Active NPI 1225247521 Individual Practitioner Female Practitioner

Hilda Rivera-Rivera

Internal Medicine • Springfield, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Hilda Rivera-Rivera is a certified Internal Medicine practicing in Springfield, MA. With approximately 20 years of clinical experience since graduating from Ponce School Of Medicine in 2006, Hilda Rivera-Rivera delivers high-quality medical care to the local community at 380 PLAINFIELD STREET.

Hilda Rivera-Rivera is affiliated with Baystate Medical Practices Inc and 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, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

380 Plainfield Street

Springfield, MA 011071524

Telephone 4137944458

Fax 4137945131

Associated Practice Facility / Clinic

🏢 Baystate Medical Practices, Inc Facility NPI 1548205909

Medicare Profile & Education

Medical School

Ponce School Of Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Springfield, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -0.3 yrs vs City Avg

City Avg: 20.3 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

289 Specialists

Practicing in Springfield, MA (7127 Statewide)

Telehealth Adoption Rate

16.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

62.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rivera-Rivera (20 Years) 20 Yrs

Springfield Specialty Average (20.3 Years) 20.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	28	$266.86	$95.07
99213 Established patient office or other outpatient visit, typically 15 minutes	43	34	$187.56	$65.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	21	$362.04	$143.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	69	52	$174.57	$65.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	31	$251.56	$97.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	14	$340.18	$144.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	74	52	$173.00	$68.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	31	$250.00	$101.03
99442 Telephone medical discussion with physician, 11-20 minutes	12	11	$164.00	$68.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99443 Telephone medical discussion with physician, 21-30 minutes	78	48	$242.00	$103.50
99442 Telephone medical discussion with physician, 11-20 minutes	41	33	$161.22	$69.64
99213 Established patient office or other outpatient visit, typically 15 minutes	39	29	$173.00	$69.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	29	$250.00	$103.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$337.00	$151.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99442 Telephone medical discussion with physician, 11-20 minutes	88	55	$154.00	$53.83
99213 Established patient office or other outpatient visit, typically 15 minutes	50	42	$165.98	$53.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$243.90	$82.64
99443 Telephone medical discussion with physician, 21-30 minutes	19	15	$216.58	$82.45
99441 Telephone medical discussion with physician, 5-10 minutes	15	14	$51.93	$27.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	124	78	$164.00	$53.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	58	$242.00	$81.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	22	$326.00	$115.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	162	99	$164.00	$51.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	88	$242.00	$79.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	15	$326.00	$111.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	269	128	$242.00	$80.54
99213 Established patient office or other outpatient visit, typically 15 minutes	138	94	$164.00	$51.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	18	$326.00	$113.68

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 246062

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Baystate Medical Practices Inc

759 Chestnut St, Springfield, MA 011991001

Phone: 4137945439

Baystate Medical Practices Inc

380 Plainfield St, Springfield, MA 011071524

Phone: 4137944458

Baystate Medical Practices Inc

280 Chestnut St, Springfield, MA 011991001

Practice Associates & Co-Workers

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

38 Associated Practitioners

Dr. Jeffrey Fulford , MD

Family Medicine

NPI 1003838137

Doctor of Medicine (M.D.)

Bernice Ezell , NP

Nurse Practitioner - Primary Care

NPI 1023030145

Nurse Practitioner

Jaya Rawla , CNP

Nurse Practitioner - Gerontology

NPI 1043783608

Certified Nurse Practitioner

Dr. Matthew Chabot , MD

Internal Medicine

NPI 1053601096

Doctor of Medicine (M.D.)

Ryann Mcchesney

Nurse Practitioner - Family

NPI 1053932392

Amy Zeldes , PA-C

Physician Assistant - Medical

NPI 1093720872

Physician Assistant (Certified)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active January 12, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 12, 2018

Registered at 380 PLAINFIELD STREET, SPRINGFIELD, MA 011071524 (Tel: 4137944458)

📍

Updated Business Mailing Address January 12, 2018

Registered at 280 CHESTNUT ST, 2ND FL, SPRINGFIELD, MA 011991001 (Tel: 4137945700)

👤

Provider Name / Credentials Updated January 12, 2018

Recorded as HILDA RIVERA-RIVERA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2018

Internal Medicine (License #246062 in MA)

✅

NPI Profile Active May 19, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 19, 2016

Registered at 380 PLAINFIELD ST, SPRINGFIELD, MA 011071524 (Tel: 4137944458)

📍

Updated Business Mailing Address May 19, 2016

Registered at 280 CHESTNUT ST, 2ND FL, SPRINGFIELD, MA 011991001 (Tel: 4137945700)

👤

Provider Name / Credentials Updated May 19, 2016

Recorded as HILDA RIVERA-RIVERA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2016

Internal Medicine (License #246062 in MA)

🟢

Initial NPI Registration & Enumeration May 22, 2007

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: 1225247521

Entity Type:

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

Enumeration Date: May 22, 2007

Last Update: January 12, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

280 Chestnut St, 2nd Fl

Springfield, MA 011991001

Phone: 4137945700

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.