Active NPI 1487742037 Individual Practitioner Male Practitioner

Francisco M. Rivera , FNP, ACNP

Nurse Practitioner • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Francisco Rivera, FNP, ACNP is a certified Nurse Practitioner practicing in Tyler, TX. With approximately 20 years of clinical experience since completing medical education in 2006, Francisco Rivera delivers high-quality medical care to the local community at 619 S FLEISHEL AVE.

Francisco Rivera is affiliated with Etmc Physician Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include routine ekg using at least 12 leads including interpretation and report, established patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

619 S Fleishel Ave

Tyler, TX 757012004

Telephone 9035955514

Associated Practice Facility / Clinic

🏢 Tyler Cardiovascular Consultants P.a. Facility NPI 1376538801

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Tyler, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +10.3 yrs vs City Avg

City Avg: 9.7 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

148 Specialists

Practicing in Tyler, TX (4894 Statewide)

Telehealth Adoption Rate

11.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rivera (20 Years) 20 Yrs

Tyler Specialty Average (9.7 Years) 9.7 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
93000 Routine ekg using at least 12 leads including interpretation and report	450	283	$100.00	$11.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	423	262	$238.00	$89.18
36415 Insertion of needle into vein for collection of blood sample	32	20	$18.28	$8.65
99495 Transitional care management services for problem of at least moderate complexity	17	17	$282.00	$153.48

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	516	311	$238.00	$99.31
93000 Routine ekg using at least 12 leads including interpretation and report	512	314	$100.00	$11.68
36415 Insertion of needle into vein for collection of blood sample	94	62	$20.00	$8.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$365.00	$136.39

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	327	238	$238.00	$104.89
93000 Routine ekg using at least 12 leads including interpretation and report	324	235	$100.00	$11.55
36415 Insertion of needle into vein for collection of blood sample	52	37	$20.00	$2.96

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	171	136	$238.00	$107.09
93000 Routine ekg using at least 12 leads including interpretation and report	134	108	$100.00	$12.07
99213 Established patient office or other outpatient visit, typically 15 minutes	43	40	$160.00	$75.93
36415 Insertion of needle into vein for collection of blood sample	25	19	$20.00	$3.00

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	77	71	$238.00	$89.21
93000 Routine ekg using at least 12 leads including interpretation and report	60	57	$100.00	$14.13
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$160.00	$62.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93000 Routine ekg using at least 12 leads including interpretation and report	54	52	$100.00	$13.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	49	$238.00	$86.67
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$160.00	$60.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93000 Routine ekg using at least 12 leads including interpretation and report	173	156	$100.00	$13.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	142	129	$238.00	$86.70
99213 Established patient office or other outpatient visit, typically 15 minutes	63	59	$160.00	$58.32
36415 Insertion of needle into vein for collection of blood sample	25	23	$20.00	$2.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93000 Routine ekg using at least 12 leads including interpretation and report	340	296	$100.00	$13.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	249	222	$198.32	$86.33
99213 Established patient office or other outpatient visit, typically 15 minutes	126	124	$131.81	$58.44
36415 Insertion of needle into vein for collection of blood sample	38	35	$20.00	$2.94

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX 658568

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

191707201 (TX)

Commercial Insurance / Payer ID Railroad Medicare

P00610118

Commercial Insurance / Payer ID Bcbs Of Texas

8Y1349 (TX)

Hospital & Practice Group Affiliations

Etmc Physician Group, Inc.

115 Medical Cir, Athens, TX 757519004

Phone: 9036765889

Practice Associates & Co-Workers

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

31 Associated Practitioners

Dr. Preetham Muskula , MD

Internal Medicine - Interventional Cardiology

NPI 1003104605

Doctor of Medicine (M.D.)

Abram Ambriz , NP

Nurse Practitioner

NPI 1003414525

Nurse Practitioner

Dr. Robert Carney , MD

Internal Medicine - Cardiovascular Disease

NPI 1063407203

Doctor of Medicine (M.D.)

Mari Zavala , APRN

Nurse Practitioner - Acute Care

NPI 1164225736

Advanced Practice Registered Nurse

Dr. Augustine Njoku , MD

Internal Medicine - Cardiovascular Disease

NPI 1174784904

Doctor of Medicine (M.D.)

Kathryn Bobbitt

Nurse Practitioner

NPI 1225899396

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 10, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location July 10, 2009

Registered at 619 S FLEISHEL AVE, TYLER, TX 757012004 (Tel: 9035955514)

📍

Updated Business Mailing Address July 10, 2009

Registered at 619 S FLEISHEL AVE, TYLER, TX 757012004 (Tel: 9035955514)

👤

Provider Name / Credentials Updated July 10, 2009

Recorded as FRANCISCO RIVERA, FNP,ACNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2009

Nurse Practitioner (License #658568 in TX)

🟢

Initial NPI Registration & Enumeration October 10, 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: 1487742037

Entity Type:

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

Enumeration Date: October 10, 2006

Last Update: July 10, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

619 S Fleishel Ave

Tyler, TX 757012004

Phone: 9035955514

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.