DR. WALTER RIOS MD
NPI 1205865722
Family Medicine in Garland, TX

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
2601 FOREST LN, GARLAND, TX 75042(972) 272-1632(972) 272-5220 Get Directions Write a Review

NPPES record last updated: April 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Walter Rios Md NPPES

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

DR. WALTER RIOS MD (NPI 1205865722) is an individual family medicine provider in Garland, Texas, licensed in Texas (L5110) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1205865722
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WALTER RIOSCredential: MD
Location Address2601 FOREST LNGarland, TX 75042-6508
Mailing Address2601 Forest LnGarland, TX 75042-6508 · (972) 272-1632 · Fax (972) 272-5220
Fax(972) 272-5220
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateJune 30, 2006
Last NPPES UpdateApril 25, 2014
NPI 1205865722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · L5110
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.
2601 FOREST LN, Garland, TX 75042

Other Identifiers 5

Medicaid157971601TX
Medicaid157971602TX
Other0020JUTX · Blue Cross Blue Shield
Medicare UPINH80420TX
Medicare PIN0077OHTX

Accepted 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. Walter 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 ID3678556305
PECOS Enrollment IDI20040611001136
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 2

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.
50 services32 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75042 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Primary Care)
2601 FOREST LN
GARLAND, TX 75042
Family Medicine
2601 FOREST LN
GARLAND, TX 75042
Clinic/Center
2601 FOREST LN
GARLAND, TX 75042

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 Walter Rios's NPI number?

The NPI number for Walter Rios is 1205865722. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Walter Rios located?

Walter Rios practices at 2601 Forest Ln, Garland, TX 75042. The listed phone number is (972) 272-1632.

What is Walter Rios's specialty?

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

Is Walter Rios enrolled in Medicare?

Yes. Walter 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 Walter Rios accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and Oscar Insurance Company list Walter 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.

When was this NPI record last updated?

The NPPES record for Walter Rios was last updated on April 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.