Active NPI 1477583045 Individual Practitioner Male Practitioner

Dr. Arnold Dc Rivera , MD

Urology • Derby, CT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Arnold Rivera, MD is a certified Urology practicing in Derby, CT. With approximately 26 years of clinical experience since graduating from George Washington University School Of Medicine in 2000, Dr. Rivera delivers high-quality medical care to the local community at 111 NEW HAVEN AVE.

Dr. Rivera is affiliated with Bristol Hospital Multi Specialty Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

111 New Haven Ave
Unit 5

Derby, CT 064182197

Telephone 2037364816

Fax 2037327956

Associated Practice Facility / Clinic

🏢 Physical Therapy Of Southern Connecticut, P.c. Facility NPI 1164585451

Medicare Profile & Education

Medical School

George Washington University School Of Medicine

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Derby, CT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +3.5 yrs vs City Avg

City Avg: 22.5 Yrs

State Avg: 23.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Derby, CT (196 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rivera (26 Years) 26 Yrs

Derby Specialty Average (22.5 Years) 22.5 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
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	64	$81.54	$59.33
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	69	54	$48.55	$24.66
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	58	23	$50.00	$14.97
76856 Complete ultrasound scan of pelvis	39	34	$320.00	$111.54
99213 Established patient office or other outpatient visit, typically 15 minutes	31	27	$111.00	$94.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	23	$250.00	$133.57
52332 Insertion of stent in urinary duct (ureter) using an endoscope	24	19	$609.00	$177.11
J1580 Injection, garamycin, gentamicin, up to 80 mg	23	19	$60.00	$2.45
76775 Limited ultrasound scan behind abdominal cavity	20	13	$62.00	$27.66
52000 Diagnostic exam of bladder and urethra using an endoscope	20	16	$500.00	$252.90
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$136.00	$75.60
50590 Shock wave crushing of kidney stones	19	13	$2000.00	$577.35
36415 Insertion of needle into vein for collection of blood sample	14	13	$10.00	$8.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	12	$250.00	$147.48
55876 Placement of device in prostate for radiation therapy	14	14	$57.00	$52.78
55874 Injection of biodegradable material next to prostate	14	14	$350.00	$168.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$285.00	$136.53
52000 Diagnostic exam of bladder and urethra using an endoscope	12	11	$500.00	$71.60
99285 Emergency department visit for life threatening or functioning severity	12	11	$325.00	$178.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	83	58	$81.00	$60.07
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	71	25	$50.00	$15.03
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	40	30	$46.00	$24.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	32	$250.00	$134.99
99213 Established patient office or other outpatient visit, typically 15 minutes	32	26	$111.00	$95.35
J1580 Injection, garamycin, gentamicin, up to 80 mg	32	23	$58.13	$2.80
52000 Diagnostic exam of bladder and urethra using an endoscope	30	25	$500.00	$261.20
50590 Shock wave crushing of kidney stones	21	15	$2000.00	$590.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$173.00	$134.73
76775 Limited ultrasound scan behind abdominal cavity	20	14	$62.00	$28.69
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$136.00	$76.97
55874 Injection of biodegradable material next to prostate	15	15	$350.00	$169.89
55876 Placement of device in prostate for radiation therapy	15	15	$57.00	$52.94
76856 Complete ultrasound scan of pelvis	14	14	$320.00	$115.50
36415 Insertion of needle into vein for collection of blood sample	13	13	$10.00	$8.40
52000 Diagnostic exam of bladder and urethra using an endoscope	12	12	$500.00	$79.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	125	92	$81.00	$61.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	102	44	$50.00	$15.53
J1580 Injection, garamycin, gentamicin, up to 80 mg	60	41	$57.00	$1.88
99213 Established patient office or other outpatient visit, typically 15 minutes	49	39	$111.00	$97.54
52000 Diagnostic exam of bladder and urethra using an endoscope	45	35	$500.00	$274.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	32	$250.00	$141.18
52332 Insertion of stent in urinary duct (ureter) using an endoscope	23	21	$609.00	$160.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$173.00	$137.25
36415 Insertion of needle into vein for collection of blood sample	22	22	$10.00	$2.98
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	21	13	$46.00	$25.42
50590 Shock wave crushing of kidney stones	21	17	$2000.00	$594.88
76775 Limited ultrasound scan behind abdominal cavity	21	17	$62.00	$29.50
99285 Emergency department visit for life threatening or functioning severity	18	17	$325.00	$184.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$285.00	$177.95
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$136.00	$78.70
52000 Diagnostic exam of bladder and urethra using an endoscope	15	15	$500.00	$84.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$250.00	$193.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$172.00	$120.26
55876 Placement of device in prostate for radiation therapy	13	13	$57.00	$53.59
55874 Injection of biodegradable material next to prostate	13	13	$350.00	$172.95
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	12	$650.00	$105.20
76377 3D radiographic procedure with computerized image postprocessing	11	11	$82.32	$40.32
76872 Ultrasound scan of pelvic region through rectum	11	11	$200.00	$34.23
55700 Biopsy of prostate gland	11	11	$1500.00	$129.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	174	122	$81.00	$61.16
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	99	45	$50.00	$15.42
J1580 Injection, garamycin, gentamicin, up to 80 mg	55	41	$60.00	$1.80
36415 Insertion of needle into vein for collection of blood sample	55	47	$10.00	$3.00
99202 New patient office or other outpatient visit, typically 20 minutes	46	46	$136.00	$79.34
52000 Diagnostic exam of bladder and urethra using an endoscope	37	30	$500.00	$263.42
81000 Manual urinalysis test with examination using microscope, non-automated	34	32	$60.00	$4.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	25	$250.00	$195.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	26	$250.00	$143.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$173.00	$140.12
76856 Complete ultrasound scan of pelvis	25	24	$320.00	$123.00
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	25	23	$46.00	$25.11
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$111.00	$98.89
76775 Limited ultrasound scan behind abdominal cavity	21	16	$62.00	$30.45
50590 Shock wave crushing of kidney stones	21	16	$2000.00	$603.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$285.00	$180.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	108	88	$81.00	$48.08
81000 Manual urinalysis test with examination using microscope, non-automated	99	87	$60.00	$3.99
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	80	37	$50.00	$14.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$285.00	$170.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	51	$173.00	$113.65
76856 Complete ultrasound scan of pelvis	42	37	$320.00	$116.81
J1580 Injection, garamycin, gentamicin, up to 80 mg	42	33	$50.00	$1.93
36415 Insertion of needle into vein for collection of blood sample	40	36	$10.00	$2.99
52000 Diagnostic exam of bladder and urethra using an endoscope	39	31	$500.00	$225.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	35	$250.00	$152.05
99213 Established patient office or other outpatient visit, typically 15 minutes	24	17	$111.00	$78.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$250.00	$141.79
50590 Shock wave crushing of kidney stones	13	11	$2000.00	$602.62
51700 Simple bladder irrigation and/or instillation	12	11	$205.00	$73.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	141	116	$60.00	$3.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	131	99	$81.00	$47.36
76856 Complete ultrasound scan of pelvis	94	77	$320.00	$116.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	64	$173.00	$112.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	62	61	$250.00	$151.10
J1580 Injection, garamycin, gentamicin, up to 80 mg	46	36	$30.00	$1.76
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	46	37	$50.00	$17.48
52000 Diagnostic exam of bladder and urethra using an endoscope	42	35	$500.00	$199.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$285.00	$170.49
36415 Insertion of needle into vein for collection of blood sample	37	33	$10.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	29	26	$111.00	$77.24
76000 Imaging guidance for procedure, 60 minutes or less	29	19	$140.00	$16.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	23	$250.00	$140.24
51700 Simple bladder irrigation and/or instillation	24	17	$205.00	$79.38
50590 Shock wave crushing of kidney stones	17	13	$2000.00	$582.49
76775 Limited ultrasound scan behind abdominal cavity	16	12	$62.00	$29.63
52332 Insertion of stent in urinary duct (ureter) using an endoscope	14	13	$609.00	$164.56
99201 New patient office or other outpatient visit, typically 10 minutes	14	14	$75.00	$48.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	175	141	$60.00	$3.94
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	120	13	$300.00	$215.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	81	$173.00	$112.45
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	94	84	$250.00	$151.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	65	$81.00	$46.29
76856 Complete ultrasound scan of pelvis	62	55	$320.00	$118.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$285.00	$171.94
52000 Diagnostic exam of bladder and urethra using an endoscope	48	41	$500.00	$175.64
76000 Imaging guidance for procedure, 60 minutes or less	45	28	$140.00	$9.14
36415 Insertion of needle into vein for collection of blood sample	37	36	$10.00	$2.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	31	$250.00	$141.05
J1580 Injection, garamycin, gentamicin, up to 80 mg	28	25	$30.00	$1.48
76775 Limited ultrasound scan behind abdominal cavity	27	21	$62.00	$29.74
50590 Shock wave crushing of kidney stones	27	21	$2000.00	$566.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	22	$50.00	$21.75
74420 Imaging of urinary tract	23	18	$40.00	$18.07
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$111.00	$76.36
52332 Insertion of stent in urinary duct (ureter) using an endoscope	21	18	$609.00	$161.53
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	20	13	$200.00	$32.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	180	143	$60.00	$4.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	92	$173.00	$111.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	86	82	$250.00	$149.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	82	65	$81.00	$45.64
76856 Complete ultrasound scan of pelvis	78	69	$320.00	$117.72
52000 Diagnostic exam of bladder and urethra using an endoscope	64	54	$500.00	$174.39
76000 Imaging guidance for procedure, 60 minutes or less	57	40	$140.00	$9.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$285.00	$169.72
36415 Insertion of needle into vein for collection of blood sample	46	43	$10.00	$2.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	40	$250.00	$139.77
50590 Shock wave crushing of kidney stones	38	30	$2000.00	$580.87
76775 Limited ultrasound scan behind abdominal cavity	37	30	$62.00	$29.46
74420 Imaging of urinary tract	31	23	$40.00	$17.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$172.00	$112.28
52332 Insertion of stent in urinary duct (ureter) using an endoscope	24	20	$609.00	$198.08
J1580 Injection, garamycin, gentamicin, up to 80 mg	23	14	$30.00	$1.51
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$111.00	$75.68
51700 Simple bladder irrigation and/or instillation	17	15	$205.00	$68.17

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License CT 043098

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Hospital & Practice Group Affiliations

Bristol Hospital Multi Specialty Group, Inc.

41 Brewster Rd, Bristol, CT 060105161

Phone: 8605853000

Practice Associates & Co-Workers

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

13 Associated Practitioners

Karen Delfino , RPT

Physical Therapist

NPI 1144341173

Registered Physical Therapist

Jamie Perry , LCSW

Social Worker - Clinical

NPI 1194390617

Licensed Clinical Social Worker

Patricia Haag , OT

Occupational Therapist - Pediatrics

NPI 1255544078

Occupational Therapist

Teila Lanci , LCSW

Social Worker - Clinical

NPI 1255940094

Licensed Clinical Social Worker

Tiana Griffin

Counselor - Mental Health

NPI 1396521514

Dr. Christopher Chase , DC

Chiropractor

NPI 1407835622

Doctor of Chiropractic

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active January 18, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 18, 2017

Registered at 111 NEW HAVEN AVE, UNIT 5, DERBY, CT 064182197 (Tel: 2037364816)

📍

Updated Business Mailing Address January 18, 2017

Registered at 111 NEW HAVEN AVE, UNIT 5, DERBY, CT 064182197 (Tel: 2037364816)

👤

Provider Name / Credentials Updated January 18, 2017

Recorded as ARNOLD RIVERA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2017

Urology (License #043098 in CT)

✅

NPI Profile Active August 01, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 01, 2016

Registered at 2 CORPORATE DR, SUITE 240, SHELTON, CT 064846238 (Tel: 2039298400)

📍

Updated Business Mailing Address August 01, 2016

Registered at 300 SEYMOUR AVE, STE 202, DERBY, CT 064181343 (Tel: 2039298400)

👤

Provider Name / Credentials Updated August 01, 2016

Recorded as ARNOLD RIVERA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2016

Urology (License #043098 in CT)

🟢

Initial NPI Registration & Enumeration July 03, 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: 1477583045

Entity Type:

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

Enumeration Date: July 03, 2006

Last Update: January 18, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

111 New Haven Ave, Unit 5

Derby, CT 064182197

Phone: 2037364816

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.