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Active NPI 1598031148 Individual Practitioner Male Practitioner

Dr. Sean Rivera , MD

Ophthalmology • Albuquerque, NM

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sean Rivera, MD is a certified Ophthalmology practicing in Albuquerque, NM. With approximately 14 years of clinical experience since graduating from University Of New Mexico School Of Medicine in 2012, Dr. Rivera delivers high-quality medical care to the local community at 5757 HARPER DR NE.

Dr. Rivera is affiliated with Eye Associates Of New Mexico Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, exam of visual field with extended testing, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5757 Harper Dr Ne

Albuquerque, NM 871093566

Telephone 5058885757
Fax 5058750160
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of New Mexico School Of Medicine

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Albuquerque, NM

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs -9.8 yrs vs City Avg
City Avg: 23.8 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
70 Specialists

Practicing in Albuquerque, NM (117 Statewide)

Telehealth Adoption Rate
4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rivera (14 Years) 14 Yrs
Albuquerque Specialty Average (23.8 Years) 23.8 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
664 457 $237.97 $121.36
92083 Exam of visual field with extended testing
403 380 $176.00 $57.90
92133 Imaging of optic nerve
369 356 $70.00 $31.51
99213 Established patient office or other outpatient visit, typically 15 minutes
318 244 $168.18 $85.54
92020 Examination of cornea and iris using lens device and slit lamp
289 280 $50.85 $25.39
66984 Removal of cataract with insertion of lens
168 106 $1307.74 $481.94
92136 Measurement of corneal curvature and depth of eye
164 126 $97.35 $35.87
76514 Ultrasound scan of cornea to determine thickness
112 112 $80.00 $10.26
92134 Imaging of retina
54 44 $73.98 $36.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
41 41 $309.44 $156.91
92014 Established patient complete exam of visual system
32 32 $222.72 $114.48
66821 Removal of recurring cataract in lens capsule using a laser
27 27 $853.33 $354.39
92004 New patient complete exam of visual system
22 22 $271.00 $138.68
65855 Laser repair to improve eye fluid flow
20 15 $504.00 $233.87
66761 Creation of eye fluid drainage tracts in iris using a laser, per session
12 12 $902.50 $368.77

Medical Specialties & State Licenses

CMS Verified: 2024-10-22
Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NM MD2016-0247

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
27772519 (NM)
Commercial Insurance / Payer ID Medicare Ptan
2T1762 (NM)

Hospital & Practice Group Affiliations

Eye Associates Of New Mexico Ltd

5757 Harper Dr Ne, Albuquerque, NM 871093566

Phone: 5058885757

Practice Associates & Co-Workers

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

33 Associated Practitioners
NPI 1083810311

Doctor of Medicine (M.D.)

NPI 1154321156

Doctor of Medicine (M.D.)

NPI 1194272500

Doctor of Optometry

NPI 1194726240

Doctor of Medicine (M.D.)

NPI 1205826203

Doctor of Medicine (M.D.)

NPI 1265929244

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location July 25, 2023

Registered at 5757 HARPER DR NE, ALBUQUERQUE, NM 871093566 (Tel: 5058885757)

📍
Updated Business Mailing Address July 25, 2023

Registered at 8801 HORIZON BLVD NE STE 360, ALBUQUERQUE, NM 871131563 (Tel: 5058284923)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2023

Ophthalmology (License #MD2016-0247 in NM)

📍
Updated Practice Location July 12, 2022

Registered at 200 HAWKINS DR, IOWA CITY, IA 522421009 (Tel: 3193563705)

📍
Updated Business Mailing Address July 12, 2022

Registered at 200 HAWKINS DR, IOWA CITY, IA 522421009 (Tel: 3193563705)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2022

Ophthalmology (License #MD-49506 in IA)

NPI Profile Active October 24, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 24, 2016

Registered at 5400 GIBSON BLVD. SE, ALBUQUERQUE, NM 87108 (Tel: 5052623937)

📍
Updated Business Mailing Address October 24, 2016

Registered at 5400 GIBSON BLVD. SE, ALBUQUERQUE, NM 87108 (Tel: 5052623937)

👤
Provider Name / Credentials Updated October 24, 2016

Recorded as SEAN RIVERA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2016

Ophthalmology (License #MD20160247 in NM)

🟢
Initial NPI Registration & Enumeration March 28, 2012

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: 1598031148
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2012
Last Update: October 22, 2024
Sole Proprietor: No

Mailing Address

8801 Horizon Blvd Ne Ste 360

Albuquerque, NM 871131563

Phone: 5058284923

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.