Dr. Manuel H. Rivera , MD
General Practice • Caguas, PR
Carr #1 Km 26.9 Bo. Rio Canas Sect. La Changa
Caguas, PR 00725
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Manuel Rivera is listed in NPPES under General Practice.
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NPI assigned on February 6, 2006; this date does not establish years in practice.
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Published CMS data list 56 Original Medicare Part B services in 2021.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021. Published rows only; this is not a quality measure.
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Published Part B service records, 2021:
- 99334 — Established patient custodial care facility, group care, or assisted living visit: 56 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2020 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2021). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 25,857 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium — 2,108 prescription fills, including refills.
- Levothyroxine Sodium — 1,296 prescription fills, including refills.
- Donepezil Hcl — 1,008 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 190 records in the table · Guide: How to read Medicare Part D prescriber data
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More Part D prescriptions than 95% of clinicians listed under General Practice in Caguas, PR (2024, 127 clinicians with data). Median for this group: 596. Middle half: 239 to 3,035.
More Part D prescriptions than 95% of clinicians listed under General Practice in Puerto Rico (2024, 2,628 clinicians with data). Median for this group: 1,253. Middle half: 239 to 5,097.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 47 in 2017 to 56 in 2021.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2021.
Practice Location & Contact Primary Location
Carr #1 Km 26.9 Bo. Rio Canas Sect. La Changa
Caguas, PR 00725
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2002
What Public CMS Data Show
General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $3,200 in 2021
The total amount Medicare approved for these services in 2021. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021.
Paid by Medicare
About $2,285 in 2021
The part of the Medicare-allowed amount that Medicare itself paid in 2021, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021.
30-day fills
28,933 standardized 30-day fills in 2024
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
$735,723 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
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, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $20.11 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
Years since graduation
24 years (graduated 2002)
CMS Doctors and Clinicians data list 2002 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, “Does your provider accept Medicare as full payment?”
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.
Enrolled in Medicare (PECOS)
Dr. 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.
Can order Medicare-covered services
CMS lists Dr. 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Caguas and Puerto Rico
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
More Part D prescriptions than 95% of clinicians listed under General Practice in Caguas, PR (2024, 127 clinicians with data). Median for this group: 596. Middle half: 239 to 3,035.
More Part D prescriptions than 95% of clinicians listed under General Practice in Puerto Rico (2024, 2,628 clinicians with data). Median for this group: 1,253. Middle half: 239 to 5,097.
Part D drug cost
A higher Part D drug cost than 95% of clinicians listed under General Practice in Caguas, PR (2024, 127 clinicians with data). Median for this group: $11,788. Middle half: $2,273 to $104,403.
A higher Part D drug cost than 90% of clinicians listed under General Practice in Puerto Rico (2024, 2,628 clinicians with data). Median for this group: $34,007. Middle half: $2,958 to $213,188.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Rivera are from 2021.
200 active clinicians are listed under General Practice with a practice address in Caguas, PR (4,196 in Puerto Rico).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Caguas
1.5% of these 200 clinicians have the CMS telehealth indicator.
25.5% of these 200 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 19% from 47 in 2017 to 56 in 2021.
- 2017: 47
- 2018: 62
- 2019: 90
- 2020: 51
- 2021: 56
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Medicare-allowed amount
Medicare-allowed amount decreased 43% from $5,647 in 2017 to $3,200 in 2021.
- 2017: $5,647
- 2018: $5,285
- 2019: $5,928
- 2020: $2,965
- 2021: $3,200
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Paid by Medicare
Paid by Medicare decreased 49% from $4,499 in 2017 to $2,285 in 2021.
- 2017: $4,499
- 2018: $4,133
- 2019: $4,554
- 2020: $2,246
- 2021: $2,285
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 75% from 14,811 in 2020 to 25,857 in 2024.
- 2020: 14,811
- 2021: 16,565
- 2022: 18,433
- 2023: 20,302
- 2024: 25,857
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30-day fills
30-day fills increased 66% from 17,437 in 2020 to 28,933 in 2024.
- 2020: 17,437
- 2021: 19,408
- 2022: 20,942
- 2023: 23,209
- 2024: 28,933
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Part D drug cost
Part D drug cost increased 133% from $315,383 in 2020 to $735,723 in 2024.
- 2020: $315,383
- 2021: $374,309
- 2022: $431,257
- 2023: $564,062
- 2024: $735,723
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $95.05 in 2019 to $20.11 in 2025.
- 2019: $95.05
- 2024: $118.71
- 2025: $20.11
Sources: CMS Medicare Physician & Other Practitioners (2021), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $20.11.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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INVEGA SUSTENNA | General | $20.11 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2020 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2021; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99334
Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes
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56 | 14 | $61.27 | $57.15 |
Source: CMS Part B by Provider and Service, 2021; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 2,108 | 70,812 | $17,589.84 | 294 |
| Levothyroxine Sodium | Levothyroxine Sodium | 1,296 | 41,022 | $12,997.35 | 174 |
| Donepezil Hcl | Donepezil Hcl | 1,008 | 29,821 | $10,529.70 | 133 |
| Gabapentin | Gabapentin | 890 | 28,764 | $8,070.32 | 118 |
| Losartan Potassium | Losartan Potassium | 835 | 26,147 | $6,743.15 | 112 |
| Metformin Hcl | Metformin Hcl | 826 | 25,452 | $5,459.10 | 108 |
| Memantine Hcl | Memantine Hcl | 766 | 22,258 | $13,688.89 | 97 |
| Simvastatin | Simvastatin | 731 | 22,807 | $4,957.49 | 94 |
| Sertraline Hcl | Sertraline Hcl | 690 | 21,523 | $5,523.07 | 104 |
| Amlodipine Besylate | Amlodipine Besylate | 663 | 20,940 | $3,632.90 | 93 |
| Famotidine | Famotidine | 659 | 19,749 | $4,934.72 | 90 |
| Clopidogrel | Clopidogrel Bisulfate | 635 | 20,717 | $6,302.36 | 94 |
| Metoprolol Succinate | Metoprolol Succinate | 597 | 19,547 | $6,894.77 | 85 |
| Omeprazole | Omeprazole | 563 | 17,938 | $4,236.29 | 78 |
| Lisinopril | Lisinopril | 554 | 17,624 | $3,210.49 | 77 |
| Pantoprazole Sodium | Pantoprazole Sodium | 525 | 16,166 | $4,633.01 | 70 |
| Quetiapine Fumarate | Quetiapine Fumarate | 463 | 13,719 | $4,046.35 | 72 |
| Furosemide | Furosemide | 451 | 14,900 | $2,940.66 | 77 |
| Temazepam | Temazepam | 377 | 10,403 | $3,947.44 | 68 |
| Clonazepam | Clonazepam | 365 | 10,045 | $3,529.49 | 62 |
| Enalapril Maleate | Enalapril Maleate | 336 | 12,802 | $4,514.90 | 45 |
| Alendronate Sodium | Alendronate Sodium | 332 | 9,902 | $2,452.86 | 44 |
| Tamsulosin Hcl | Tamsulosin Hcl | 329 | 10,997 | $3,411.99 | 48 |
| Trazodone Hcl | Trazodone Hcl | 313 | 8,924 | $2,480.52 | 50 |
| Carvedilol | Carvedilol | 257 | 8,041 | $2,077.78 | 36 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL PRACTICE
I20051207000160
PR
7012937980
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
NPI status registered as active in NPPES database
Registered at URB. PALACIOS DEL MONTE #1546 C/KILIMANJARO D-12, TOA ALTA, PR 00953 (Tel: 7875055749)
Registered at CARR #1 KM 26.9 BO. RIO CANAS SECT. LA CHANGA, CAGUAS, PR 00725 (Tel: 7875055749)
Recorded as MANUEL RIVERA, M.D.
General Practice (license number reported to NPPES: PR 15792)
NPI status registered as active in NPPES database
Registered at CARR #1 KM 26.9 BO. RIO CANAS SECT. LA CHANGA, CAGUAS, PR 00725 (Tel: 7875055749)
Registered at C/ HAITI D-16 SUNNY HILLS, BAYAMON, PR 00956 (Tel: 7877808514)
Recorded as MANUEL RIVERA, M.D.
General Practice (license number reported to NPPES: PR 15792)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other General Practices in Caguas
- Dr. Hector Osorio, MD
- Dr. Julio De Jesus Carrion, MD
- Dr. Emilio Encarnacion - Melendez, MD
- Vanessa Reyes Polanco
- Jose Rodriguez Benitez
- Carlos Figueroa
Mailing Address
Urb. Palacios Del Monte #1546 C/kilimanjaro D-12
Toa Alta, PR 00953
Phone: 7875055749