CARLOS TORRES-RIVERA (MD) – Nephrology Physician, NPI 1215032446
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
12,368 INTERNAL MEDICINE in FL
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Provider Addresses for CARLOS TORRES-RIVERA (MD)
204, Southpark Circle East, St. Augustine South, Saint Johns County, Florida, 32086, United States
ST AUGUSTINE, FL 320865135
Phone: (904) 829-8300
Fax: (904) 829-8310
Type: Location
St Augustine Post Office, 34, Main Street, St. Augustine, Knox County, Illinois, 61474, United States
ST AUGUSTINE, FL 320851779
Phone: (904) 824-4990
Fax: (904) 824-2226
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $404.
Total Amount is formed as General ($404) + Research ($0) + Ownership ($0) = $404.
Last reported payment date: 2023-10-25 • Largest payer in this snapshot: Horizon Therapeutics plc ($104).
Total Amount
$404
General + Research + Ownership
Payments
19
Total payment records
General Amount
$404
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-25
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-03-08
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 |
|---|---|---|---|---|
| I20100308000301 | I | Internal Medicine | FL | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 592 | 155 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 468 | 187 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 430 | 235 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 167 | 149 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 74 | 74 | $0 |
Insurance plans in this area (ZIP 32086)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | FL | 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 67 | 35 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | FL | |
| Internal Medicine, Nephrology | FL |
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