Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Miguel Angel Ortiz Rivera , MD

Surgery β€’ Springfield, IL

Active NPI 1386276392 Individual Practitioner Male Practitioner
Practice location in NPPES

701 N 1st, Suite D308
Springfield, IL 62702

Call 2175454401 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

701 N 1st
Suite D308

Springfield, IL 62702

Telephone 2175454401
Fax 2175451793
Other Listings in Public Data

NPPES lists 1 additional practice-address record in San Juan, PR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

30-day fills

27 standardized 30-day fills in 2023

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$143 in 2023

The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Ortiz Rivera has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Ortiz Rivera as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Springfield and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Ortiz Rivera are from 2023.

54 active clinicians are listed under Surgery with a practice address in Springfield, IL (1,523 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

3.7% of these 54 clinicians have the CMS telehealth indicator.

31.5% of these 54 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2023.

CMS Part D Β· Data Year 2023
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Gabapentin Gabapentin 13 434 $118.00 13
Tramadol Hcl Tramadol Hcl 12 48 $24.86 12

Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-06-26
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES IL 125080748

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - GENERAL SURGERY

Medicare Enrollment ID

I20220728000477

Enrollment State Jurisdiction

IL

PECOS Control ID

5496137143

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

Paseo Dr. Jose Celso Barbosa

San Juan, PR 00921

Phone: 7877582525

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

11 listed
NPI 1043625270

Doctor of Medicine (M.D.)

Dr. John Bauman , MD

Colon & Rectal Surgery

NPI 1609281690

Doctor of Medicine (M.D.)

NPI 1215595582

Doctor of Medicine (M.D.)

NPI 1699483099

Doctor of Medicine (M.D.)

Wendy Lim

Surgery

NPI 1063037851
NPI 1528448297

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location June 13, 2022

Registered at 701 N 1ST, SUITE D308, SPRINGFIELD, IL 62702 (Tel: 2175454401)

πŸ“
Updated Business Mailing Address June 13, 2022

Registered at P. O. BOX 19638, SPRINGFIELD, IL 627949638 (Tel: 2175454401)

πŸ‘€
Provider Name / Credentials Updated June 13, 2022

Recorded as MIGUEL ORTIZ RIVERA, MD

βœ…
NPI Profile Active February 07, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 07, 2020

Registered at PASEO DR. JOSE CELSO BARBOSA, SAN JUAN, PR 00921 (Tel: 7877582525)

πŸ“
Business Mailing Address (Initial Record) February 07, 2020

Registered at PO BOX 1148, CAMUY, PR 006271148 (Tel: 9392471432)

πŸ‘€
Provider Name / Credentials (Initial Record) February 07, 2020

Recorded as MIGUEL ORTIZ RIVERA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2020

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration February 07, 2020

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1386276392
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2020
Last Update: June 26, 2022
Sole Proprietor: No

Other Surgery Specialists in Springfield

All Surgery Specialists in Springfield

Mailing Address

P. O. Box 19638

Springfield, IL 627949638

Phone: 2175454401

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.