Simon Rivera
Physician Assistant • Midlothian, VA
13700 St. Francis Blvd, Emergency Medicine Department
Midlothian, VA 231143267
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
NPI assigned on May 23, 2007; this date does not establish years in practice.
-
Published CMS data list 292 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
-
Published Part B service records, 2024:
- 99213 — Established patient outpatient office visit: 74 service units.
- 99214 — Established patient outpatient office visit: 58 service units.
- 99203 — New patient outpatient office visit: 50 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 8 records in the table · Guide: How to read Medicare Part B data
-
Published CMS data list 144 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.
-
Published Part D records, 2024:
- Doxycycline Hyclate — 43 prescription fills, including refills.
- Azithromycin — 31 prescription fills, including refills.
- Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) — 22 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 6 records in the table · Guide: How to read Medicare Part D prescriber data
-
Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant in Midlothian, VA (2024, 36 clinicians with data). Median for this group: 540. Middle half: 174 to 1,334.
Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in Virginia (2024, 2,247 clinicians with data). Median for this group: 288. Middle half: 107 to 693.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 83 in 2021 to 292 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021–2024.
Practice Location & Contact Primary Location
13700 St. Francis Blvd
Emergency Medicine Department
Midlothian, VA 231143267
CMS Doctors and Clinicians lists 1 group name: Northern Virginia Carenow Urgent Care Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2013
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
205 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $23,559 in 2024
The total amount Medicare approved for these services in 2024. 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, 2024.
Paid by Medicare
About $16,118 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, 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, 2024.
30-day fills
144 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
$1,072 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.
Open Payments general payments, program year 2021
All general payments: $7.99 across 2 records.
By nature of payment
- Food and Beverage: $7.99 across 2 records.
Reporting-company totals
- Genentech, Inc.: $7.99 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2021 (published June 30, 2026).
Years since graduation
13 years (graduated 2013)
CMS Doctors and Clinicians data list 2013 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
2007
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?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Simon 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 Simon 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 Midlothian and Virginia
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant in Midlothian, VA (2024, 36 clinicians with data). Median for this group: 540. Middle half: 174 to 1,334.
Close to the middle for clinicians listed under Physician Assistant in Virginia (2024, 2,247 clinicians with data). Median for this group: 288. Middle half: 107 to 693.
Medicare-allowed amount
A lower Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Midlothian, VA (2024, 36 clinicians with data). Median for this group: $34,443. Middle half: $14,501 to $67,492.
Close to the middle for clinicians listed under Physician Assistant in Virginia (2024, 2,247 clinicians with data). Median for this group: $23,153. Middle half: $9,003 to $44,800.
Paid by Medicare
A lower Medicare payment amount than 60% of clinicians listed under Physician Assistant in Midlothian, VA (2024, 36 clinicians with data). Median for this group: $23,755. Middle half: $10,770 to $48,077.
Close to the middle for clinicians listed under Physician Assistant in Virginia (2024, 2,247 clinicians with data). Median for this group: $17,218. Middle half: $6,803 to $32,639.
Medicare Part D prescriptions
Fewer Part D prescriptions than 75% of clinicians listed under Physician Assistant in Midlothian, VA (2024, 37 clinicians with data). Median for this group: 459. Middle half: 144 to 781.
Fewer Part D prescriptions than 60% of clinicians listed under Physician Assistant in Virginia (2024, 2,256 clinicians with data). Median for this group: 247. Middle half: 75 to 708.
Part D drug cost
A lower Part D drug cost than 75% of clinicians listed under Physician Assistant in Midlothian, VA (2024, 37 clinicians with data). Median for this group: $3,332. Middle half: $1,072 to $18,050.
A lower Part D drug cost than 65% of clinicians listed under Physician Assistant in Virginia (2024, 2,256 clinicians with data). Median for this group: $3,441. Middle half: $640 to $57,211.
61 active clinicians are listed under Physician Assistant with a practice address in Midlothian, VA (4,411 in Virginia).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Midlothian
14.8% of these 61 clinicians have the CMS telehealth indicator.
70.5% of these 61 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.
-
Medicare Part B services
Medicare Part B services increased 252% from 83 in 2021 to 292 in 2024.
- 2021: 83
- 2022: 676
- 2023: 342
- 2024: 292
-
Medicare-allowed amount
Medicare-allowed amount increased 302% from $5,854 in 2021 to $23,559 in 2024.
- 2021: $5,854
- 2022: $42,196
- 2023: $24,682
- 2024: $23,559
-
Paid by Medicare
Paid by Medicare increased 208% from $5,227 in 2021 to $16,118 in 2024.
- 2021: $5,227
- 2022: $36,287
- 2023: $17,484
- 2024: $16,118
-
Medicare Part D prescriptions
Medicare Part D prescriptions went from 16 in 2020 to 144 in 2024.
- 2020: 16
- 2021: 87
- 2022: 157
- 2023: 198
- 2024: 144
-
30-day fills
30-day fills went from 16 in 2020 to 144 in 2024.
- 2020: 16
- 2021: 87
- 2022: 157
- 2023: 198
- 2024: 144
-
Part D drug cost
Part D drug cost went from $64 in 2020 to $1,072 in 2024.
- 2020: $64
- 2021: $1,174
- 2022: $1,444
- 2023: $2,034
- 2024: $1,072
-
Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2021 only.
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2021), 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 2021 (payments made January 1 – December 31, 2021): fewer than 11 records totaling $7.99.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Genentech, Inc. |
Food and Beverage
In-kind items and services
|
Xofluza | General | $4.35 |
| Genentech, Inc. |
Food and Beverage
In-kind items and services
|
Xofluza | General | $3.64 |
Source: CMS Open Payments, program year 2021, 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 2020–2023 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, 2021–2024; 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 |
|---|---|---|---|---|
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
74 | 70 | $227.00 | $74.73 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
58 | 56 | $329.00 | $105.44 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
50 | 50 | $326.00 | $91.48 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
35 | 35 | $497.00 | $137.35 |
|
87804
Detection test by immunoassay with direct visual observation for influenza virus
|
22 | 11 | $50.00 | $16.22 |
|
87426
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
|
20 | 20 | $154.00 | $34.62 |
|
87428
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
|
18 | 18 | $204.00 | $68.88 |
|
87880
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
|
15 | 15 | $50.00 | $16.20 |
Source: CMS Part B by Provider and Service, 2024; 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 |
|---|---|---|---|---|---|
| Doxycycline Hyclate | Doxycycline Hyclate | 43 | 301 | $283.20 | 41 |
| Azithromycin | Azithromycin | 31 | 155 | $67.15 | 31 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 22 | 110 | $153.72 | 22 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 20 | 146 | $127.39 | 20 |
| Cefdinir | Cefdinir | 16 | 112 | $367.51 | 13 |
| Methylprednisolone | Methylprednisolone | 12 | 72 | $72.62 | 12 |
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
Self-certified to NPPES: 2025-07-23NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20090330000503
VA
4082708383
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Northern Virginia Carenow Urgent Care Llc
46200 Potomac Run Plz, Sterling, VA 201646622
Phone: 5713135087
Northern Virginia Carenow Urgent Care Llc
1380 N Parham Rd, Richmond, VA 232295742
Phone: 8048210010
Northern Virginia Carenow Urgent Care Llc
12214 W Broad St, Henrico, VA 232331062
Phone: 8043628345
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Emergency Medicine
Doctor of Osteopathic Medicine (D.O.)
Emergency Medicine
Doctor of Medicine (M.D.)
Emergency Medicine
Doctor of Osteopathic Medicine (D.O.)
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Physician Assistant (license number reported to NPPES: NY 011817)
NPI status registered as active in NPPES database
Registered at 13700 ST. FRANCIS BLVD, EMERGENCY MEDICINE DEPARTMENT, MIDLOTHIAN, VA 231143267 (Tel: 8045947950)
Registered at 38935 ANN ARBOR ROAD, CREDENTIALING/PAYER CONTRACTING, LIVONIA, MI 481503397 (Tel: 7348050477)
Recorded as SIMON RIVERA
Physician Assistant (license number reported to NPPES: VA 0110002952)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Midlothian
- Amenah Dailey, PA-C
- Autumn Mejia, PA-C
- Scott Frank, PA-C
- Lauren Shutt, PA-C
- Kai Trice, PA
- Jessica Womack, MPA, PA-C
Mailing Address
38935 Ann Arbor Road, Credentialing/payer Contracting
Livonia, MI 481503397
Phone: 7348050477