Dr. Edgardo J. Guzman Rivera, MD
- Medicare services, 2024
- 1,932
- Medicare patients, 2024
- 126
- Part D claims, 2024
- 1,792
- MIPS score, 2024
- 99
- Hospital affiliations
- 1
- Practice address
- 938 Cypress Village Blvd, Sun City Center, FL 33573
- Practice phone
- Call (813) 333-5080
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Sunshine Rheumatology and Arthritis Center
Sun City Center, Florida
Find Dr. Guzman Rivera's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Edgardo J. Guzman Rivera is a rheumatologist in Sun City Center, Florida
Dr. Guzman Rivera practices at Sunshine Rheumatology and Arthritis Center in Sun City Center, Florida.
Dr. Guzman Rivera's NPI, 1316390404, was assigned on July 13, 2016. Dr. Guzman Rivera graduated from Pontificia Universidad Católica Madre y Maestra in 2012. Dr. Guzman Rivera holds Florida license ME153037.
- NPI
- 1316390404NPI Registry (opens in a new tab)
- Medicare PAC ID
- 0042697914
- NPI enumeration date
- July 13, 2016
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (813) 333-5080
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 40
- Medical school graduation
- 2012
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Edgardo J. Guzman Rivera practices at Sunshine Rheumatology and Arthritis Center in Sun City Center, Florida
Dr. Guzman Rivera's primary practice is Sunshine Rheumatology and Arthritis Center, at 938 Cypress Village Blvd, Sun City Center, FL 33573 in Hillsborough County. The practice phone is (813) 333-5080.
- Sunshine Rheumatology and Arthritis Center938 Cypress Village Blvd, Sun City Center, FL 33573 · Hillsborough CountyPhone(813) 333-5080
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Edgardo J. Guzman Rivera is affiliated with 3 sites of care and 1 medical group
Dr. Guzman Rivera's primary practice is Sunshine Rheumatology and Arthritis Center in Sun City Center, Florida. Dr. Guzman Rivera is also affiliated with BayCare St. Joseph's Hospital. The medical group on file is Sunshine Rheumatology and Arthritis Center. Dmand AI also links Dr. Guzman Rivera to 1 more group practice or clinic, named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Edgardo J. Guzman Rivera's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Guzman Rivera practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Sunshine Rheumatology and Arthritis Center | Available with a free account |
| +2 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Edgardo J. Guzman Rivera is one of 465 rheumatologists in Florida
Rheumatology is Dr. Guzman Rivera's primary specialty in the NPI Registry, under taxonomy code 207RR0500X. Dr. Guzman Rivera is board certified in internal medicine by the American Board of Internal Medicine. Dmand AI has Dr. Guzman Rivera's licenses on file in 3 states: Florida, New York and Puerto Rico.
Specialties and state licenses
- Rheumatology, FloridaPrimary
- New York license
- Puerto Rico license
Clinical focus
Dmand AI lists arthritis, fibromyalgia and chronic pain, gout, joint pain, muscle pain, fibromyalgia, and limb pain, osteoporosis and rheumatoid arthritis among the conditions Dr. Guzman Rivera treats.
Rheumatologists near Dr. Guzman Rivera
Counts of rheumatologists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Edgardo J. Guzman Rivera billed Medicare for 1,932 services in 2024
CMS data shows 1,932 Medicare services from Dr. Guzman Rivera across 7 procedure codes in 2024, for 126 Medicare patients. Medicare paid $58,518 for them. Every service was in an office.
Dr. Guzman Rivera's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Drugs given in the office
- 2023: 9002024: 1,38053%
- Office and hospital visits
- 2023: 1862024: 25939%
- Other services
- 2023: 02024: 240
- Tests and treatments
- 2023: 572024: 537%
Dr. Guzman Rivera compared with the Florida median for rheumatologists, 2024
- Dr. Guzman Rivera
- Florida median
- Medicare services
- 1,932vs 3,46744% below
- Medicare patients
- 126vs 31961% below
- Part D claims
- 1,610vs 1,45611% above
Medians across 447 rheumatologists in Florida with Dmand AI profiles that report each measure.
Dr. Guzman Rivera's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Edgardo J. Guzman Rivera treated 126 Medicare patients in 2024, average age 71
CMS counts 126 Medicare patients who saw Dr. Guzman Rivera in 2024. The largest group is 65 to 74, with 62 patients. 75% of them have arthritis, and 75% have high blood pressure. 15% are also on Medicaid. Their average risk score is 1.46, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Guzman Rivera's median patient age at 59, with 81% women.
Dr. Guzman Rivera's Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Dr. Guzman Rivera's Medicare patients by sex, 2024
- Women10281%
- Men2419%
Chronic conditions among Dr. Guzman Rivera's Medicare patients, 2024
- Arthritis75%
- High blood pressure75%
- High cholesterol75%
- Osteoporosis40%
- Mood disorders37%
- Depression35%
- Anxiety34%
- Diabetes32%
Share of Medicare patients with each condition. A patient can have several.
Dr. Guzman Rivera's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 59
Patient panel by sex, all payers
- Women81%
- Men18%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Edgardo J. Guzman Rivera wrote 1,792 Medicare Part D claims in 2024
In 2024, Dr. Guzman Rivera wrote 1,792 Medicare Part D claims for 338 patients. 85% of them were for generic drugs. CMS names the drug for 1,610 of them, across 30 drugs with 11 or more claims each, at $919,601 in total drug cost. In 2023, CMS named 634 claims across 16 drugs.
Dr. Guzman Rivera's Part D claims by kind of drug, 2024
- Generic1,528 claims85%
- Brand-name239 claims13%
- Other25 claims1%
Dr. Guzman Rivera's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Guzman Rivera's Part D claims, 2024
- Opioids2%29 of 1,792 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 6342024: 1,610154%
Drugs named by CMS: 30 in 2024, 16 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Edgardo J. Guzman Rivera scored 99 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 99 out of 100 for Dr. Guzman Rivera for performance year 2024, reported as part of a group. Dr. Guzman Rivera accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Guzman Rivera as offering telehealth.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Dr. Guzman Rivera's MIPS scores, performance year 2024
- 99of 100Final score
- 99of 100Promoting Interoperability
- 40of 100Improvement Activities
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Dr. Edgardo J. Guzman Rivera received $8,287 in industry payments from 2017 to 2025
CMS Open Payments shows 437 general payments to Dr. Guzman Rivera from 24 drug and device companies from 2017 to 2025. Food and beverage make up the largest share, 99% of the total. Amgen Inc. paid the most, $2,023.
General payments to Dr. Guzman Rivera by program year, 2017 to 2025
General payments to Dr. Guzman Rivera by kind, 2017 to 2025
- Food and beverage$8,20699%
- Education$821%
Companies that paid Dr. Guzman Rivera the most, 2017 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Edgardo J. Guzman Rivera graduated from Pontificia Universidad Católica Madre y Maestra
Dr. Guzman Rivera graduated from Pontificia Universidad Católica Madre y Maestra in 2012.
- Medical school
- Board certified in internal medicine
- Board certified in rheumatology
Source: Dmand AI Professional Profile Data
Dr. Edgardo J. Guzman Rivera accepts plans from 15 insurance carriers
Dr. Guzman Rivera is in network with 15 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 10. Check the plan with the practice before a visit.
- Aetna
- Blue Cross Blue Shield of Michigan
- United Healthcare
- Elevance
- HCSC
- Blue Cross Blue Shield of Massachusetts
- Regence Health Plans
- Alliant Health Plans
- +7 more carriersWith a free account
Plan types Dr. Guzman Rivera accepts, by number of carriers
- PPO10
- HMO7
- Medicare7
- EPO4
- POS3
Source: Dmand AI Insurance Network Data
Sources for Dr. Edgardo J. Guzman Rivera's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Edgardo J. Guzman Rivera
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Edgardo J. Guzman Rivera's NPI number?
Dr. Edgardo J. Guzman Rivera's NPI number is 1316390404. It was assigned on July 13, 2016, and it is active in the NPI Registry.
What kind of doctor is Dr. Edgardo J. Guzman Rivera?
Dr. Edgardo J. Guzman Rivera is a rheumatologist in Sun City Center, Florida. The primary specialty in the NPI Registry is Rheumatology Physician (taxonomy code 207RR0500X).
Where does Dr. Edgardo J. Guzman Rivera practice?
Dr. Guzman Rivera practices at 938 Cypress Village Blvd, Sun City Center, FL 33573. Dr. Guzman Rivera's primary practice is Sunshine Rheumatology and Arthritis Center in Sun City Center, Florida. Dmand AI also links Dr. Guzman Rivera to 1 group practice or clinic.
What is Dr. Edgardo J. Guzman Rivera's office phone number?
The practice phone on file for Dr. Guzman Rivera is (813) 333-5080.
What is Dr. Edgardo J. Guzman Rivera's medical license number?
Dr. Guzman Rivera holds Florida license ME153037, one of the licenses on file in 3 states.
Which states has Dr. Edgardo J. Guzman Rivera been licensed in?
Dmand AI has state licenses on file for Dr. Guzman Rivera in Florida (2021 to 2026), New York (2019 to 2027) and Puerto Rico (1992 to 2016).
Which hospitals is Dr. Edgardo J. Guzman Rivera affiliated with?
Dr. Guzman Rivera is affiliated with BayCare St. Joseph's Hospital.
What medical group is Dr. Edgardo J. Guzman Rivera part of?
Dr. Guzman Rivera is linked to Sunshine Rheumatology and Arthritis Center.
Does Dr. Edgardo J. Guzman Rivera accept Medicare?
Yes. CMS data shows Dr. Guzman Rivera billed Medicare for 1,932 services in 2024, and Dr. Guzman Rivera accepts Medicare assignment.
Does Dr. Edgardo J. Guzman Rivera offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Dr. Guzman Rivera as offering telehealth services.
Show 9 more questionsShow fewer questions
What is Dr. Edgardo J. Guzman Rivera's MIPS score?
Dr. Guzman Rivera's MIPS final score for performance year 2024 is 99 out of 100, reported as part of a group.
How many Medicare patients does Dr. Edgardo J. Guzman Rivera see?
CMS counts 126 Medicare patients who saw Dr. Guzman Rivera in 2024, with an average age of 71.
Is Dr. Edgardo J. Guzman Rivera board certified?
Yes. Dr. Guzman Rivera is board certified in internal medicine by the American Board of Internal Medicine.
What services does Dr. Edgardo J. Guzman Rivera bill to Medicare?
In 2024, Dr. Guzman Rivera's most billed Medicare services were injected or infused drug (J0897), medicare service (G2211) and office visit, established patient (99214).
Where did Dr. Edgardo J. Guzman Rivera go to medical school?
Dr. Guzman Rivera graduated from Pontificia Universidad Católica Madre y Maestra in 2012.
What drugs does Dr. Edgardo J. Guzman Rivera prescribe most?
In 2024 Medicare Part D data, Dr. Guzman Rivera's most prescribed drugs by claims were Hydroxychloroquine Sulfate, Prednisone and Methotrexate.
Has Dr. Edgardo J. Guzman Rivera received payments from drug or device companies?
CMS Open Payments shows $8,287 in general payments to Dr. Guzman Rivera from 24 companies from 2017 to 2025. The largest total came from Amgen Inc.
How long has Dr. Edgardo J. Guzman Rivera been practicing?
Dr. Guzman Rivera graduated from medical school in 2012, 14 years ago.
What insurance does Dr. Edgardo J. Guzman Rivera accept?
Dr. Guzman Rivera is in network with 15 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 10. Check the plan with the practice before a visit.
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