1. Home
  2. Directory
  3. Texas
  4. Denton
  5. Surgery
  6. NPI Profile

DR. ANTHONY LOUIS RIOS M.D.
NPI 1194952911
Surgery - Vascular Surgery in Denton, TX

Active since June 19, 2009PECOS EnrolledAccepts Medicare Assignment
76.79/100
CMS Quality Rating
2617 SCRIPTURE ST STE 102, DENTON, TX 76201(214) 507-0902 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 31, 2025, Jul 6, 2023, Jan 4, 2022 and 4 more (7 updates tracked since 2017).

About Dr. Anthony Louis Rios M.d. NPPES

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

DR. ANTHONY LOUIS RIOS M.D. (NPI 1194952911) is an individual vascular surgery provider in Denton, Texas, licensed in Texas (S3284) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Medical Center - Riverbend, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1194952911
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. ANTHONY LOUIS RIOSCredential: M.D.
Location Address2617 SCRIPTURE ST STE 102Denton, TX 76201-2398
Mailing Address1011 Surrey Ln Ste 200Flower Mound, TX 75022-4274 · (682) 282-0057
Phone(214) 507-0902
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2017
Enumeration DateJune 19, 2009
Last NPPES UpdateDecember 31, 20257 updates tracked since enumeration
NPPES CertifiedDecember 31, 2025
✔ NPI 1194952911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Licenses✔ Licensed in TX · S3284✔ Licensed in FL · ME178053✔ Licensed in OR · MD218542✔ Licensed in WA · MD70029598✔ Licensed in NY · 265297
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
2617 SCRIPTURE ST STE 102, Denton, TX 76201
Open in Google Maps ↗

Secondary Practice Locations 4

Location 13377 Riverbend Dr Ste 340Springfield, OR 97477-8803 · Phone (541) 222-8080 · Fax (541) 222-8398
Location 22950 Squalicum Pkwy Ste BBellingham, WA 98225-1857 · Phone (360) 788-6063 · Fax (360) 788-6817
Location 3505 NE 87th Ave Ste 301Vancouver, WA 98664-1965 · Phone (360) 514-1854 · Fax (360) 514-6063
Location 43355 Riverbend Dr Ste 300Springfield, OR 97477-8800 · Phone (541) 222-8333 · Fax (541) 222-8320

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, CareSource 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

Dr. Anthony Louis Rios M.d. 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 ID244500742
PECOS Enrollment IDI20240124002858, I20250828004749, I20260311003993
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

6

Medicare enrollment records show Anthony Rios reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Premier Health Specialists Inc
832 mi
Urology
112 S MAIN ST
Middletown, OH 45044
  • Reassigned Medicare billing, Ohio enrollment
  • 812 clinicians in this Medicare group
NPI 1609147974 (513) 423-0739
Orohealth Corporation A Non Profit Healthcare System
1,422 mi
Family Medicine
2767 OLIVE HWY
Oroville, CA 95966
  • Reassigned Medicare billing, California enrollment
  • 267 clinicians in this Medicare group
NPI 1013933167 (530) 533-8500
Peacehealth
1,577 mi
Hospitalist
3377 RIVERBEND DR
Springfield, OR 97477
  • Reassigned Medicare billing, Oregon enrollment
  • 278 clinicians in this Medicare group
NPI 1740223874 (541) 335-2700
Peacehealth Medical Group
1,578 mi
Birthing
353 DEADMOND FERRY RD
Springfield, OR 97477
  • Reassigned Medicare billing, Oregon enrollment
  • 412 clinicians in this Medicare group
NPI 1881860856 (541) 222-7750
Peacehealth
1,596 mi
Surgery
505 NE 87TH AVE, SUITE 301
Vancouver, WA 98664
  • Reassigned Medicare billing, Washington enrollment
  • 307 clinicians in this Medicare group
NPI 1609061969 (360) 514-7374
Peacehealth
1,690 mi
Internal Medicine
2901 SQUALICUM PKWY
Bellingham, WA 98225
  • Reassigned Medicare billing, Washington enrollment
  • 390 clinicians in this Medicare group
NPI 1356309553 (360) 734-5400

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 4

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.
33 services17 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.
29 services29 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.
28 services28 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.
19 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Sacred Heart Medical Center - Riverbend

Acute Care Hospitals · Springfield, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380102
Location3333 Riverbend DriveSpringfield, OR 97477 · Lane County
Emergency services Birthing friendly

St Joseph Hospital

Acute Care Hospitals · Bellingham, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500030
Location2901 Squalicum ParkwayBellingham, WA 98225 · Whatcom County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76201 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

76.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.65
Promoting Interoperability100
Improvement Activities40
Cost57.98

Other Providers at the Same Location NPPES

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

RIOS VASCULAR, PLLC
Surgery (Vascular Surgery)
2617 SCRIPTURE ST STE 102
DENTON, TX 76201
Denton County (682) 282-0057

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 Anthony Rios's NPI number?

The NPI number for Anthony Rios is 1194952911. It was assigned to this individual provider in the NPPES registry on June 19, 2009.

Where is Anthony Rios located?

Anthony Rios practices at 2617 Scripture St Ste 102, Denton, TX 76201. The listed phone number is (214) 507-0902.

What is Anthony Rios's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Anthony Rios enrolled in Medicare?

Yes. Anthony 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 Anthony Rios's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Rios reassigns Medicare benefits to 6 organizations: Premier Health Specialists Inc (Middletown, OH), Orohealth Corporation A Non Profit Healthcare System (Oroville, CA), Peacehealth (Springfield, OR), Peacehealth Medical Group (Springfield, OR), Peacehealth (Vancouver, WA) and 1 more organization, listed in the Medicare section above. 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 Anthony Rios's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Rios accept?

Health plans from Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, CareSource, Kaiser Permanente and Oscar Insurance Company and 4 other insurers list Anthony 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 Anthony Rios affiliated with any hospitals?

According to CMS data, Anthony Rios is affiliated with Sacred Heart Medical Center - Riverbend and St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Rios was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.