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DR. CARLOS ANGEL DEL RIO M.D.
NPI 1285608398
Internal Medicine in Dracut, MA

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
505 NASHUA RD, SUITE 1, DRACUT, MA 01826(978) 957-9650(978) 957-9017 Get Directions Write a Review

NPPES record last updated: May 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Carlos Angel Del Rio M.d. NPPES

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

DR. CARLOS ANGEL DEL RIO M.D. (NPI 1285608398) is an individual internal medicine provider in Dracut, Massachusetts, licensed in Massachusetts (81822) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Lowell General Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1285608398
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CARLOS ANGEL DEL RIOCredential: M.D.
Location Address505 NASHUA RD, SUITE 1Dracut, MA 01826-1929
Mailing Address505 Nashua Rd, Suite 1Dracut, MA 01826-1929 · (978) 957-9650 · Fax (978) 957-9017
Phone(978) 957-9650
Fax(978) 957-9017
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateFebruary 15, 2006
Last NPPES UpdateMay 13, 2008
✔ NPI 1285608398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 81822
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.
505 NASHUA RD, Dracut, MA 01826
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Other Identifiers 2

Medicare ID-Type UnspecifiedA20522MA
Medicare UPING11032MA

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

Dr. Carlos Angel Del Rio 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 ID4789692781
PECOS Enrollment IDI20060403000461
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 13

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 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.
512 services243 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.
279 services165 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
159 services159 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.
119 services105 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.
104 services61 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
97 services64 patients

Hospital Affiliations CMS Care Compare

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

Lowell General Hospital

Acute Care Hospitals · Lowell, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220063
Location295 Varnum AvenueLowell, MA 01854 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01826 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Reported Quality Measures

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.
71%11,144 patients3/55-star benchmark: 100%
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…
73%268 patients4/55-star benchmark: 96%
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.
95%151 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.
22%1,320 patients1/55-star benchmark: 99%
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…
67%1,320 patients3/55-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…
51%1,320 patients4/55-star benchmark: 59%
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.

Referred Medical Equipment & Supplies CMS DME claims 9

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
16 suppliers58 claims167 services$6.18 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers16 claims16 services$2.96 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers26 claims42 services$1.11 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers15 claims15 services$34.96 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers11 claims11 services$16.14 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers14 claims84 services$2.11 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 15

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

CARLOS A DEL RIO PC
Internal Medicine
505 NASHUA RD, SUITE 1
DRACUT, MA 01826
Middlesex County (978) 957-9650
MR. TERRY L SCHRUBB DMD
Dentist (General Practice)
505 NASHUA RD
DRACUT, MA 01826
Middlesex County (978) 857-5733
AMERIDENT DENTAL PC
Dentist
505 NASHUA RD, SUITE #13
DRACUT, MA 01826
Middlesex County (978) 957-5733
AZADEH SHAHAB
Dentist
505 NASHUA RD
DRACUT, MA 01826
Middlesex County (781) 277-7294
MS. VALERIE L KING ARNP
Nurse Practitioner
505 NASHUA RD, SUITE 1
DRACUT, MA 01826
Middlesex County (978) 957-9650
ALENA ASHENBERG M.D. PEDIATRICS, L.L.C.
Pediatrics
505 NASHUA RD
DRACUT, MA 01826
Middlesex County (978) 957-4300
TERRY L. SCHRUBB DMD PC
Dentist
505 NASHUA RD
DRACUT, MA 01826
Middlesex County (978) 957-5733
NASIM GHAFFAR, M.D.
Family Medicine (Adult Medicine)
505 NASHUA RD
DRACUT, MA 01826
Middlesex County (978) 957-4474

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 Carlos Del Rio's NPI number?

The NPI number for Carlos Del Rio is 1285608398. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Carlos Del Rio located?

Carlos Del Rio practices at 505 Nashua Rd Suite 1, Dracut, MA 01826. The listed phone number is (978) 957-9650.

What is Carlos Del Rio's specialty?

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

Is Carlos Del Rio enrolled in Medicare?

Yes. Carlos Del Rio 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 Carlos Del Rio accept?

Health plans from Anthem Blue Cross and Blue Shield list Carlos Del Rio 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 Carlos Del Rio affiliated with any hospitals?

According to CMS data, Carlos Del Rio is affiliated with Lowell General Hospital.

When was this NPI record last updated?

The NPPES record for Carlos Del Rio was last updated on May 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.