI number
- 1992741326
- Entity type
- Individual
- Primary specialty
- Legal MedicineOther Service Providers
- Credential
- M.D.,
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA06184200 (NJ)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 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
299 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 299 | $96 |
Typical Medicare-allowed amounts for these services range $96–$96 (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 · 76 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 201 | 59 |
| Amlodipine Besylate | 131 | 40 |
| Lisinopril | 120 | 34 |
| Metformin Hcl | 116 | 41 |
| Rosuvastatin Calcium | 99 | 31 |
| Pantoprazole Sodium | 87 | 38 |
| Fenofibrate Nanocrystallized |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$157 across 10 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
- 2006-06-22
- Last updated
- 2013-02-08
Frequently asked questions
- What is Carlos Rivera's NPI number?
- Carlos Rivera's National Provider Identifier (NPI) is 1992741326, 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 Legal Medicine (Other Service Providers).
- Where is Carlos Rivera located?
- Carlos Rivera's practice location on file with NPPES is 9 Memorial Pkwy, Long Branch, NJ 07740-6701.
- What is Carlos Rivera's phone number?
- The practice phone number listed in the NPPES registry for Carlos Rivera is (732) 728-7010.
- 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 (1992741326) is active in the NPPES registry as of the last update on 2013-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.