Active NPI 1013930536 Individual Practitioner Male Practitioner

Dr. David R. Rivera , MD

Ophthalmology • Westerly, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Rivera, MD is a certified Ophthalmology practicing in Westerly, RI. With approximately 39 years of clinical experience since graduating from Georgetown University School Of Medicine in 1987, Dr. Rivera delivers high-quality medical care to the local community at 45 WELLS ST.

Dr. Rivera is affiliated with Vision Care Associates, Ltd. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, imaging of retina, measurement of corneal curvature and depth of eye. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

45 Wells St
Suite 2020

Westerly, RI 028912927

Telephone 4015964959

Fax 4015966896

Associated Practice Facility / Clinic

🏢 Gastroenterology Specialists, Inc Facility NPI 1780782706

Medicare Profile & Education

Medical School

Georgetown University School Of Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Westerly, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +17.0 yrs vs City Avg

City Avg: 22.0 Yrs

State Avg: 33.9 Yrs

Regional Practice Density

3 Specialists

Practicing in Westerly, RI (92 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rivera (39 Years) 39 Yrs

Westerly Specialty Average (22.0 Years) 22.0 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
92014 Established patient complete exam of visual system	406	385	$135.00	$119.59
92134 Imaging of retina	231	204	$80.00	$38.12
92136 Measurement of corneal curvature and depth of eye	198	119	$79.24	$36.79
66984 Removal of cataract with insertion of lens	173	105	$2000.00	$502.46
99213 Established patient office or other outpatient visit, typically 15 minutes	166	123	$109.40	$85.16
92133 Imaging of optic nerve	123	108	$80.00	$34.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	114	$150.00	$120.16
92004 New patient complete exam of visual system	60	60	$160.00	$140.46
66821 Removal of recurring cataract in lens capsule using a laser	40	38	$948.75	$349.40
92083 Exam of visual field with extended testing	39	39	$100.00	$60.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$70.00	$53.84
92020 Examination of cornea and iris using lens device and slit lamp	11	11	$55.00	$25.79
67840 Removal of eyelid growth	11	11	$500.00	$264.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	435	416	$135.00	$129.61
92134 Imaging of retina	223	206	$80.00	$41.25
99213 Established patient office or other outpatient visit, typically 15 minutes	196	129	$109.62	$92.05
92136 Measurement of corneal curvature and depth of eye	159	97	$79.18	$39.83
66984 Removal of cataract with insertion of lens	135	84	$2000.00	$542.12
92133 Imaging of optic nerve	131	113	$80.00	$37.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	91	$137.09	$125.64
92083 Exam of visual field with extended testing	40	39	$100.00	$64.42
66821 Removal of recurring cataract in lens capsule using a laser	35	35	$770.00	$380.25
92004 New patient complete exam of visual system	34	34	$160.00	$153.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$70.00	$57.74
65855 Laser repair to improve eye fluid flow	13	12	$550.00	$250.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	470	440	$135.00	$131.69
92134 Imaging of retina	237	206	$80.00	$42.22
99213 Established patient office or other outpatient visit, typically 15 minutes	203	143	$109.88	$94.03
92136 Measurement of corneal curvature and depth of eye	125	77	$80.32	$42.94
92133 Imaging of optic nerve	123	110	$80.00	$38.42
66984 Removal of cataract with insertion of lens	110	65	$2000.00	$557.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	70	$145.00	$132.73
92083 Exam of visual field with extended testing	45	43	$100.00	$65.42
92004 New patient complete exam of visual system	39	39	$160.00	$155.99
66821 Removal of recurring cataract in lens capsule using a laser	38	37	$665.79	$382.58
65855 Laser repair to improve eye fluid flow	16	11	$550.00	$261.26
92012 Established patient problem focused exam of visual system	14	11	$94.29	$92.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$68.57	$58.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	581	513	$135.00	$132.80
92134 Imaging of retina	285	236	$80.00	$42.82
92136 Measurement of corneal curvature and depth of eye	141	85	$80.21	$46.55
92133 Imaging of optic nerve	124	109	$80.00	$39.02
66984 Removal of cataract with insertion of lens	121	72	$2000.00	$566.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	87	$125.00	$125.00
92012 Established patient problem focused exam of visual system	90	69	$95.00	$93.43
99213 Established patient office or other outpatient visit, typically 15 minutes	68	53	$85.00	$85.00
92083 Exam of visual field with extended testing	54	50	$100.00	$66.77
92004 New patient complete exam of visual system	43	43	$160.00	$157.97
66821 Removal of recurring cataract in lens capsule using a laser	23	23	$621.74	$374.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$50.00	$50.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	494	471	$135.00	$134.08
92134 Imaging of retina	215	194	$80.00	$43.36
92012 Established patient problem focused exam of visual system	167	110	$95.00	$94.16
92133 Imaging of optic nerve	119	108	$80.00	$39.66
92136 Measurement of corneal curvature and depth of eye	102	62	$79.12	$51.21
66984 Removal of cataract with insertion of lens	95	58	$2000.00	$582.94
99213 Established patient office or other outpatient visit, typically 15 minutes	80	75	$85.00	$79.50
92083 Exam of visual field with extended testing	54	53	$100.00	$67.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	30	$50.00	$48.14
92004 New patient complete exam of visual system	34	34	$160.00	$159.34
66821 Removal of recurring cataract in lens capsule using a laser	28	28	$667.86	$394.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	815	748	$135.00	$132.95
92134 Imaging of retina	381	307	$80.00	$43.11
92012 Established patient problem focused exam of visual system	314	192	$95.00	$93.05
92133 Imaging of optic nerve	217	189	$80.00	$39.01
92136 Measurement of corneal curvature and depth of eye	161	99	$78.51	$55.59
66984 Removal of cataract with insertion of lens	156	93	$2009.62	$668.92
99213 Established patient office or other outpatient visit, typically 15 minutes	137	124	$85.00	$77.89
92004 New patient complete exam of visual system	109	109	$160.00	$157.77
92083 Exam of visual field with extended testing	88	83	$100.00	$67.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	53	$50.00	$46.72
66821 Removal of recurring cataract in lens capsule using a laser	37	37	$728.38	$408.88
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	12	$30.00	$23.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	830	766	$135.00	$127.37
92134 Imaging of retina	328	268	$80.00	$42.06
92012 Established patient problem focused exam of visual system	218	147	$95.00	$88.87
92133 Imaging of optic nerve	194	174	$80.00	$38.07
92136 Measurement of corneal curvature and depth of eye	126	80	$82.22	$60.89
66984 Removal of cataract with insertion of lens	123	76	$2000.00	$645.91
99213 Established patient office or other outpatient visit, typically 15 minutes	102	98	$85.00	$73.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	93	63	$50.00	$44.46
92083 Exam of visual field with extended testing	85	79	$100.00	$65.42
92004 New patient complete exam of visual system	67	67	$160.00	$152.80
66821 Removal of recurring cataract in lens capsule using a laser	39	39	$662.82	$374.95
68761 Closure of tear duct opening using plug	23	11	$250.00	$111.86
67840 Removal of eyelid growth	15	13	$500.00	$272.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	907	845	$135.00	$127.84
92134 Imaging of retina	341	266	$80.00	$42.55
92012 Established patient problem focused exam of visual system	263	170	$95.00	$88.62
92133 Imaging of optic nerve	204	188	$80.00	$38.76
92136 Measurement of corneal curvature and depth of eye	165	99	$75.64	$63.35
66984 Removal of cataract with insertion of lens	164	100	$2000.00	$653.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	147	100	$50.00	$45.11
99213 Established patient office or other outpatient visit, typically 15 minutes	133	126	$85.00	$74.70
92083 Exam of visual field with extended testing	97	94	$100.00	$67.10
92004 New patient complete exam of visual system	73	73	$160.00	$154.57
66821 Removal of recurring cataract in lens capsule using a laser	21	21	$628.57	$374.61

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License RI MD9236

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

003099638 (CT)

Medicaid State Provider ID

7058937 (RI)

Hospital & Practice Group Affiliations

Vision Care Associates, Ltd.

45 Wells St, Westerly, RI 028912961

Phone: 4015962020

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Matthew Hogan , MD

Ophthalmology

NPI 1558936237

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 November 01, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location November 01, 2007

Registered at 45 WELLS ST, SUITE 2020, WESTERLY, RI 028912927 (Tel: 4015964959)

📍

Updated Business Mailing Address November 01, 2007

Registered at 45 WELLS ST, SUITE 2020, WESTERLY, RI 028912927 (Tel: 4015964959)

👤

Provider Name / Credentials Updated November 01, 2007

Recorded as DAVID RIVERA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2007

Ophthalmology (License #MD9236 in RI)

🟢

Initial NPI Registration & Enumeration July 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1013930536

Entity Type:

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

Enumeration Date: July 25, 2006

Last Update: November 01, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

45 Wells St, Suite 2020

Westerly, RI 028912927

Phone: 4015964959

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.