Active NPI 1841299005 Individual Practitioner Male Practitioner

Dr. Ramon E. Rivera , MD

Surgery • Suffern, NY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Ramon Rivera, MD is a certified Surgery practicing in Suffern, NY. With approximately 30 years of clinical experience since graduating from State University Of Ny Upstate Medical University in 1996, Dr. Rivera delivers high-quality medical care to the local community at 156 ROUTE 59 STE A2.

Dr. Rivera is affiliated with Tri State Surgical Associates Pllc 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, single contrast x-ray of upper digestive tract, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

156 Route 59 Ste A2

Suffern, NY 109015013

Telephone 8455172870

Fax 8455172871

Associated Practice Facility / Clinic

🏢 Recoverhealth Medical Services, Pllc Facility NPI 1184859381

Medicare Profile & Education

Medical School

State University Of Ny Upstate Medical University

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Suffern, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +7.9 yrs vs City Avg

City Avg: 22.1 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

11 Specialists

Practicing in Suffern, NY (2269 Statewide)

Telehealth Adoption Rate

9.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

83.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rivera (30 Years) 30 Yrs

Suffern Specialty Average (22.1 Years) 22.1 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
99213 Established patient office or other outpatient visit, typically 15 minutes	350	110	$255.00	$92.35
74240 Single contrast x-ray of upper digestive tract	47	47	$1395.00	$139.06
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	34	31	$1000.00	$125.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	26	$375.00	$144.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$1100.00	$139.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$580.00	$183.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	13	$800.00	$84.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	289	101	$255.00	$98.09
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	50	49	$1000.00	$129.59
74240 Single contrast x-ray of upper digestive tract	42	39	$1395.00	$146.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	35	$375.00	$143.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$580.00	$194.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	13	$800.00	$86.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	290	88	$255.00	$103.41
74240 Single contrast x-ray of upper digestive tract	74	65	$1395.00	$153.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	36	$375.00	$145.74
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	36	33	$1000.00	$106.55
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	19	$600.00	$44.07
99443 Telephone medical discussion with physician, 21-30 minutes	24	14	$500.00	$146.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$580.00	$201.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$1100.00	$154.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	292	106	$255.00	$100.34
74240 Single contrast x-ray of upper digestive tract	62	52	$1395.00	$152.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	38	$375.00	$153.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	38	$1100.00	$149.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	23	$600.00	$42.69
99443 Telephone medical discussion with physician, 21-30 minutes	26	16	$500.00	$150.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$580.00	$203.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	168	85	$255.00	$82.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	48	$375.00	$119.50
74240 Single contrast x-ray of upper digestive tract	40	37	$1395.00	$142.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$1100.00	$158.21
99443 Telephone medical discussion with physician, 21-30 minutes	22	13	$500.00	$124.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	11	$600.00	$42.74

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	221	90	$375.00	$120.83
99213 Established patient office or other outpatient visit, typically 15 minutes	159	83	$255.00	$82.14
74240 Single contrast x-ray of upper digestive tract	80	67	$1395.00	$139.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	33	$500.00	$168.65
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	15	$600.00	$42.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$1100.00	$150.04
43999 Stomach procedure	17	12	$350.00	$177.94
36415 Insertion of needle into vein for collection of blood sample	16	15	$35.00	$2.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$580.00	$177.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	191	76	$500.00	$162.11
99213 Established patient office or other outpatient visit, typically 15 minutes	172	76	$255.00	$81.74
74240 Single contrast x-ray of upper digestive tract	68	57	$1395.00	$131.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	31	$375.00	$111.79
43999 Stomach procedure	25	14	$350.00	$178.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	20	$1100.00	$153.21
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	17	$600.00	$42.41
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$715.00	$241.24
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	11	11	$29750.00	$454.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	243	85	$255.00	$76.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	141	66	$500.00	$154.67
74240 Single contrast x-ray of upper digestive tract	47	42	$1395.00	$116.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	29	$375.00	$115.66
43999 Stomach procedure	27	14	$350.00	$161.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	20	$1100.00	$140.47
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$715.00	$216.79
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	11	11	$29750.00	$768.93

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 232695

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.

Surgery - Trauma Surgery

NUCC Taxonomy Code: 2086S0127X

State License NY 232695-1

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Surgery - Surgical Critical Care

NUCC Taxonomy Code: 2086S0102X

State License NY 232695-1

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Emergency Medicine - Emergency Medical Services

NUCC Taxonomy Code: 207PE0004X

State License NY 232695-1

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

02601545 (NY)

Hospital & Practice Group Affiliations

Tri State Surgical Associates Pllc

200 Westage Business Ctr Dr, Fishkill, NY 125242271

Phone: 8456928780

Tri State Surgical Associates Pllc

384 Crystal Run Rd, Middletown, NY 109414073

Phone: 8456928780

Tri State Surgical Associates Pllc

156 Route 59, Suffern, NY 109015013

Phone: 8455172870

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Vasu Chirumamilla , MD

Surgery

NPI 1366786998

Doctor of Medicine (M.D.)

Donna Vourliotis , RDCDN

Dietitian, Registered

NPI 1790080646

Tara Rivera , RN

Registered Nurse

NPI 1841582129

Registered Nurse

Matthew Abel

Dietitian, Registered

NPI 1922563261

Laura De Andrade , NP

Nurse Practitioner - Adult Health

NPI 1952639015

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 09, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 09, 2017

Registered at 156 ROUTE 59 STE A2, SUFFERN, NY 109015013 (Tel: 8455172870)

📍

Updated Business Mailing Address January 09, 2017

Registered at 156 ROUTE 59 STE A2, SUFFERN, NY 109015013 (Tel: 8455172870)

👤

Provider Name / Credentials Updated January 09, 2017

Recorded as RAMON RIVERA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2017

Emergency Medicine (License #232695-1 in NY)

🟢

Initial NPI Registration & Enumeration July 20, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Ramon Rivera. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1841299005

Entity Type:

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

Enumeration Date: July 20, 2005

Last Update: January 09, 2017

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

156 Route 59 Ste A2

Suffern, NY 109015013

Phone: 8455172870

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.