DR. LUIS GARCIA RIVERA (M.D.) – General Practice Physician, NPI 1164539870

DR. LUIS GARCIA RIVERA (M.D.) is a healthcare provider. based in Lakeland, Florida. specializing in GENERAL PRACTICE. They hold the professional credentials M.D.. They hold a License No. 13253 (PR). The NPI Number for DR. LUIS GARCIA RIVERA (M.D.) is 1164539870

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. LUIS GARCIA RIVERA (M.D.)
NPI
1164539870
Phone
(863) 644-3585
Address
5425 S FLORIDA AVE
Enumeration Date
25 August 2006
Last Update Date
4 March 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8632955604
Graduation Year
1998 (28 years ago)
PAC ID
6800924986
Group Practice PAC ID
8224323050
Professional Enrollment ID
I20150325001322
Address ID
FL338803665WI950XXSXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,466 GENERAL PRACTICE in FL

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Provider Addresses for DR. LUIS GARCIA RIVERA (M.D.)

  • South Florida Avenue, Lakeland, Polk County, Florida, 33803:33813, United States

    LAKELAND, FL 33813

    Phone: (863) 644-3585

    Fax: (863) 644-3171

    Type: Location

  • 1955, Wind Meadows Drive, Bartow, Polk County, Florida, 33830, United States

    BARTOW, FL 338302937

    Phone: (787) 215-8576

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $319.

Total Amount is formed as General ($319) + Research ($0) + Ownership ($0) = $319.

Last reported payment date: 2024-07-10 • Largest payer in this snapshot: Boston Scientific Corporation ($133).

Total Amount

$319

General + Research + Ownership

Payments

10

Total payment records

General Amount

$319

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-03-25

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150325001322IGeneral PracticeFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes6833$0
99214Established patient office or other outpatient visit, 30-39 minutes5430$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1515$0
View full utilization report →

Insurance plans in this area (ZIP 33813)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224323050View full group profile
NameSpecialtyState
General PracticePR
-FL
Nurse PractitionerFL
Physician AssistantFL
General PracticeFL
Internal Medicine, General PracticePR
Nurse PractitionerFL
Family PracticeFL
Internal MedicineFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I cross-check DR. LUIS GARCIA RIVERA (M.D.) using NPI 1164539870?
NPI 1164539870 belongs to DR. LUIS GARCIA RIVERA (M.D.); compare other details if you need extra assurance.
Is DR. LUIS GARCIA RIVERA (M.D.) still an active registrant?
DR. LUIS GARCIA RIVERA (M.D.) carries an active NPI according to the public dataset.
What expertise is attributed to DR. LUIS GARCIA RIVERA (M.D.)?
DR. LUIS GARCIA RIVERA (M.D.)'s specialty line reads General Practice Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is DR. LUIS GARCIA RIVERA (M.D.) registered?
Use Lakeland, Florida as the headline location for DR. LUIS GARCIA RIVERA (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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