Active NPI 1942311311 Individual Practitioner Male Practitioner

Dr. Marcelo R Rivera , MD

Specialist • Poway, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Marcelo Rivera, MD is a certified Specialist practicing in Poway, CA. With approximately 50 years of clinical experience since graduating from Rush Medical College Of Rush University in 1976, Dr. Rivera delivers high-quality medical care to the local community at 15644 POMERADO RD.

Dr. Rivera accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, residence visit for established patient with high level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

15644 Pomerado Rd
#300

Poway, CA 920642400

Telephone 8586138743

Fax 8586139274

Associated Practice Facility / Clinic

🏢 Paul Neustein Md Inc Facility NPI 1396873410

Medicare Profile & Education

Medical School

Rush Medical College Of Rush University

Graduation Year

1976

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Poway, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

50 Yrs +13.3 yrs vs City Avg

City Avg: 36.7 Yrs

State Avg: 38.0 Yrs

Regional Practice Density

18 Specialists

Practicing in Poway, CA (6446 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

15.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rivera (50 Years) 50 Yrs

Poway Specialty Average (36.7 Years) 36.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	258	132	$250.00	$190.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	63	$150.00	$136.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	79	79	$125.63	$121.16
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	15	14	$280.00	$190.84
99496 Transitional care management services for problem of high complexity	13	11	$305.00	$300.12
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$115.00	$97.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	377	138	$250.00	$189.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	68	68	$127.21	$123.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	27	$150.78	$133.44
99497 Advance care planning, first 30 minutes	29	29	$95.00	$86.70
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$175.00	$171.50
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$325.00	$233.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	472	155	$239.32	$193.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	37	$151.50	$138.59
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	16	14	$35.00	$1.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	493	166	$189.96	$191.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	42	$150.00	$141.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	434	168	$189.95	$157.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	62	$149.62	$117.71
99213 Established patient office or other outpatient visit, typically 15 minutes	59	48	$114.41	$81.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	600	205	$189.63	$152.91
G0008 Administration of influenza virus vaccine	109	72	$35.00	$17.33
90653 Vaccine for influenza for injection into muscle	87	58	$60.00	$58.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	64	$149.24	$114.70
36415 Insertion of needle into vein for collection of blood sample	57	49	$30.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	29	24	$114.66	$78.97
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	27	14	$35.00	$1.77
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	14	$30.00	$17.94
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	25	25	$40.00	$23.73
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$325.00	$215.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	373	190	$189.36	$147.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	233	133	$149.10	$109.46
99213 Established patient office or other outpatient visit, typically 15 minutes	116	83	$114.09	$74.28
36415 Insertion of needle into vein for collection of blood sample	43	36	$30.00	$2.94
G0008 Administration of influenza virus vaccine	35	32	$35.00	$21.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	24	24	$125.00	$118.89
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	22	21	$40.00	$23.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	504	211	$189.31	$145.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	261	140	$141.12	$108.13
99213 Established patient office or other outpatient visit, typically 15 minutes	93	71	$101.99	$73.56
36415 Insertion of needle into vein for collection of blood sample	67	55	$26.57	$2.94
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	47	46	$50.00	$18.86
G0008 Administration of influenza virus vaccine	46	45	$35.00	$26.83
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	29	13	$29.83	$2.70
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	13	$30.00	$26.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$126.40	$116.84
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$282.72	$206.17
99496 Transitional care management services for problem of high complexity	14	13	$305.00	$233.41

Medical Specialties & State Licenses

CMS Verified: 2023-06-07

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA G39240

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners

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Doctor of Podiatric Medicine

Laurie Mixter , MS, RD, HHP

Massage Therapist

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Master of Science, Registered Dietitian, HHP

Dr. Mark Mikulics , MD

Orthopaedic Surgery

NPI 1083614614

Doctor of Medicine (M.D.)

Dr. Lauren Pichard , PsyD

Psychologist

NPI 1164885869

Doctor of Psychology (Psy.D.)

Perla Kimball , LAC

Acupuncturist

NPI 1205074903

Licensed Acupuncturist

Dr. Roger Bitar , MD

Internal Medicine - Infectious Disease

NPI 1225153737

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 16, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location December 16, 2015

Registered at 15644 POMERADO RD, #300, POWAY, CA 920642400 (Tel: 8586138743)

📍

Updated Business Mailing Address December 16, 2015

Registered at 15644 POMERADO RD, #300, POWAY, CA 920642400 (Tel: 8586138743)

👤

Provider Name / Credentials Updated December 16, 2015

Recorded as MARCELO RIVERA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2015

Specialist (License #G39240 in CA)

🟢

Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942311311

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 31, 2006

Last Update: June 07, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

15644 Pomerado Rd, #300

Poway, CA 920642400

Phone: 8586138743

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.