Monica Alexandra Ortiz-Rivera, MD
NPI 1063962058ActiveIndividual· Internal Medicine, Endocrinology, Diabetes & Metabolism· San Juan, PR
Internal Medicine, Endocrinology, Diabetes & Metabolism (MD) in San Juan, Puerto Rico, licensed in PR, with an NPI issued in October 2016. Their prescriptions cost Medicare Part D more than their services did: $724,808 for 2,261 claims, against $11,570 paid for services in 2024. Novo Nordisk Inc was the largest of 12 companies reporting payments in 2025, $1,272 in all, mostly food and beverage. Lists Hospital Pavia Santurce and 1 other hospital as hospital affiliations.
Overview
| NPI | 1063962058 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Oct 13, 2016 |
| Last updated in NPPES | Jul 24, 2023 |
| Certified by provider | Jul 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Endocrinology, Diabetes & Metabolism Primary | 207RE0101X | 21953 | PR |
| Internal Medicine | 207R00000X | 21953 | PR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Endocrinology (PR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 54 |
|---|---|
| Services billed | 146 across 9 procedure codes |
| Paid by Medicare | $11,570 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,261 · 3,634 30-day fills |
|---|---|
| Patients | 266 |
| Total drug cost | $724,808 |
| Generic share | 35% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Endocrinology |
| Secondary specialties | Internal Medicine |
Hospital affiliations
- Hospital Pavia SanturceSan Juan, PR
- Presbyterian Community HospitalSan Juan, PR
Industry payments (Open Payments)
- 2025$1,272 · 37 payments from 12 companies
- 2024$914.86 · 25 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $269.23 | 11 |
| Dexcom, Inc. | $225.67 | 7 |
| Lilly USA, LLC | $221.46 | 2 |
| Beta Bionics, Inc. | $115.74 | 1 |
| Bayer Healthcare Pharmaceuticals Inc. | $107.03 | 1 |
What the 2025 payments were for
- Food and Beverage$1,272 · 37 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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