Joel Rivera-Rodriguez, M.D.
NPI 1497062186ActiveIndividual· Internal Medicine· Clearwater, FL
Internal Medicine (M.D.) with Optumcare Florida, LLC, practicing in Clearwater, Florida. Their prescriptions cost Medicare Part D more than their services did: $1,011,998 for 10,132 claims, against $3,812 paid for services in 2024. Exact Sciences Corporation reported $70.77 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1497062186 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Sep 2, 2010 |
| Last updated in NPPES | Sep 1, 2021 |
| Certified by provider | Sep 1, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | ME127224 | FL |
| Internal Medicine | 207R00000X | P8180 | TX |
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 - Internal Medicine (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 23 |
|---|---|
| Services billed | 94 across 16 procedure codes |
| Paid by Medicare | $3,812 |
Part D prescriptions in 2024
| Prescriptions (claims) | 10,132 · 21,422 30-day fills |
|---|---|
| Patients | 748 |
| Total drug cost | $1,011,998 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical group
- Optumcare Florida, LLCLutz, FL · 272 clinicians
Industry payments (Open Payments)
- 2025$70.77 · 3 payments from 1 company
- 2024$187.52 · 9 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Exact Sciences Corporation | $70.77 | 3 |
What the 2025 payments were for
- Food and Beverage$70.77 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 195 internal medicine physicians in Clearwater · All internal medicine physicians in Florida