Jorge Luis Rivera, M.D.
NPI 1801806252ActiveIndividual· Urology· Caguas, PR
Urology (M.D.) in Caguas, Puerto Rico, trained at University of Puerto Rico School of Medicine (class of 1985). Their prescriptions cost Medicare Part D more than their services did: $153,872 for 2,213 claims, against $1,169 paid for services in 2024. Sumitomo Pharma America, Inc. was the largest of 3 companies reporting payments in 2025, $87.23 in all, mostly food and beverage.
Overview
| NPI | 1801806252 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Aug 8, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | 9393 | PR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Urology (PR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 21 |
|---|---|
| Services billed | 34 across 10 procedure codes |
| Paid by Medicare | $1,169 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,213 · 2,617 30-day fills |
|---|---|
| Patients | 439 |
| Total drug cost | $153,872 |
| Generic share | 99% of claims |
Education and affiliations
| Medical school | University of Puerto Rico School of Medicine |
|---|---|
| Graduation year | 1985 |
| Medicare specialty | Urology |
Medical group
- Victor Rivera MDCaguas, PR · 2 clinicians
Industry payments (Open Payments)
- 2025$87.23 · 4 payments from 3 companies
- 2024$80.51 · 4 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Sumitomo Pharma America, Inc. | $52.63 | 2 |
| Janssen Pharmaceuticals, Inc | $22.30 | 1 |
| Pharmaand Gmbh | $12.30 | 1 |
What the 2025 payments were for
- Food and Beverage$87.23 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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