RAFAEL RIVERA-RIVERA (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1669432209
Critical Care Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,360 CRITICAL CARE (INTENSIVISTS) in TX
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Provider Addresses for RAFAEL RIVERA-RIVERA (MD)
1208, Brook Avenue, Wichita Falls, Wichita County, Texas, 76301, United States
WICHITA FALLS, TX 763015602
Phone: (940) 322-4480
Fax: (940) 322-8420
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 290 Open Payments records for all available years, with a total value of $5,737.
Total Amount is formed as General ($5,737) + Research ($0) + Ownership ($0) = $5,737.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($1,028).
Total Amount
$5,737
General + Research + Ownership
Payments
290
Total payment records
General Amount
$5,737
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 |
|---|---|
| GlaxoSmithKline, LLC. | $1,028 |
| AstraZeneca Pharmaceuticals LP | $979 |
| Regeneron Healthcare Solutions, Inc. | $535 |
| Mylan Specialty L.P. | $310 |
| Noah Medical Corporation | $303 |
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: 2007-11-15
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 |
|---|---|---|---|---|
| I20071115000600 | I | Critical Care (Intensivists) | TX | 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 |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 396 | 180 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 381 | 239 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 204 | 119 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 133 | 75 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 91 | 17 | $0 |
Insurance plans in this area (ZIP 76301)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CRITICAL CARE (INTENSIVISTS) | TX | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 15 | 15 |
| CRITICAL CARE (INTENSIVISTS) | TX | 95004 | Injection of allergenic extracts into skin, accessed through the skin | 704 | 11 |
| CRITICAL CARE (INTENSIVISTS) | TX | 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 25 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Critical Care (Intensivists) | TX | |
| Critical Care (Intensivists), Pulmonary Disease | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Critical Care (Intensivists), Pulmonary Disease | TX | |
| Nurse Practitioner | TX | |
| Critical Care (Intensivists), Pulmonary Disease | TX | |
| Nurse Practitioner | TX |
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