CARLOS RIZO-PATRON M.D.
NPI 1962568642
Internal Medicine - Clinical Cardiac Electrophysiology in Lubbock, TX

Active since December 28, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4642 N LOOP 289, STE. 215, LUBBOCK, TX 79416(806) 222-2161 Get Directions Write a Review

NPPES record last updated: September 8, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2016, May 22, 2016 (2 updates tracked since 2016).

About Carlos Rizo-patron M.d. NPPES

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

CARLOS RIZO-PATRON M.D. (NPI 1962568642) is an individual clinical cardiac electrophysiology provider in Lubbock, Texas, licensed in Texas (J9303) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Lubbock Heart Hospital Lp, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1962568642
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameCARLOS RIZO-PATRONCredential: M.D.
Location Address4642 N LOOP 289, STE. 215Lubbock, TX 79416-2409
Mailing Address4802 N Loop 289Lubbock, TX 79416-3025 · (806) 788-0040 · Fax (806) 788-0015
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateDecember 28, 2006
Last NPPES UpdateSeptember 8, 20172 updates tracked since enumeration
NPI 1962568642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License Licensed in TX · J9303
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
4642 N LOOP 289, Lubbock, TX 79416

Other Identifiers 7

OtherP01112494TX · Railroad Medicare
Medicaid117053205TX
Medicare PINTXB16035TX
Other8DL701TX · Bcbs
Other122568103TX · Firstcare
Medicare UPING39887TX
MedicaidR9909NM

Accepted 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

Carlos Rizo-patron 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 ID2961307855
PECOS Enrollment IDI20120509000443
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 20

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.

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
453 services197 patients
Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295
This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.
325 services148 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.
289 services288 patients
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.
250 services141 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
238 services172 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
69 services63 patients

Hospital Affiliations CMS Care Compare

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

Lubbock Heart Hospital LP

Acute Care Hospitals · Lubbock, TX
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450876
Location4810 North Loop 289Lubbock, TX 79416 · Lubbock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79416 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 11

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

Specialist/Technologist (Athletic Trainer)
4642 N LOOP 289, SUITE 101
LUBBOCK, TX 79416
Internal Medicine
4642 N LOOP 289
LUBBOCK, TX 79416
Nurse Practitioner (Family)
4642 N LOOP 289, STE 211
LUBBOCK, TX 79416
Hospitalist
4642 N LOOP 289, STE 215
LUBBOCK, TX 79416
Physical Therapist
4642 N LOOP 289, SUITE 205
LUBBOCK, TX 79416
Clinic/Center (Magnetic Resonance Imaging (MRI))
4642 N LOOP 289, SUITE 111
LUBBOCK, TX 79416
Nurse Practitioner (Family)
4642 N LOOP 289, SUITE 219
LUBBOCK, TX 79416
Specialist
4642 N LOOP 289, STE 101
LUBBOCK, TX 79416

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 Rizo-patron's NPI number?

The NPI number for Carlos Rizo-patron is 1962568642. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Carlos Rizo-patron located?

Carlos Rizo-patron practices at 4642 N Loop 289 Ste. 215, Lubbock, TX 79416. The listed phone number is (806) 222-2161.

What is Carlos Rizo-patron's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Carlos Rizo-patron enrolled in Medicare?

Yes. Carlos Rizo-patron 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 Rizo-patron accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Carlos Rizo-patron 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 Rizo-patron affiliated with any hospitals?

According to CMS data, Carlos Rizo-patron is affiliated with Lubbock Heart Hospital LP.

When was this NPI record last updated?

The NPPES record for Carlos Rizo-patron was last updated on September 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.