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Deactivated NPI 1992702823 Deactivated / Inactive NPI Male Practitioner

Dr. Pepito C Rivera , MD

Surgery • Brookfield, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Pepito Rivera has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 07, 2005
NPI Deactivation Date June 21, 2021
Total Practice Duration ~16 Years of Practice (2005 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Pepito Rivera, MD was a registered Surgery practicing in Brookfield, MO. Throughout an active medical career spanning 16 years, Dr. Rivera provided care at the practice location at 130 EAST LOCKLING AVENUE until profile deactivation on 2021-06-21.

Historical Medicare Part B clinical services included routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

130 East Lockling Avenue

Brookfield, MO 64628

Telephone 6602581176
Fax 6602583175

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Brookfield, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Brookfield, MO (766 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.8% 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 (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
23 21 $20.45 $7.82

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MO R9246

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 21, 2021

Record deactivated on June 21, 2021

NPI Profile Active July 10, 2013

NPI status registered as active in NPPES database

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Updated Practice Location July 10, 2013

Registered at 130 EAST LOCKLING AVENUE, BROOKFIELD, MO 64628 (Tel: 6602581176)

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Updated Business Mailing Address July 10, 2013

Registered at 130 EAST LOCKLING AVENUE, BROOKFIELD, MO 64628 (Tel: 6602581176)

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Provider Name / Credentials Updated July 10, 2013

Recorded as PEPITO RIVERA, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2013

Surgery (License #R9246 in MO)

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Initial NPI Registration & Enumeration July 07, 2005

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: 1992702823
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2005
Last Update: July 10, 2013
Deactivation Date: June 21, 2021

Mailing Address

130 East Lockling Avenue

Brookfield, MO 64628

Phone: 6602581176

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.