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DR. JULIE MARIE RIOS M.D.
NPI 1225238058
Obstetrics & Gynecology - Reproductive Endocrinology in Pittsburgh, PA

Active since July 19, 2007PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
300 HALKET ST STE 5150, PITTSBURGH, PA 15213(412) 641-8438(513) 475-7601 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 5, 2023, Mar 31, 2016 (2 updates tracked since 2016).

About Dr. Julie Marie Rios M.d. NPPES

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

DR. JULIE MARIE RIOS M.D. (NPI 1225238058) is an individual reproductive endocrinology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD474095) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Wright State University Boonshoft School Of Medicine (2005).

NPPES Registry Identity

NPI1225238058
Entity TypeIndividualFemale
Primary Taxonomy207VE0102X
Provider Legal NameDR. JULIE MARIE RIOSCredential: M.D.
Location Address300 HALKET ST STE 5150Pittsburgh, PA 15213-3108
Mailing Address300 Halket St Ste 5150Pittsburgh, PA 15213-3108 · (412) 641-8438 · Fax (513) 475-7601
Phone(412) 641-8438
Fax(513) 475-7601
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2005
Enumeration DateJuly 19, 2007
Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
✔ NPI 1225238058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code207VE0102X
Licenses✔ Licensed in PA · MD474095✔ Licensed in OH · 35-091502
Definition
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
300 HALKET ST STE 5150, Pittsburgh, PA 15213
Open in Google Maps ↗

Other Identifiers 3

Medicaid2882242OH
Medicaid7100067890KY
Medicaid103934200PA

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. Julie Marie 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 ID5496811150
PECOS Enrollment IDI20210907000251
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

2

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

University Of Pittsburgh Physicians
Same address
Obstetrics & Gynecology
300 HALKET ST
Pittsburgh, PA 15213
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1134187834 (412) 647-0943
Children's Hospital Medical Center
258 mi
Pediatrics
3333 BURNET AVENUE
Cincinnati, OH 45229
  • Reassigned Medicare billing, Ohio enrollment
  • 2,080 clinicians in this Medicare group
NPI 1609915784 (513) 636-4225

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

BREONNA SLOCUM M.D
Obstetrics & Gynecology (Reproductive Endocrinology)
300 HALKET ST STE 5150
PITTSBURGH, PA 15213
Allegheny County (412) 756-3195
KATHRYN VICTORIA SCHMIECH MD
Obstetrics & Gynecology (Reproductive Endocrinology)
300 HALKET ST STE 5150
PITTSBURGH, PA 15213
Allegheny County (412) 641-1600
RYAN TOBER PHARMD
Student in an Organized Health Care Education/Training Program
300 HALKET ST STE 5150
PITTSBURGH, PA 15213
Allegheny County (412) 641-6451

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 Julie Rios's NPI number?

The NPI number for Julie Rios is 1225238058. It was assigned to this individual provider in the NPPES registry on July 19, 2007.

Where is Julie Rios located?

Julie Rios practices at 300 Halket St Ste 5150, Pittsburgh, PA 15213. The listed phone number is (412) 641-8438.

What is Julie Rios's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

Is Julie Rios enrolled in Medicare?

Yes. Julie 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 Julie Rios's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julie Rios reassigns Medicare benefits to 2 organizations: University Of Pittsburgh Physicians (Pittsburgh, PA) and Children's Hospital Medical Center (Cincinnati, OH). 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 Julie Rios's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Julie Rios was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.