Active NPI 1396199303 Individual Practitioner Male Practitioner

Dr. Victor Juan Rivera , MD

General Practice • Orlando, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Victor Rivera, MD is a certified General Practice practicing in Orlando, FL. With approximately 12 years of clinical experience since graduating from San Juan Bautista School Of Medicine in 2014, Dr. Rivera delivers high-quality medical care to the local community at 4170 TOWN CTR BLVD STE 102.

Dr. Rivera is affiliated with Primary Healthcare Associates, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual depression screening, 5 to, detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4170 Town Ctr Blvd Ste 102

Orlando, FL 328375875

Telephone 4078572817

Fax 4078570234

Associated Practice Facility / Clinic

🏢 Primary Healthcare Associates, Inc Facility NPI 1063544963

Medicare Profile & Education

Medical School

San Juan Bautista School Of Medicine

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Orlando, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -11.4 yrs vs City Avg

City Avg: 23.4 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

170 Specialists

Practicing in Orlando, FL (2490 Statewide)

Telehealth Adoption Rate

16.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

2.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rivera (12 Years) 12 Yrs

Orlando Specialty Average (23.4 Years) 23.4 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
99213 Established patient office or other outpatient visit, typically 15 minutes	109	53	$90.98	$88.19
G0444 Annual depression screening, 5 to 15 minutes	15	15	$17.96	$17.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	44	39	$86.84	$79.00
G0444 Annual depression screening, 5 to 15 minutes	13	13	$17.96	$16.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	49	49	$150.00	$41.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$455.00	$115.73
99213 Established patient office or other outpatient visit, typically 15 minutes	41	41	$305.00	$92.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	172	146	$303.60	$95.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$455.00	$118.31
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	39	37	$150.00	$41.38
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	37	36	$125.00	$51.31
81003 Automated urinalysis test	24	24	$50.00	$2.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$700.00	$176.90
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$85.00	$15.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$450.00	$135.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	156	137	$305.00	$78.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	140	140	$455.00	$113.13
81003 Automated urinalysis test	24	22	$50.00	$2.24
87804 Detection test by immunoassay with direct visual observation for influenza virus	15	15	$60.00	$16.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$700.00	$173.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	81	71	$293.67	$76.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$455.00	$112.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$700.00	$171.14
81003 Automated urinalysis test	14	13	$50.00	$2.44

Medical Specialties & State Licenses

CMS Verified: 2024-07-23

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ACN1144

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License PR 19320

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Hospital & Practice Group Affiliations

Primary Healthcare Associates, Inc

308 W Bass St, Kissimmee, FL 347415001

Phone: 4079331760

Secondary Practice Locations

1 Calle Baldorioty

Caguas, PR 007252607

Phone: 7874066214

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Oscar Merida , MD

General Practice

NPI 1376551663

Doctor of Medicine (M.D.)

Dr. Doris Leon-Concepcion , MD

General Practice

NPI 1962694562

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

17 Historical Events

📍

Updated Practice Location July 23, 2024

Registered at 4170 TOWN CTR BLVD STE 102, ORLANDO, FL 328375875 (Tel: 4078572817)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2024

General Practice (License #ACN1144 in FL)

📍

Updated Business Mailing Address March 21, 2022

Registered at 308 W BASS ST, KISSIMMEE, FL 347415001 (Tel: 4074838801)

📍

Updated Practice Location April 22, 2019

Registered at 672 SW PRIMA VISTA BLVD STE 102, PORT ST LUCIE, FL 349831820 (Tel: 7729052560)

📍

Updated Business Mailing Address April 22, 2019

Registered at PO BOX 69, JUPITER, FL 334680069 (Tel: 5614066062)

✅

NPI Profile Active May 03, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address May 03, 2017

Registered at 1 CALLE BALDORIOTY, CAGUAS, PR 007252607 (Tel: 7874066214)

📍

Updated Practice Location May 03, 2017

Registered at 1 CALLE BALDORIOTY, CAGUAS, PR 007252607 (Tel: 7874066214)

👤

Provider Name / Credentials Updated May 03, 2017

Recorded as VICTOR RIVERA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2017

General Practice (License #19320 in PR)

📍

Updated Business Mailing Address February 07, 2017

Registered at PO BOX 1357, CAGUAS, PR 007261357 (Tel: 7872862800)

✅

NPI Profile Active April 15, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 15, 2016

Registered at 1 CALLE BALDORIOTY, CAGUAS, PR 007252607 (Tel: 7874066214)

📍

Updated Business Mailing Address April 15, 2016

Registered at PO BOX 1570, CAGUAS, PR 007261570

👤

Provider Name / Credentials Updated April 15, 2016

Recorded as VICTOR RIVERA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2016

General Practice (License #19320 in PR)

🟢

Initial NPI Registration & Enumeration April 15, 2016

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: 1396199303

Entity Type:

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

Enumeration Date: April 15, 2016

Last Update: July 23, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

308 W Bass St

Kissimmee, FL 347415001

Phone: 4074838801

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.