Active NPI 1871569665 Individual Practitioner Male Practitioner

Dr. Alan Len Rivera , MD

Internal Medicine • Wauseon, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Alan Rivera, MD is a certified Internal Medicine practicing in Wauseon, OH. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. Rivera delivers high-quality medical care to the local community at 735 S SHOOP AVE.

Dr. Rivera is affiliated with Elbert Memorial Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, established patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

735 S Shoop Ave

Wauseon, OH 435671735

Telephone 4193353242

Fax 4193353222

Associated Practice Facility / Clinic

🏢 Swanson Orthotics & Prosthetics Center, Inc. Facility NPI 1750356945

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Wauseon, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs Matches City Avg

City Avg: 30.0 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

3 Specialists

Practicing in Wauseon, OH (5516 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rivera (30 Years) 30 Yrs

Wauseon Specialty Average (30.0 Years) 30.0 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
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	20	16	$280.40	$100.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	25	13	$260.24	$100.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	131	87	$180.00	$87.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	129	94	$255.00	$123.79
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	11	$40.00	$12.73

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	187	115	$205.65	$125.52
99213 Established patient office or other outpatient visit, typically 15 minutes	153	92	$140.68	$88.24
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	92	57	$189.46	$101.25
99238 Hospital discharge day management, 30 minutes or less	62	58	$138.23	$69.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	27	$141.36	$70.48
99225 Subsequent observation care, typically 25 minutes per day	40	29	$130.90	$70.48
99226 Subsequent observation care, typically 35 minutes per day	39	29	$159.13	$98.97
99217 Hospital observation care on day of discharge	22	22	$154.55	$70.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	17	$364.67	$196.35
90662 Influenza vaccine split virus, preservative free	17	17	$95.59	$65.01
G0008 Administration of influenza virus vaccine	16	16	$40.00	$16.18
99220 Hospital observation care, typically 70 minutes	14	14	$361.00	$178.36
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	12	12	$427.50	$210.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$269.83	$165.60
99495 Transitional care management services for problem of at least moderate complexity	11	11	$325.64	$199.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	203	103	$180.00	$102.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	192	124	$192.00	$105.36
99213 Established patient office or other outpatient visit, typically 15 minutes	137	92	$127.00	$72.77
99238 Hospital discharge day management, 30 minutes or less	76	76	$133.00	$71.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	39	$339.00	$200.34
99217 Hospital observation care on day of discharge	37	36	$160.00	$71.69
99226 Subsequent observation care, typically 35 minutes per day	27	18	$146.00	$103.69
G0008 Administration of influenza virus vaccine	26	26	$40.00	$16.06
90662 Influenza vaccine split virus, preservative free	25	25	$105.00	$58.54
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	24	23	$420.00	$216.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	23	23	$160.00	$111.09
99220 Hospital observation care, typically 70 minutes	17	17	$352.00	$183.86
99495 Transitional care management services for problem of at least moderate complexity	14	12	$318.00	$178.56
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	12	$205.00	$51.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	191	86	$180.00	$102.76
99213 Established patient office or other outpatient visit, typically 15 minutes	144	94	$127.00	$71.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	98	$192.00	$105.81
99238 Hospital discharge day management, 30 minutes or less	51	50	$133.00	$71.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	46	46	$160.00	$113.02
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	46	46	$34.00	$18.24
G0008 Administration of influenza virus vaccine	45	45	$40.00	$15.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	44	$339.00	$200.56
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	43	43	$420.00	$215.77
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	24	14	$160.00	$39.73
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	16	16	$25.00	$17.69
99220 Hospital observation care, typically 70 minutes	11	11	$352.00	$184.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$296.00	$160.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	260	110	$180.00	$102.14
99213 Established patient office or other outpatient visit, typically 15 minutes	194	121	$127.00	$70.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	123	97	$192.00	$103.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	65	61	$339.00	$198.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	56	56	$160.00	$111.79
99238 Hospital discharge day management, 30 minutes or less	56	51	$133.00	$71.28
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	44	44	$34.00	$18.65
G0008 Administration of influenza virus vaccine	44	44	$40.00	$19.30
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	44	44	$420.00	$210.55
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	20	20	$25.00	$19.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	12	$125.00	$71.31
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$242.00	$165.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	200	108	$180.00	$96.60
99213 Established patient office or other outpatient visit, typically 15 minutes	109	68	$127.00	$66.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	62	$192.00	$95.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	68	36	$125.00	$66.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	51	50	$339.00	$187.80
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	48	47	$420.00	$202.02
99238 Hospital discharge day management, 30 minutes or less	47	46	$133.00	$66.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	39	39	$160.00	$103.97
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	25	25	$24.04	$21.19
G0008 Administration of influenza virus vaccine	17	16	$40.00	$23.76
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	17	16	$34.00	$18.65
99239 Hospital discharge day management, more than 30 minutes	13	13	$185.00	$99.05
99495 Transitional care management services for problem of at least moderate complexity	13	12	$318.00	$148.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$296.00	$151.03

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35.078607

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.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License GA 057245

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License OH 35.078607

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Hospital & Practice Group Affiliations

Elbert Memorial Hospital

4 Medical Dr, Elberton, GA 306351830

Phone: 7062132529

Practice Associates & Co-Workers

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

9 Associated Practitioners

Jacob Grime , FNP

Nurse Practitioner - Family

NPI 1134751456

Family Nurse Practitioner

Dr. Richard Grieser , MD

Family Medicine

NPI 1245216951

Doctor of Medicine (M.D.)

Lekha Vemuru

Family Medicine

NPI 1265019616

Marissa Baus , NP

Nurse Practitioner - Family

NPI 1376979286

Nurse Practitioner

Taylor Short , FNP-C

Nurse Practitioner - Family

NPI 1447736939

Family Nurse Practitioner (Certified)

Dr. Philip Ashton , MD

Internal Medicine

NPI 1588657670

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 28, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 28, 2016

Registered at 735 S SHOOP AVE, WAUSEON, OH 435671735 (Tel: 4193353242)

📍

Updated Business Mailing Address September 28, 2016

Registered at 735 S SHOOP AVE, WAUSEON, OH 435671735 (Tel: 4193353242)

👤

Provider Name / Credentials Updated September 28, 2016

Recorded as ALAN RIVERA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2016

Internal Medicine (License #35.078607 in OH)

🟢

Initial NPI Registration & Enumeration February 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1871569665

Entity Type:

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

Enumeration Date: February 23, 2006

Last Update: September 28, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

735 S Shoop Ave

Wauseon, OH 435671735

Phone: 4193353242

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.