DR. JOHN EDWIN JR. RIVERA (M.D.) – Family Medicine Physician, NPI 1720044811
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
822 FAMILY PRACTICE in CT
Provider Addresses for DR. JOHN EDWIN JR. RIVERA (M.D.)
20 YORK ST CB-2041
HOSPITALIST SERVICE
NEW HAVEN, CT 06504
Phone: (203) 688-4748
Fax: (203) 688-4740
Type: Location
Yale New Haven Hospital, 20, York Street, Downtown, New Haven, New Haven County, Connecticut, 06510, United States
CB-2041
NEW HAVEN, CT 065048900
Phone: (203) 688-4748
Fax: (203) 688-4740
Type: Mailing
PO BOX 770
MILLDALE, CT 064670770
Phone: (860) 621-5554
Fax: (860) 621-3833
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 178 Open Payments records for all available years, with a total value of $3,334.
Total Amount is formed as General ($3,334) + Research ($0) + Ownership ($0) = $3,334.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($995).
Total Amount
$3,334
General + Research + Ownership
Payments
178
Total payment records
General Amount
$3,334
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $995 |
| ABBVIE INC. | $617 |
| PFIZER INC. | $520 |
| Lilly USA, LLC | $253 |
| Novo Nordisk Inc | $141 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-07-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040728000950 | I | Family Practice | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 177 | 110 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 165 | 107 | $0 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 89 | 52 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 74 | 74 | $0 |
| 81002 | Urinalysis, manual test | 50 | 48 | $0 |
Insurance plans in this area (ZIP 06504)
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Provider's Procedures
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