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DR. LUIS ERNESTO RIOS JR. M.D., M.P.H.
NPI 1750353132
Emergency Medicine in Fleming Island, FL

Active since February 01, 2006PECOS EnrolledAccepts Medicare Assignment
81.9/100
CMS Quality Rating
2409 STOCKTON DR, FLEMING ISLAND, FL 32003(904) 284-8700 Get Directions Write a Review

NPPES record last updated: February 11, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Luis Ernesto Rios Jr. M.d., M.p.h. NPPES

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

DR. LUIS ERNESTO RIOS JR. M.D., M.P.H. (NPI 1750353132) is an individual emergency medicine provider in Fleming Island, Florida, licensed in Florida (ME0055184) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Rowan University School Of Osteopathic Medicine (1982).

NPPES Registry Identity

NPI1750353132
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. LUIS ERNESTO RIOS JR.Credential: M.D., M.P.H.
Location Address2409 STOCKTON DRFleming Island, FL 32003-8795
Mailing Address2409 Stockton DrFleming Island, FL 32003-8795 · (904) 284-8700
Phone(904) 284-8700
Sole ProprietorYes
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 1982
Enumeration DateFebruary 1, 2006
Last NPPES UpdateFebruary 11, 2015
✔ NPI 1750353132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in FL · ME0055184
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2409 STOCKTON DR, Fleming Island, FL 32003
Open in Google Maps ↗

Other Identifiers 5

Medicare PIN14718YFL
Medicaid3703495-00FL
Medicaid211969812AGA
Medicare PIN14718WFL
Medicare UPIND74161FL

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. Luis Ernesto Rios Jr. M.d., M.p.h. 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 ID9830228568
PECOS Enrollment IDI20100518000798
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 Luis Rios reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Florida Jacksonville Physicians, Inc.
12 mi
Family Medicine
5460 BLANDING BLVD STE 3, UFJP ANCHOR PLAZA
Jacksonville, FL 32244
  • Reassigned Medicare billing, Florida enrollment
  • 573 clinicians in this Medicare group
NPI 1235398983 (904) 633-0610

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

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.

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.
134 services124 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
51 services51 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.
33 services31 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.
28 services28 patients

Hospital Affiliations CMS Care Compare

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

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100001
Location655 W 8th StJacksonville, FL 32209 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32003 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
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.

81.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability100
Improvement Activities40
Cost59.59

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 Luis Rios's NPI number?

The NPI number for Luis Rios is 1750353132. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Luis Rios located?

Luis Rios practices at 2409 Stockton Dr, Fleming Island, FL 32003. The listed phone number is (904) 284-8700.

What is Luis Rios's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Luis Rios enrolled in Medicare?

Yes. Luis 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 Luis Rios's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luis Rios reassigns Medicare benefits to University Of Florida Jacksonville Physicians, Inc. (Jacksonville, 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 Luis Rios's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Luis Rios affiliated with any hospitals?

According to CMS data, Luis Rios is affiliated with Shands Jacksonville.

When was this NPI record last updated?

The NPPES record for Luis Rios was last updated on February 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.