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DR. JOSE LEON GARCIA-RIOS M.D.
NPI 1609835883
Pathology - Anatomic Pathology & Clinical Pathology in Niceville, FL

Active since March 17, 2006PECOS EnrolledAccepts Medicare Assignment
217 GOVERNMENT AVE, NICEVILLE, FL 32578(850) 678-4220(850) 678-4919 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jose Leon Garcia-rios M.d. NPPES

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

DR. JOSE LEON GARCIA-RIOS M.D. (NPI 1609835883) is an individual anatomic pathology & clinical pathology provider in Niceville, Florida, licensed in Florida (ME21273) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1958).

NPPES Registry Identity

NPI1609835883
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. JOSE LEON GARCIA-RIOSCredential: M.D.
Location Address217 GOVERNMENT AVENiceville, FL 32578-1806
Mailing Address217 Government AveNiceville, FL 32578-1875 · (850) 678-4220 · Fax (850) 678-4919
Phone(850) 678-4220
Fax(850) 678-4919
Sole ProprietorNo
Medical School CMSOtherGraduated 1958
Enumeration DateMarch 17, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1609835883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in FL · ME21273
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
217 GOVERNMENT AVE, Niceville, FL 32578
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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. Jose Leon Garcia-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 ID1658452073
PECOS Enrollment IDI20080111000129
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 Reassignment

Medicare enrollment records show Jose Garcia-rios reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hyperbaric Medicine, Inc.
8.9 mi
Undersea and Hyperbaric Medicine
913 MAR WALT DR
Fort Walton Beach, FL 32547
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1457304032 (850) 243-8229

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 32578 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.

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 Jose Garcia-rios's NPI number?

The NPI number for Jose Garcia-rios is 1609835883. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is Jose Garcia-rios located?

Jose Garcia-rios practices at 217 Government Ave, Niceville, FL 32578. The listed phone number is (850) 678-4220.

What is Jose Garcia-rios's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Jose Garcia-rios enrolled in Medicare?

Yes. Jose Garcia-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 organization bills Medicare for Jose Garcia-rios's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Garcia-rios reassigns Medicare benefits to Hyperbaric Medicine, Inc. (Fort Walton Beach, FL). The 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 Jose Garcia-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 Jose Garcia-rios was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.