CESAR DAVID RIOS MD
NPI 1124075064
Internal Medicine - Cardiovascular Disease in Kansas City, MO

Q: What is Cesar Rios's NPI number?

The NPI number for Cesar Rios is 1124075064. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Q: What is Cesar Rios's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Cesar Rios was last updated on January 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

6420 PROSPECT AVE, T-509, KANSAS CITY, MO 64132(816) 827-4800(816) 523-1425 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Cesar David Rios Md NPPES

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

CESAR DAVID RIOS MD (NPI 1124075064) is an individual cardiovascular disease provider in Kansas City, Missouri, licensed in Kansas (0427490) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Research Medical Center, and is a graduate of Stanford University School Of Medicine (1991).

NPPES Registry Identity

NPI1124075064

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameCESAR DAVID RIOSCredential: MD

Location Address6420 PROSPECT AVE, T-509Kansas City, MO 64132-4147

Mailing Address6420 Prospect Ave, T-509Kansas City, MO 64132-4147 · (816) 827-4800 · Fax (816) 523-1425

Phone(816) 827-4800

Fax(816) 523-1425

Sole ProprietorNo

Medical School CMSStanford University School Of MedicineGraduated 1991

Enumeration DateMay 27, 2006

Last NPPES UpdateJanuary 28, 2022

✔ NPI 1124075064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in KS · 0427490

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

6420 PROSPECT AVE, Kansas City, MO 64132

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cesar David Rios Md 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 ID5395779953

PECOS Enrollment IDI20050922000829, I20121210000036

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.

Medicare Billing Reassignments

Medicare enrollment records show Cesar Rios reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Midwest Heart & Vascular Specialists, LLC

8.5 mi

Cardiovascular Disease

5701 W 119TH ST STE 430
Overland Park, KS 66209

Reassigned Medicare billing, Kansas and Missouri enrollments
74 clinicians in this Medicare group

NPI 1760736615 (913) 253-3000

Encompass Medical Group, PA

9.0 mi

General Practice

8550 MARSHALL DR, SUITE 200
Overland Park, KS 66214

Reassigned Medicare billing, Kansas and Missouri enrollments
39 clinicians in this Medicare group

NPI 1063457299 (913) 495-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 22

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

232 services106 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

226 services202 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

180 services177 patients

Outpatient heart rehabilitation with electrocardiogram (ecg) monitoring, quality health care professional services 93798

Outpatient heart rehabilitation involves regular visits to a clinic for heart health improvement after a cardiac event. During these sessions, an electrocardiogram (ECG) monitors heart activity, while healthcare professionals provide personalized care and education on lifestyle changes, ensuring a safe recovery and reducing future heart risks.

150 services14 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.

143 services98 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

136 services103 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

98 services96 patients

Ultrasound of heart 93307

An ultrasound of the heart, also known as an echocardiogram, is a non-invasive procedure that uses sound waves to create images of your heart. This test allows your doctor to monitor how your heart and its valves are functioning. It's a safe, painless process that can help diagnose heart conditions.

96 services96 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

85 services30 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

84 services82 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

53 services48 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

51 services49 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

43 services40 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.

42 services37 patients

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

38 services37 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

34 services33 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

27 services27 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

24 services24 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

22 services21 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

14 services14 patients

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

13 services13 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Research Medical Center

Acute Care Hospitals · Kansas City, MO

2/5 CMS rating

OwnershipProprietary

CMS Certification Number260027

Location2316 E Meyer BlvdKansas City, MO 64132 · Jackson County

Emergency services Birthing friendly

Bates County Memorial Hospital

Acute Care Hospitals · Butler, MO

OwnershipGovernment - Local

CMS Certification Number260034

Location615 W Nursery StButler, MO 64730 · Bates County

Emergency services

Golden Valley Memorial Hospital

Acute Care Hospitals · Clinton, MO

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number260175

Location1600 N 2nd StClinton, MO 64735 · Henry County

Emergency services Birthing friendly

Lee's Summit Medical Center

Acute Care Hospitals · Lees Summit, MO

4/5 CMS rating

OwnershipProprietary

CMS Certification Number260190

Location2100 SE Blue ParkwayLees Summit, MO 64063 · Jackson County

Emergency services

Cass Regional Medical Center

Critical Access Hospitals · Harrisonville, MO

OwnershipGovernment - Local

CMS Certification Number261324

Location2800 E Rock Haven RoadHarrisonville, MO 64701 · Cass County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64132 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

$127.61 typical visit price

range $55.29 – $168.52

Typical copayment $31.90 (range $13.82 – $42.13)

Most-billed visit code 99204

Established Patient

$69.10 typical visit price

range $17.60 – $137.20

Typical copayment $17.27 (range $4.40 – $34.30)

Most-billed visit code 99213

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.

75/100

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

Individually scored

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy

The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period

80%155 patients4/55-star benchmark: 99%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

80%1,054 patients2/55-star benchmark: 99%

Falls: Screening for Future Fall Risk

Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period

68%381 patients3/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

54%24 patients3/55-star benchmark: 88%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

97%117 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

96%450 patients4/55-star benchmark: 97%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

32%387 patients2/55-star benchmark: 90%

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

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

49%714 patients3/55-star benchmark: 97%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

26%479 patients2/55-star benchmark: 88%

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

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

11%671 patients1/55-star benchmark: 96%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

100%450 patients5/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

9%450 patients1/55-star benchmark: 89%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 0% · 365 patients

0%365 patients5/55-star benchmark: 100%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

9%450 patients

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.

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.

MIDWEST NEUROSURGERY ASSOCIATES, PA

Clinic/Center

6420 PROSPECT AVE, SUITE T411
KANSAS CITY, MO 64132

Jackson County (816) 363-2500

LOUIS HAYWARD PETERSON MD

Pediatrics

6420 PROSPECT AVE, STE T403
KANSAS CITY, MO 64132

Jackson County (816) 523-1222

DR. TANNAZ MONTEE MD

Internal Medicine (Pulmonary Disease)

6420 PROSPECT AVE, T303
KANSAS CITY, MO 64132

Jackson County (816) 333-1919

RESEARCH MULTI-SPECIALTY PHYSICIANS GROUP LLC

Physical Medicine & Rehabilitation

6420 PROSPECT AVE, T-419
KANSAS CITY, MO 64132

Jackson County (816) 363-0579

DR. BRIAN PETER MIECZKOWSKI D.O.

Internal Medicine (Pulmonary Disease)

6420 PROSPECT AVE, SUITE T303
KANSAS CITY, MO 64132

Jackson County (816) 333-1919

KANSAS CITY PULMONOLOGY PRACTICE, LLC

Internal Medicine (Pulmonary Disease)

6420 PROSPECT AVE, T-303
KANSAS CITY, MO 64132

Jackson County (816) 333-1919

DR. KRISHNA R. RAJANNA MD

Surgery

6420 PROSPECT AVE, T-207
KANSAS CITY, MO 64132

Jackson County (816) 276-9100

RESEARCH CARDIOLOGY ASSOCIATES, LLC

Internal Medicine (Cardiovascular Disease)

6420 PROSPECT AVE, T-509
KANSAS CITY, MO 64132

Jackson County (816) 276-4800

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 Cesar Rios's NPI number?

The NPI number for Cesar Rios is 1124075064. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Cesar Rios located?

Cesar Rios practices at 6420 Prospect Ave T-509, Kansas City, MO 64132. The listed phone number is (816) 827-4800.

What is Cesar Rios's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Cesar Rios enrolled in Medicare?

Yes. Cesar 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.

Which organizations bill Medicare for Cesar Rios's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cesar Rios reassigns Medicare benefits to 2 organizations: Midwest Heart & Vascular Specialists, LLC (Overland Park, KS) and Encompass Medical Group, PA (Overland Park, KS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cesar Rios's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cesar Rios accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 2 other insurers list Cesar 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 Cesar Rios affiliated with any hospitals?

According to CMS data, Cesar Rios is affiliated with Research Medical Center, Bates County Memorial Hospital, Golden Valley Memorial Hospital, Lee's Summit Medical Center and Cass Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Cesar Rios was last updated on January 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.