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SIRLYS ARCON RIOS MD
NPI 1508186727
Internal Medicine - Endocrinology, Diabetes & Metabolism in Jacksonville, FL

Active since June 10, 2010PECOS EnrolledAccepts Medicare Assignment
91.62/100
CMS Quality Rating
11945 SAN JOSE BLVD, SUITE 301, JACKSONVILLE, FL 32223(904) 260-9016(904) 260-9695 Get Directions Write a Review

NPPES record last updated: December 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 28, 2018, Mar 2, 2016, Jan 27, 2016 and 2 more (5 updates tracked since 2015).

About Sirlys Arcon Rios Md NPPES

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

SIRLYS ARCON RIOS MD (NPI 1508186727) is an individual endocrinology, diabetes & metabolism provider in Jacksonville, Florida, licensed in Florida (ME121829) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1508186727
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameSIRLYS ARCON RIOSCredential: MD
Location Address11945 SAN JOSE BLVD, SUITE 301Jacksonville, FL 32223-1613
Mailing AddressPo Box 45443Salt Lake City, UT 84145-0443 · (904) 202-1032 · Fax (904) 376-4106
Phone(904) 260-9016
Fax(904) 260-9695
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 10, 2010
Last NPPES UpdateDecember 28, 20185 updates tracked since enumeration
✔ NPI 1508186727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in FL · ME121829
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 27808 (OK)
11945 SAN JOSE BLVD, Jacksonville, FL 32223
Open in Google Maps ↗

Other Identifiers 1

OtherP01493508FL · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Sirlys Arcon 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 ID1355653007
PECOS Enrollment IDI20150708003086
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 7

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.
937 services393 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
677 services250 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.
573 services233 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
209 services81 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.
104 services76 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Baptist Medical Center - Nassau

Acute Care Hospitals · Fernandina Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100140
Location1250 S 18th StFernandina Beach, FL 32034 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32223 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

91.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.61
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
8 suppliers39 claims494 services$18.42 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
8 suppliers40 claims1,245 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
52 suppliers135 claims528 services$6.21 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
25 suppliers53 claims78 services$1.04 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
7 suppliers21 claims3,660 services$7.34 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
18 suppliers486 claims488 services$187.02 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 18

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

BAPTIST PRIMARY CARE INC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
11945 SAN JOSE BLVD, SUITE 301
JACKSONVILLE, FL 32223
Duval County (904) 260-9699
KAYLA BAGWELL MD
Obstetrics & Gynecology
11945 SAN JOSE BLVD
JACKSONVILLE, FL 32223
Duval County (904) 262-5333
DR. TODD J RASNER MD
Obstetrics & Gynecology (Gynecology)
11945 SAN JOSE BLVD, BLD 400
JACKSONVILLE, FL 32223
Duval County (904) 262-5333
DR. LEANNE LENKER DPT
Physical Therapist
11945 SAN JOSE BLVD, SUITE 202
JACKSONVILLE, FL 32223
Duval County (904) 880-2424
FIRSTCHOICE PHYSICAL THERAPY AND SPORTS REHABILITATION INC
Clinic/Center
11945 SAN JOSE BLVD, SUITE 202
JACKSONVILLE, FL 32223
Duval County (904) 880-2424
COLLEEN SUTTON PT
Physical Therapist (Orthopedic)
11945 SAN JOSE BLVD, SUITE 202
JACKSONVILLE, FL 32223
Duval County (904) 880-2424
FLORIDA WOMAN CARE, LLC
Obstetrics & Gynecology
11945 SAN JOSE BLVD, BLDG 400
JACKSONVILLE, FL 32223
Duval County (904) 262-5333
DR. MITZI C BROCK MD
Obstetrics & Gynecology (Gynecology)
11945 SAN JOSE BLVD
JACKSONVILLE, FL 32223
Duval County (904) 262-5333

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 Sirlys Arcon Rios's NPI number?

The NPI number for Sirlys Arcon Rios is 1508186727. It was assigned to this individual provider in the NPPES registry on June 10, 2010.

Where is Sirlys Arcon Rios located?

Sirlys Arcon Rios practices at 11945 San Jose Blvd Suite 301, Jacksonville, FL 32223. The listed phone number is (904) 260-9016.

What is Sirlys Arcon Rios's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sirlys Arcon Rios enrolled in Medicare?

Yes. Sirlys Arcon 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 Sirlys Arcon Rios accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Sirlys Arcon 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 Sirlys Arcon Rios affiliated with any hospitals?

According to CMS data, Sirlys Arcon Rios is affiliated with Baptist Health Medical Center - Jacksonville, Flagler Hospital, Baptist Medical Center Beaches and Baptist Medical Center - Nassau.

When was this NPI record last updated?

The NPPES record for Sirlys Arcon Rios was last updated on December 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.