Active NPI 1316980410 Individual Practitioner Male Practitioner

Dr. Julio R Rivera , MD

Surgery • Grapevine, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Julio Rivera, MD is a certified Surgery practicing in Grapevine, TX. With approximately 30 years of clinical experience since graduating from Texas Tech University Health Science Center School Of Medicine in 1996, Dr. Rivera delivers high-quality medical care to the local community at 1056 TEXAN TRL.

Dr. Rivera is affiliated with Healthtexas Provider Network and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, initial hospital inpatient care per day, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1056 Texan Trl

Grapevine, TX 760513703

Telephone 9722549399

Fax 8175276610

Associated Practice Facility / Clinic

🏢 Surgical Group Of North Texas, Pllc Facility NPI 1124085956

Medicare Profile & Education

Medical School

Texas Tech University Health Science Center School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Grapevine, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +2.9 yrs vs City Avg

City Avg: 27.1 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

15 Specialists

Practicing in Grapevine, TX (2342 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rivera (30 Years) 30 Yrs

Grapevine Specialty Average (27.1 Years) 27.1 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$309.53	$164.49
99221 Initial hospital inpatient care per day, typically 30 minutes	26	25	$260.47	$79.36
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	15	$100.71	$48.12
99213 Established patient office or other outpatient visit, typically 15 minutes	23	18	$168.44	$89.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	13	$186.19	$76.80
49650 Repair of groin hernia using an endoscope	19	19	$1719.29	$514.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$352.24	$127.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	12	$238.22	$126.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$207.18	$109.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	52	22	$100.71	$48.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$309.53	$163.62
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$260.47	$81.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$207.18	$106.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$238.22	$125.81
49650 Repair of groin hernia using an endoscope	15	15	$1514.97	$435.60
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$168.44	$89.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$352.24	$123.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	50	20	$79.25	$37.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	19	$120.56	$69.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$250.75	$132.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$192.04	$110.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$283.92	$164.96
99213 Established patient office or other outpatient visit, typically 15 minutes	19	14	$123.57	$89.03
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$196.31	$97.59
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$1922.82	$698.00
49650 Repair of groin hernia using an endoscope	12	12	$1101.86	$396.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$193.15	$127.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	24	$57.00	$38.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$168.00	$111.97
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$149.00	$99.21
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$140.00	$91.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$249.91	$167.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$201.00	$134.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$168.00	$76.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	12	$110.00	$73.05
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$150.00	$98.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	13	$165.00	$108.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$257.00	$161.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	73	36	$110.00	$72.71
99213 Established patient office or other outpatient visit, typically 15 minutes	47	35	$110.00	$73.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$225.00	$136.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$165.00	$107.52
47562 Removal of gallbladder using an endoscope	15	15	$2600.00	$595.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$257.00	$153.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	74	41	$110.00	$71.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$165.00	$102.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$225.00	$129.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	11	$287.50	$197.90
47562 Removal of gallbladder using an endoscope	11	11	$2600.00	$628.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	118	51	$110.00	$71.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$165.00	$106.32
99213 Established patient office or other outpatient visit, typically 15 minutes	32	23	$110.00	$72.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$300.00	$200.77

Medical Specialties & State Licenses

CMS Verified: 2023-01-16

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX L1718

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.

Hospital & Practice Group Affiliations

Healthtexas Provider Network

1901 N Macarthur Blvd, Irving, TX 750612220

Phone: 9725798485

Healthtexas Provider Network

1650 W College St, Grapevine, TX 760513565

Phone: 8173883440

Healthtexas Provider Network

5408 Colleyville Blvd, Colleyville, TX 760345833

Phone: 8174989920

Healthtexas Provider Network

4001 Worth St, Dallas, TX 752461608

Secondary Practice Locations

12461 Timberland Blvd Ste 301

Fort Worth, TX 762445212

Phone: 8172510070

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Sina Matin , MD

Surgery

NPI 1366481228

Doctor of Medicine (M.D.)

Dr. Shahid Shafi , MD MPH

Surgery

NPI 1538128889

MDMPH

Jessica Johnson , MS, RD, LD

Dietitian, Registered

NPI 1548733785

Master of Science, Registered Dietitian, Licensed Dietitian

Dr. Nathan Emerson , MD

Surgery

NPI 1568671436

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 April 21, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 21, 2015

Registered at 1056 TEXAN TRL, GRAPEVINE, TX 760513703 (Tel: 9722549399)

📍

Updated Business Mailing Address April 21, 2015

Registered at PO BOX 204803, DALLAS, TX 753204803 (Tel: 9722549399)

👤

Provider Name / Credentials Updated April 21, 2015

Recorded as JULIO RIVERA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2015

Surgery (License #L1718 in TX)

🟢

Initial NPI Registration & Enumeration June 14, 2006

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: 1316980410

Entity Type:

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

Enumeration Date: June 14, 2006

Last Update: January 16, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 204803

Dallas, TX 753204803

Phone: 9722549399

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.