DR. EDGARDO J GUZMAN RIVERA (MD) – Internal Medicine Physician, NPI 1316390404
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
449 RHEUMATOLOGY in FL
Provider Addresses for DR. EDGARDO J GUZMAN RIVERA (MD)
517 EICHENFELD DR
UNIT 102
BRANDON, FL 335115942
Phone: (813) 333-5080
Fax: (813) 773-7717
Type: Location
938 CYPRESS VILLAGE BLVD STE A
SUN CITY CENTER, FL 335736835
Phone: (813) 333-5080
Fax: (813) 773-7717
Type: Mailing
3102 W Cypress St
Tampa, FL 336075118
Phone: (813) 333-5080
Fax: (813) 773-7717
Type: Location
Stony Brook University Hospital, 101, Nicolls Road, Suffolk County, New York, 11794, United States
STONY BROOK, NY 117940001
Phone: (631) 444-8366
Type: Mailing
613 MEDICAL CARE DR
BRANDON, FL 335115942
Phone: (813) 333-5080
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 299 Open Payments records for all available years, with a total value of $5,460.
Total Amount is formed as General ($5,460) + Research ($0) + Ownership ($0) = $5,460.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Amgen Inc. ($1,400).
Total Amount
$5,460
General + Research + Ownership
Payments
299
Total payment records
General Amount
$5,460
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $1,400 |
| ABBVIE INC. | $757 |
| UCB, Inc. | $714 |
| Janssen Biotech, Inc. | $624 |
| Aurinia Pharma U.S., Inc. | $209 |
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: 2022-05-13
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 |
|---|---|---|---|---|
| I20220513002395 | I | Rheumatology | 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 |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 900 | 13 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 75 | 52 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 58 | 58 | $0 |
| 96401 | Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle | 57 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 19 | $0 |
Insurance plans in this area (ZIP 33511)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| R H E U M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| R H E U M A T O L O G Y | FL | |
| Internal Medicine | FL | |
| Internal Medicine, Rheumatology | FL | |
| Internal Medicine | FL | |
| R H E U M A T O L O G Y | OH |
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