Doctor profile · Federal record
Dr. Rafael Rivera-Rivera, MD
Critical Care Medicine (Internal Medicine) Physician (CMS: Critical Care (Intensivists)) · Pulmonary Disease Physician · Wichita Falls, TX
- NPI 1669432209
- Accepts Medicare
- MIPS 93.5 / 100 · 2023
- 38 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1208 Brook Ave
Wichita Falls, TX 763015602
(940) 322-4480
fax (940) 322-8420
Credentials & registration
- NPI registered
- March 2006 — 20 yrs on file
- Profile last updated
- March 6, 2014
- Year of graduation
- 1988 — 38 yrs since
- Specialty taxonomy
- 207RC0200X — NUCC code
- State license (1)
- Texas #J3890
- Medicaid
- TX #096321701
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1669432209. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,646
Distinct HCPCS
10
Medicare allowed
$194,618
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99291 |
Critical care, first 30-74 minutes | 396 | 180 | $206 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 381 | 239 | $123 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 204 | 119 | $76 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 133 | 75 | $116 | |
96372 |
Injection of drug or substance under skin or into muscle | 91 | 17 | $14 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 60 | 56 | $88 | |
94726 |
Test to determine lung volumes using sensors | 54 | 54 | $53 | |
94729 |
Test to examine how well the lungs exchange gases | 53 | 53 | $55 | |
94618 |
Test for exercise-induced lung stress | 51 | 51 | $33 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 32 | 32 | $127 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 106. This provider delivers 16× the peer median.Open Payments
Industry payments received
All-time total
$3,061
Transactions
135
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | 25 | $497.70 | |
| GlaxoSmithKline, LLC. | 26 | $444.15 | |
| Regeneron Healthcare Solutions, Inc. | 19 | $329.66 | |
| Mylan Specialty L.P. | 18 | $310.29 | |
| Noah Medical Corporation | 1 | $303.24 | |
| Amgen Inc. | 12 | $229.43 | |
| GENZYME CORPORATION | 8 | $203.53 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 5 | $125.35 | |
| United Therapeutics Corporation | 4 | $110.01 | |
| Merck Sharp & Dohme LLC | 5 | $107.78 | |
| PFIZER INC. | 4 | $68.40 | |
| Actelion Pharmaceuticals US, Inc. | 3 | $61.43 | |
| Novartis Pharmaceuticals Corporation | 2 | $42.01 | |
| Baxter Healthcare | 2 | $41.40 | |
| ABIOMED | 1 | $38.35 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
569
Patients
96
Total drug cost
$262,574
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 153 | 31 | $136,082 |
| Montelukast Sodium | Generic | 65 | 18 | $980 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 60 | 20 | $1,905 |
| Breztri Aerosphere (Budesonide/Glycopyr/Formoterol) | Brand | 41 | 15 | $29,873 |
| Prednisone | Generic | 28 | 12 | $187 |
| Roflumilast | Generic | 28 | 0 | $5,445 |
| Stiolto Respimat (Tiotropium Br/Olodaterol Hcl) | Brand | 25 | 0 | $18,267 |
| Advair Diskus (Fluticasone Propion/Salmeterol) | Brand | 24 | 0 | $11,927 |
| Azithromycin | Generic | 24 | 0 | $591 |
| Breo Ellipta (Fluticasone/Vilanterol) | Brand | 23 | 0 | $18,507 |
Hospital affiliations
Frequently asked questions
What is Dr. Rafael Rivera-Rivera's medical specialty?
Dr. Rafael Rivera-Rivera practices Critical Care Medicine (Internal Medicine) Physician in Wichita Falls, TX.
Where does Dr. Rafael Rivera-Rivera practice?
Dr. Rafael Rivera-Rivera practices at 1208 Brook Ave, Wichita Falls, TX 763015602. Office phone: 9403224480.
What is Dr. Rafael Rivera-Rivera's NPI?
Dr. Rafael Rivera-Rivera's National Provider Identifier (NPI) is 1669432209, issued by NPPES.
Does Dr. Rafael Rivera-Rivera accept Medicare assignment?
Yes. Dr. Rafael Rivera-Rivera accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Rafael Rivera-Rivera commonly perform?
Top Medicare-reported procedures in 2023: Critical care (HCPCS 99291); Established patient office or other outpatient visit (HCPCS 99214); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232). Source: CMS Medicare Physician & Other Practitioners file.