Active NPI 1780795906 Individual Practitioner Male Practitioner

Dr. Francisco Gozum Rivera , MD

Surgery • Mc Dowell, KY

Professional Overview & Biography Verified Profile Summary

Dr. Francisco Rivera, MD is a registered healthcare professional specializing in Surgery in Mc Dowell, KY. Practice services are available at 9788 KY RT 122 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9788 Ky Rt 122
Ste 2

Mc Dowell, KY 416476042

Telephone 6063772492

Fax 6063771018

Associated Practice Facility / Clinic

🏢 Mary Hall Md Francisco Rivera Md And Associates Psc Facility NPI 1952412173

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Mc Dowell, KY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

1 Specialists

Practicing in Mc Dowell, KY (495 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

90.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	217	63	$80.00	$70.68
99285 Emergency department visit for life threatening or functioning severity	98	87	$2089.00	$172.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	29	$75.00	$42.39
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	68	63	$103.00	$8.37
99284 Emergency department visit with moderate level of medical decision making	45	40	$1416.00	$118.91
99283 Emergency department visit with low level of medical decision making	18	17	$747.00	$64.48
99291 Critical care, first 30-74 minutes	13	13	$2690.00	$219.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	364	83	$80.00	$67.71
99285 Emergency department visit for life threatening or functioning severity	150	130	$2036.54	$170.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	120	51	$75.00	$40.58
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	94	83	$100.32	$8.30
99284 Emergency department visit with moderate level of medical decision making	77	70	$1380.55	$114.73
99283 Emergency department visit with low level of medical decision making	42	40	$726.05	$60.92
99291 Critical care, first 30-74 minutes	20	20	$2618.90	$217.36
99217 Hospital observation care on day of discharge	14	13	$185.00	$67.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	483	101	$80.00	$64.46
99285 Emergency department visit for life threatening or functioning severity	160	143	$1949.19	$161.35
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	106	96	$96.04	$7.94
99284 Emergency department visit with moderate level of medical decision making	76	67	$1315.82	$110.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	37	$75.00	$38.44
99283 Emergency department visit with low level of medical decision making	28	25	$692.50	$58.26
99291 Critical care, first 30-74 minutes	20	20	$2517.25	$208.25
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$95.00	$66.12
99217 Hospital observation care on day of discharge	16	14	$185.00	$65.79
99218 Hospital observation care typically 30 minutes	15	13	$190.00	$90.57
20610 Aspiration and/or injection of fluid from large joint	13	11	$125.00	$50.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	465	97	$80.00	$63.65
99285 Emergency department visit for life threatening or functioning severity	189	159	$1882.14	$162.47
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	116	98	$92.41	$7.90
99284 Emergency department visit with moderate level of medical decision making	113	86	$1276.94	$110.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	111	56	$75.00	$37.74
99283 Emergency department visit with low level of medical decision making	37	34	$674.11	$57.96
99291 Critical care, first 30-74 minutes	17	17	$2421.59	$207.84
99218 Hospital observation care typically 30 minutes	16	14	$190.00	$89.32
99217 Hospital observation care on day of discharge	13	12	$185.00	$64.71
99238 Hospital discharge day management, 30 minutes or less	11	11	$185.00	$64.39

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 21584

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64215841 (KY)

Commercial Insurance / Payer ID Federal Black Lung/dol

020364400

Commercial Insurance / Payer ID Cha Health

000000000837

Commercial Insurance / Payer ID Palmetto Railroad Medicar

020023894

Commercial Insurance / Payer ID Dept Of Labor/acs Unit/wo

230264400

Commercial Insurance / Payer ID Umwa

0303224

Commercial Insurance / Payer ID Anthem Blue Cross/shield

000000048788

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 27, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 27, 2011

Registered at 9788 KY RT 122, STE 2, MC DOWELL, KY 416476042 (Tel: 6063772492)

📍

Updated Business Mailing Address October 27, 2011

Registered at PO BOX 277, MC DOWELL, KY 416470277 (Tel: 6063772492)

👤

Provider Name / Credentials Updated October 27, 2011

Recorded as FRANCISCO RIVERA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2011

Surgery (License #21584 in KY)

🟢

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: 1780795906

Entity Type:

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

Enumeration Date: August 31, 2006

Last Update: October 27, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 277

Mc Dowell, KY 416470277

Phone: 6063772492

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.