DR. KIRK FRANCIS GARCIA-RIOS DO
NPI 1033341821
Family Medicine in Sterling Heights, MI

Q: What is Kirk Garcia-rios's NPI number?

The NPI number for Kirk Garcia-rios is 1033341821. It was assigned to this individual provider in the NPPES registry on August 13, 2009.

Q: What is Kirk Garcia-rios's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kirk Garcia-rios was last updated on September 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 13, 2009PECOS EnrolledAccepts Medicare Assignment

74.31/100

CMS Quality Rating

3500 15 MILE RD, STERLING HEIGHTS, MI 48310(586) 977-9300 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 19, 2024, Sep 22, 2021, Aug 12, 2021 and 2 more (5 updates tracked since 2016).

On this page

About Dr. Kirk Francis Garcia-rios Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIRK FRANCIS GARCIA-RIOS DO (NPI 1033341821) is an individual family medicine provider in Sterling Heights, Michigan, licensed in Michigan (5101018497) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and maintains a secondary practice location in Spring Hill.

NPPES Registry Identity

NPI1033341821

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KIRK FRANCIS GARCIA-RIOSCredential: DO

Location Address3500 15 MILE RDSterling Heights, MI 48310-5353

Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 876-4806

Phone(586) 977-9300

Sole ProprietorNo

Medical School CMSKansas City College Of Medicine And SurgeryGraduated 2005

Enumeration DateAugust 13, 2009

Last NPPES UpdateSeptember 29, 20255 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2025

✔ NPI 1033341821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MI · 5101018497✔ Licensed in FL · OS11701

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3500 15 MILE RD, Sterling Heights, MI 48310

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Secondary Practice Location 1

Location 12703 Forest RdSpring Hill, FL 34606-3377 · Phone (352) 544-6060

Other Identifiers 1

Medicaid111407800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kirk Francis Garcia-rios Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335392166

PECOS Enrollment IDI20130103000441, I20150609000456

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

339 services102 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

180 services154 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

130 services120 patients

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458

This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.

89 services19 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

72 services22 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

69 services69 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

61 services61 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

46 services46 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

45 services18 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

38 services27 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

28 services18 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

26 services24 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230053

Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48310 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

74.27

Promoting Interoperability

100

Improvement Activities

Cost

40.09

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)

Lower rates are better for this measure.

89%89 patients1/55-star benchmark: 100%

Advance Care Plan

18%517 patients1/55-star benchmark: 100%

Breast Cancer Screening

61%337 patients3/55-star benchmark: 93%

Cervical Cancer Screening

28%479 patients2/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

33%851 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

55%962 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

71%765 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

17%276 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

37%276 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

96%3,580 patients4/55-star benchmark: 100%

e-Prescribing

99%2,556 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

48%491 patients2/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

76%1,707 patients4/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

14%1,379 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

23%2,218 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 51% · 1,670 patients

Patients screened: 55% · 1,670 patients

56%168 patients3/55-star benchmark: 100%

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Patients screened: 29% · 1,394 patients

29%1,394 patients

Provide Patients Electronic Access to Their Health Information

89%721 patients4/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

66%194 patients3/55-star benchmark: 98%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

78%578 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 2% · 533 patients

Patients totalRate: 19% · 536 patients

18%536 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier11 claims12 services$53.21 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers16 claims20 services$215.32 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RONALD DEAN HARMON R.PH.

Pharmacist

3500 15 MILE RD
STERLING HEIGHTS, MI 48310

Macomb County (586) 977-9971

MS. DOROTHY LEE PEYROLO CERT PHARMACY TECH

Pharmacy Technician

3500 15 MILE RD
STERLING HEIGHTS, MI 48310

Macomb County (586) 977-9971

MRS. SUSAN JEAN HERRMANN CPHT

Pharmacy Technician

3500 15 MILE RD
STERLING HEIGHTS, MI 48310

Macomb County (586) 977-9971

JENNIFER RUHLMAN RPH

Pharmacist

3500 15 MILE RD
STERLING HEIGHTS, MI 48310

Macomb County (586) 977-9971

JENNIFER RUEL NP

Nurse Practitioner

3500 15 MILE RD
STERLING HEIGHTS, MI 48310

Macomb County (586) 977-6212

RYAN LEACH NP

Nurse Practitioner

3500 15 MILE RD
STERLING HEIGHTS, MI 48310

Macomb County (586) 977-9300

HENRY FORD HEALTH SYSTEM

Pharmacy (Community/Retail Pharmacy)

3500 15 MILE RD
STERLING HTS, MI 48310

Macomb County (586) 977-9971

DR. AUDLEY WILLIAMS M.D.

Family Medicine

3500 15 MILE RD
STERLING HEIGHTS, MI 48310

Macomb County (586) 977-6403

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kirk Garcia-rios's NPI number?

The NPI number for Kirk Garcia-rios is 1033341821. It was assigned to this individual provider in the NPPES registry on August 13, 2009.

Where is Kirk Garcia-rios located?

Kirk Garcia-rios practices at 3500 15 Mile Rd, Sterling Heights, MI 48310. The listed phone number is (586) 977-9300.

What is Kirk Garcia-rios's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kirk Garcia-rios enrolled in Medicare?

Yes. Kirk Garcia-rios is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kirk Garcia-rios accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Oscar Health Maintenance Organization of Florida list Kirk Garcia-rios as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kirk Garcia-rios affiliated with any hospitals?

According to CMS data, Kirk Garcia-rios is affiliated with Henry Ford Health Hospital.

When was this NPI record last updated?

The NPPES record for Kirk Garcia-rios was last updated on September 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.