Active NPI 1538454210 Individual Practitioner Male Practitioner

Dr. Marcelino E Rivera , MD

Urology • Indianapolis, IN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Marcelino Rivera, MD is a certified Urology practicing in Indianapolis, IN. With approximately 15 years of clinical experience since completing medical education in 2011, Dr. Rivera delivers high-quality medical care to the local community at 1801 N SENATE BLVD SUITE 220.

Dr. Rivera is affiliated with Iu Health Medical Group Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include telephone medical discussion with physician, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, complete laser fragmentation of prostate including control of bleeding using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1801 N Senate Blvd Suite 220

Indianapolis, IN 46202

Telephone 3179623700

Fax 3179622893

Associated Practice Facility / Clinic

🏢 Methodist Urology, Llc Facility NPI 1629078316

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Indianapolis, IN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -3.5 yrs vs City Avg

City Avg: 18.5 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

63 Specialists

Practicing in Indianapolis, IN (320 Statewide)

Telehealth Adoption Rate

31.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

80.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rivera (15 Years) 15 Yrs

Indianapolis Specialty Average (18.5 Years) 18.5 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
99442 Telephone medical discussion with physician, 11-20 minutes	99	87	$105.00	$84.23
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	95	89	$35.00	$15.36
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	58	58	$4246.00	$735.06
99213 Established patient office or other outpatient visit, typically 15 minutes	31	31	$127.00	$84.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	27	$183.00	$119.20
51798 Ultrasound measurement of bladder capacity after voiding	26	25	$108.00	$10.13
50081 Removal or crushing kidney stone (over 2 centimeters) or insert kidney stent using an endoscope, accessed through the skin	26	25	$4577.54	$1101.93
52356 Crushing of stone of ureter with insertion of stent using an endoscope	22	22	$1595.34	$409.15
52005 Insertion of tube into ureter using an endoscope through bladder area	20	20	$1076.00	$64.63
74420 Imaging of urinary tract	17	17	$64.00	$22.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$289.00	$154.30
99443 Telephone medical discussion with physician, 21-30 minutes	15	15	$176.00	$118.64
50432 Placement of tube of kidney using imaging guidance with review by radiologist	13	13	$2271.00	$94.44
52332 Insertion of stent in urinary duct (ureter) using an endoscope	11	11	$1207.05	$112.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99442 Telephone medical discussion with physician, 11-20 minutes	82	77	$123.00	$82.82
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	63	63	$4262.85	$751.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	40	$216.00	$114.34
50081 Removal or crushing kidney stone (over 2 centimeters) or insert kidney stent using an endoscope, accessed through the skin	42	40	$4855.32	$1193.32
99213 Established patient office or other outpatient visit, typically 15 minutes	41	38	$156.00	$83.07
51798 Ultrasound measurement of bladder capacity after voiding	39	37	$87.00	$9.59
99443 Telephone medical discussion with physician, 21-30 minutes	36	35	$193.00	$116.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$313.00	$153.50
50432 Placement of tube of kidney using imaging guidance with review by radiologist	29	28	$2303.88	$106.80
52005 Insertion of tube into ureter using an endoscope through bladder area	26	26	$1118.00	$59.33
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$156.00	$61.64
52356 Crushing of stone of ureter with insertion of stent using an endoscope	17	17	$1125.00	$316.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$216.00	$86.76
81003 Automated urinalysis test	12	11	$7.00	$2.20
52000 Diagnostic exam of bladder and urethra using an endoscope	11	11	$516.00	$70.13
50694 Placement of stent of urinary duct (ureter), accessed through the skin with imaging including radiological supervision and interpretation	11	11	$3118.91	$144.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	82	69	$156.00	$84.43
99442 Telephone medical discussion with physician, 11-20 minutes	65	56	$123.00	$79.60
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	53	53	$4246.00	$768.34
50432 Placement of tube of kidney using imaging guidance with review by radiologist	35	34	$2363.51	$110.33
50081 Removal or crushing kidney stone (over 2 centimeters) or insert kidney stent using an endoscope, accessed through the skin	33	31	$4658.45	$1350.35
51798 Ultrasound measurement of bladder capacity after voiding	33	31	$87.00	$9.41
99443 Telephone medical discussion with physician, 21-30 minutes	33	33	$193.00	$109.47
99213 Established patient office or other outpatient visit, typically 15 minutes	33	30	$156.00	$63.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	28	$216.00	$117.38
52005 Insertion of tube into ureter using an endoscope through bladder area	23	22	$1118.00	$63.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$313.00	$147.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$216.00	$93.00
51700 Simple bladder irrigation and/or instillation	18	12	$212.00	$28.49
52356 Crushing of stone of ureter with insertion of stent using an endoscope	17	17	$1020.00	$350.82
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	15	14	$1003.80	$179.53
52000 Diagnostic exam of bladder and urethra using an endoscope	15	14	$516.00	$71.33
81003 Automated urinalysis test	12	11	$7.00	$2.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$217.00	$104.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	77	64	$156.00	$85.95
99213 Established patient office or other outpatient visit, typically 15 minutes	73	65	$156.00	$64.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$313.00	$158.52
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	54	54	$4246.00	$781.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$216.00	$92.65
51798 Ultrasound measurement of bladder capacity after voiding	29	26	$87.00	$9.27
50432 Placement of tube of kidney using imaging guidance with review by radiologist	28	24	$2462.04	$114.56
52332 Insertion of stent in urinary duct (ureter) using an endoscope	27	23	$1324.78	$107.95
50081 Removal or crushing kidney stone (over 2 centimeters) or insert kidney stent using an endoscope, accessed through the skin	27	25	$4957.81	$1432.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	24	$109.00	$52.87
81002 Urinalysis, manual test	24	24	$9.00	$3.48
52000 Diagnostic exam of bladder and urethra using an endoscope	23	20	$516.00	$72.63
52005 Insertion of tube into ureter using an endoscope through bladder area	23	23	$1118.00	$75.35
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	20	20	$1058.75	$280.64
52356 Crushing of stone of ureter with insertion of stent using an endoscope	19	19	$1073.68	$345.97
50080 Removal or crushing kidney stone (up to 2 centimeters) or insert kidney stent using an endoscope, accessed through the skin	18	18	$3704.00	$844.97
51700 Simple bladder irrigation and/or instillation	15	12	$212.00	$27.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$217.00	$79.30
99442 Telephone medical discussion with physician, 11-20 minutes	12	12	$123.00	$86.40
36415 Insertion of needle into vein for collection of blood sample	12	11	$12.00	$3.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$216.00	$122.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	45	42	$156.00	$49.13
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	35	35	$4246.00	$784.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$217.00	$95.87
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$156.00	$68.56
99441 Telephone medical discussion with physician, 5-10 minutes	19	18	$63.42	$24.63
81002 Urinalysis, manual test	19	19	$9.00	$3.43
52000 Diagnostic exam of bladder and urethra using an endoscope	18	15	$516.00	$77.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$313.00	$141.35
52005 Insertion of tube into ureter using an endoscope through bladder area	15	14	$1118.00	$81.27
50081 Removal or crushing kidney stone (over 2 centimeters) or insert kidney stent using an endoscope, accessed through the skin	15	15	$4461.93	$1315.87
99442 Telephone medical discussion with physician, 11-20 minutes	14	14	$105.00	$49.30
52332 Insertion of stent in urinary duct (ureter) using an endoscope	14	13	$1344.71	$128.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$106.00	$42.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$216.00	$75.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	85	85	$1589.84	$814.73
74420 Imaging of urinary tract	40	31	$31.33	$25.79
99213 Established patient office or other outpatient visit, typically 15 minutes	36	36	$90.05	$73.18
51798 Ultrasound measurement of bladder capacity after voiding	36	31	$21.12	$12.71
52332 Insertion of stent in urinary duct (ureter) using an endoscope	32	27	$570.42	$109.15
52356 Crushing of stone of ureter with insertion of stent using an endoscope	30	27	$603.46	$403.37
99213 Established patient office or other outpatient visit, typically 15 minutes	24	24	$156.00	$48.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$202.69	$101.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$69.47	$43.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$304.66	$154.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$128.71	$107.24
81002 Urinalysis, manual test	15	15	$9.00	$3.41
52000 Diagnostic exam of bladder and urethra using an endoscope	15	15	$213.41	$190.54
50081 Removal or crushing kidney stone (over 2 centimeters) or insert kidney stent using an endoscope, accessed through the skin	15	15	$3287.48	$1411.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	89	89	$3503.91	$810.83
51798 Ultrasound measurement of bladder capacity after voiding	52	50	$42.38	$15.88
99213 Established patient office or other outpatient visit, typically 15 minutes	51	51	$114.08	$71.81
74420 Imaging of urinary tract	49	43	$46.43	$17.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	43	$131.14	$106.00
52000 Diagnostic exam of bladder and urethra using an endoscope	32	31	$371.41	$157.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	32	$44.01	$43.31
52332 Insertion of stent in urinary duct (ureter) using an endoscope	28	25	$785.40	$88.83
52356 Crushing of stone of ureter with insertion of stent using an endoscope	26	25	$3090.26	$414.00
50395 Dilation of kidney and/or urinary duct (ureter) with creation of drainage tract, accessed through the skin	14	14	$517.10	$100.68
50081 Removal or crushing kidney stone (over 2 centimeters) or insert kidney stent using an endoscope, accessed through the skin	14	14	$4736.13	$1322.29
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	12	$48.95	$19.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$163.14	$160.53
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	11	11	$104.31	$30.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	48	11	$208.75	$205.41
74420 Imaging of urinary tract	40	33	$22.45	$16.64
52649 Complete laser fragmentation of prostate including control of bleeding using an endoscope	25	25	$1177.33	$769.00
52356 Crushing of stone of ureter with insertion of stent using an endoscope	24	21	$524.31	$420.56
52332 Insertion of stent in urinary duct (ureter) using an endoscope	21	17	$234.02	$101.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$117.12	$100.21
52000 Diagnostic exam of bladder and urethra using an endoscope	12	12	$180.98	$154.85
51702 Simple insertion of temporary bladder tube	12	12	$69.40	$59.38
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	11	11	$36.00	$30.80
50395 Dilation of kidney and/or urinary duct (ureter) with creation of drainage tract, accessed through the skin	11	11	$261.11	$95.04

Medical Specialties & State Licenses

CMS Verified: 2025-03-05

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License IN 01077059A

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.

Urology

NUCC Taxonomy Code: 208800000X

State License MN 55440

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Iu Health Medical Group Llc

1701 N Senate Blvd, Indianapolis, IN 462021239

Phone: 8884843258

Secondary Practice Locations

1801 N Senate Blvd Ste 220

Indianapolis, IN 462021260

Phone: 3179623700

1701 N Senate Blvd

Indianapolis, IN 462021239

Phone: 8884843258

Practice Associates & Co-Workers

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

18 Associated Practitioners

Gordon Lang , NP

Nurse Practitioner - Family

NPI 1013380591

Nurse Practitioner

Dr. Thomas Shelton , MD

Urology

NPI 1013449032

Doctor of Medicine (M.D.)

Dr. Ethan Ferguson , MD

Urology

NPI 1043666191

Doctor of Medicine (M.D.)

Bethany Lambert , PA-C

Physician Assistant

NPI 1275973877

Physician Assistant (Certified)

Dr. Kevin Rice , MD

Urology

NPI 1306017488

Doctor of Medicine (M.D.)

Dr. James Lingeman , MD

Urology

NPI 1316947096

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2025

Urology (License #55440 in MN)

📍

Updated Practice Location June 17, 2024

Registered at 1801 N SENATE BLVD SUITE 220, INDIANAPOLIS, IN 46202 (Tel: 3179623700)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2024

Student in an Organized Health Care Education/Training Program

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2021

Urology (License #55440 in MN)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2018

Student in an Organized Health Care Education/Training Program

✅

NPI Profile Active September 20, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 20, 2012

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

📍

Updated Business Mailing Address September 20, 2012

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

👤

Provider Name / Credentials Updated September 20, 2012

Recorded as MARCELINO RIVERA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2012

Urology (License #55440 in MN)

🟢

Initial NPI Registration & Enumeration June 10, 2011

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: 1538454210

Entity Type:

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

Enumeration Date: June 10, 2011

Last Update: March 05, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

200 1st St Sw

Rochester, MN 559050001

Phone: 5072842511

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.