RENATO BACOL RIVERA (M.D.) – Surgery Physician, NPI 1083612790

Surgery Physician

RENATO BACOL RIVERA (M.D.) is a healthcare provider. based in Breese, Illinois. specializing in Surgery Physician. They hold the professional credentials M.D.. They hold a License No. 036045712 (IL). The NPI Number for RENATO BACOL RIVERA (M.D.) is 1083612790

Main info

Male

62 Years Of Experience

Accepts Medicare Assignment

Name

RENATO BACOL RIVERA (M.D.)

NPI

1083612790

Phone

(618) 526-7133

Address

9401 HOLY CROSS LN

Enumeration Date

7 July 2005

Last Update Date

30 December 2021

Doctor Profile

Medical School Name

OTHER

Secondary Phone

6185268430

Graduation Year

1964 (62 years ago)

PAC ID

0941110050

Group Practice PAC ID

5092857821

Professional Enrollment ID

I20080630000576

Contacts

Secure Messaging

rrivera157814@ewd.direct.hshs.org

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience64

Completeness85

Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for RENATO BACOL RIVERA (M.D.)

9401, Holy Cross Lane, Breese, Clinton County, Illinois, 62230, United States
SUITE 111
BREESE, IL 622303510
Phone: (618) 526-7133
Fax: (618) 526-7160
Type: Mailing
9515 HOLY CROSS LN STE 175
BREESE, IL 622303618
Phone: (618) 526-8430
Fax: (618) 526-7275
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62230)

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Provider's Procedures

RENATO BACOL RIVERA (M.D.) performs procedures in Surgery Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
GENERAL SURGERY	IL	45378	Diagnostic examination of large bowel using an endoscope	32	31

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: 5092857821View full group profile

Name	Specialty	State
WILLIAM R YU (MD)	-	IL
ANDREW ROBERT GAGE (M.D.)	Family Practice	IL
DR. PRAVEEN KUMAR SAMPATH (MD)	G A S T R O E N T E R O L O G Y	TX
DR. NANTHINI SUTHAN (M.D)	Internal Medicine	IL
DR. PAUL E LOETHEN (MD)	General Surgery	IL
MARY CRISLER	-	IL
PROF. SIDNEY P ROHRSCHEIB (M.D.)	General Surgery	IL
DR. STEVEN ALLEN TAYLOR (M.D.)	Family Practice	IL
DEBORAH L PULLIAM (APRN, CNP)	-	IL
JULIE BRASEL (C.N.M.)	Certified Nurse Midwife (Cnm)	IL