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LINA RIOS DO
NPI 1104250380
Internal Medicine in Westhampton Beach, NY

Active since August 24, 2013PECOS EnrolledAccepts Medicare Assignment
89.43/100
CMS Quality Rating
147 BEACH RD, WESTHAMPTON BEACH, NY 11978(631) 288-7746 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 15, 2017 and 1 more (4 updates tracked since 2017).

About Lina Rios Do NPPES

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

LINA RIOS DO (NPI 1104250380) is an individual internal medicine provider in Westhampton Beach, New York, licensed in Massachusetts (270509) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Signature Healthcare Brockton Hospital, and is a graduate of At Still University, Arizona School Of Dentistry & Oral Hlth (2013).

NPPES Registry Identity

NPI1104250380
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLINA RIOSCredential: DO
Location Address147 BEACH RDWesthampton Beach, NY 11978-1733
Mailing Address199 Reedsdale RdMilton, MA 02186-3926 · (617) 696-4600 · Fax (508) 894-0412
Phone(631) 288-7746
Sole ProprietorNo
Medical School CMSAt Still University, Arizona School Of Dentistry & Oral HlthGraduated 2013
Enumeration DateAugust 24, 2013
Last NPPES UpdateFebruary 26, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2026
✔ NPI 1104250380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 270509
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
147 BEACH RD, Westhampton Beach, NY 11978
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Lina 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 ID2365715844
PECOS Enrollment IDI20170905001939
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 10

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.

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.
343 services128 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
206 services126 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
106 services47 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
56 services20 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.
47 services36 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
39 services36 patients

Hospital Affiliations CMS Care Compare 2

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

Signature Healthcare Brockton Hospital

Acute Care Hospitals · Brockton, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220052
Location680 Center StreetBrockton, MA 02302 · Plymouth County
Emergency services Birthing friendly

Beth Israel Deaconess Hospital - Milton

Acute Care Hospitals · Milton, MA
4/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number220108
Location199 Reedsdale RoadMilton, MA 02186 · Norfolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11978 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

89.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.41
Promoting Interoperability100
Improvement Activities40
Cost72.68

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers11 claims21 services$5.33 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 suppliers29 claims29 services$177.92 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 6

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

SOUTHAMPTON HOSPITAL ASSOCIATION
Clinic/Center (Primary Care)
147 BEACH RD, SUITE A
WESTHAMPTON BEACH, NY 11978
Suffolk County (631) 288-7746
DR. HEIDI ROPPELT M.D.
Internal Medicine (Rheumatology)
147 BEACH RD, SUITE D
WESTHAMPTON BEACH, NY 11978
Suffolk County (631) 405-3325
JENNIFER ANN GAGNE NP
Nurse Practitioner
147 BEACH RD, SUITE A
WESTHAMPTON BEACH, NY 11978
Suffolk County (631) 288-7746
HANS DIETER SCHWINN M.D.
Family Medicine
147 BEACH RD, SUITE A
WESTHAMPTON BEACH, NY 11978
Suffolk County (631) 288-7746
ALEX M APONTE MD
Family Medicine
147 BEACH RD, SUITE A
WESTHAMPTON BEACH, NY 11978
Suffolk County (631) 288-7746
KEITH ZAUDERER DO
Family Medicine
147 BEACH RD
WESTHAMPTON BEACH, NY 11978
Suffolk County (631) 288-7746

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 Lina Rios's NPI number?

The NPI number for Lina Rios is 1104250380. It was assigned to this individual provider in the NPPES registry on August 24, 2013.

Where is Lina Rios located?

Lina Rios practices at 147 Beach Rd, Westhampton Beach, NY 11978. The listed phone number is (631) 288-7746.

What is Lina Rios's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lina Rios enrolled in Medicare?

Yes. Lina 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 Lina Rios accept?

Health plans from Anthem Blue Cross and Blue Shield list Lina 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 Lina Rios affiliated with any hospitals?

According to CMS data, Lina Rios is affiliated with Signature Healthcare Brockton Hospital and Beth Israel Deaconess Hospital - Milton.

When was this NPI record last updated?

The NPPES record for Lina Rios was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.