OSCAR RIOS II M.D.
NPI 1346377066
Surgery in Austin, TX

Q: What is Oscar Rios's NPI number?

The NPI number for Oscar Rios is 1346377066. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Q: What is Oscar Rios's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Oscar Rios was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 February 28, 2007PECOS EnrolledAccepts Medicare Assignment

72.52/100

CMS Quality Rating

313 E 12TH ST, AUSTIN, TX 78701(512) 324-8960(512) 324-8962 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Oscar Rios Ii M.d. NPPES

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

OSCAR RIOS II M.D. (NPI 1346377066) is an individual surgery provider in Austin, Texas, licensed in Texas (M7575) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Christus Santa Rosa Hospital-san Marcos, and is a graduate of University Of Texas Medical School At Houston (2002).

NPPES Registry Identity

NPI1346377066

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameOSCAR RIOS IICredential: M.D.

Location Address313 E 12TH STAustin, TX 78701-1954

Mailing Address1601 Rio Grande St, Suite 340Austin, TX 78701-1137 · (512) 324-8960 · Fax (512) 324-8962

Phone(512) 324-8960

Fax(512) 324-8962

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2002

Enumeration DateFebruary 28, 2007

Last NPPES UpdateAugust 8, 2023

NPPES CertifiedAugust 8, 2023

✔ NPI 1346377066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in TX · M7575

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License M7575 (TX)

313 E 12TH ST, Austin, TX 78701

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Other Identifiers 3

OtherM7575TX · Physician License

Medicaid185610601TX

Other8AE260TX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Oscar Rios Ii 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 ID2466553714

PECOS Enrollment IDI20070731000202

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 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 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.

37 services31 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.

35 services35 patients

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.

17 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Christus Santa Rosa Hospital-San Marcos

Acute Care Hospitals · San Marcos, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450272

Location1301 Wonder World DriveSan Marcos, TX 78666 · Hays County

Emergency services Birthing friendly

Ascension Seton Hays

Acute Care Hospitals · Kyle, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670056

Location6001 Kyle PkwyKyle, TX 78640 · Hays County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78701 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

$89.03 typical visit price

range $57.88 – $174.00

Typical copayment $22.25 (range $14.47 – $43.50)

Most-billed visit code 99203

Established Patient

$71.95 typical visit price

range $18.88 – $142.23

Typical copayment $17.98 (range $4.72 – $35.55)

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.

72.52/100

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

Scored as part of a group practice

Quality

61.27

Promoting Interoperability

100

Improvement Activities

Cost

47.12

Reported Quality Measures

Colorectal Cancer Screening

14%28 patients1/55-star benchmark: 88%

Documentation of Current Medications in the Medical Record

4%618 patients1/55-star benchmark: 100%

HIV Screening

9%34 patients1/55-star benchmark: 60%

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

15%20 patients1/55-star benchmark: 98%

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

22%54 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

0%66 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 51% · 83 patients

48%83 patients

Provide Patients Electronic Access to Their Health Information

79%34 patients4/55-star benchmark: 100%

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.

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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.

SCOTT J WEINER MD

Pediatrics

313 E 12TH ST, STE 104
AUSTIN, TX 78701

Travis County (409) 772-2222

KIMBERLY CHERYL BUTRUM RN GNP

Nurse Practitioner (Gerontology)

313 E 12TH ST, SUITE 101
AUSTIN, TX 78701

Travis County (512) 324-9660

ZACHARY A CHIPMAN M.D.

Obstetrics & Gynecology

313 E 12TH ST, SUITE 101
AUSTIN, TX 78701

Travis County (512) 324-9650

UTMB FACULTY GROUP PRACTICE

Clinic/Center (Multi-Specialty)

313 E 12TH ST
AUSTIN, TX 78701

Travis County (409) 772-2222

GEORGE AMBROSE EDWARDS MD

Pediatrics

313 E 12TH ST, STE 104
AUSTIN, TX 78701

Travis County (409) 772-2222

ELIZABETH NELSON MD

Internal Medicine

313 E 12TH ST, STE 101
AUSTIN, TX 78701

Travis County (512) 324-9650

UNIVERSITY OF TEXAS MEDICAL BRANCH, AUSTIN INITIATIVES AT UTMB

Internal Medicine

313 E 12TH ST
AUSTIN, TX 78701

Travis County (409) 772-2222

DR. DIANA YUN-GUAN WANG MD

Obstetrics & Gynecology

313 E 12TH ST, SUITE 101
AUSTIN, TX 78701

Travis County (512) 324-9650

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 Oscar Rios's NPI number?

The NPI number for Oscar Rios is 1346377066. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Oscar Rios located?

Oscar Rios practices at 313 E 12th St, Austin, TX 78701. The listed phone number is (512) 324-8960.

What is Oscar Rios's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Oscar Rios enrolled in Medicare?

Yes. Oscar 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 Oscar Rios accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Oscar 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 Oscar Rios affiliated with any hospitals?

According to CMS data, Oscar Rios is affiliated with Christus Santa Rosa Hospital-San Marcos and Ascension Seton Hays.

When was this NPI record last updated?

The NPPES record for Oscar Rios was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.