Doctor profile · Federal record

Dr. Carlos Rios, MD

Internal Medicine Physician (CMS: Internal Medicine) · Pediatrics Physician · New York, NY

  • NPI 1255540456
  • Accepts Medicare
  • 21 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
234 E 85Th St
New York, NY 100283001
(212) 241-6585
Mailing address
1 Gustave L Levy Pl, Box 3000
New York, NY 100296500

Credentials & registration

NPPES · NUCC
NPI registered
May 2007 — 19 yrs on file
Profile last updated
February 22, 2019
Year of graduation
2005 — 21 yrs since
Specialty taxonomy
207R00000X — NUCC code
State license (1)
New York #246298

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1255540456. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
1,255
Distinct HCPCS
9
Medicare allowed
$117,009
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 622 367 $147
36415 Insertion of needle into vein for collection of blood sample 389 294 $8
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 55 54 $17
G0008 Administration of influenza virus vaccine 45 44 $35
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 43 42 $76
G0009 Administration of pneumococcal vaccine 35 35 $35
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 34 34 $282
99215 Established patient office or other outpatient visit, 40-54 minutes 21 21 $206
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 11 11 $137

In context: peer comparison

Among 559 peers in this city , average services per provider: 137. This provider delivers 9.2× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$25
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
SERVIER PHARMACEUTICALS LLC 1 $24.98

By nature of payment

Food and Beverage
$25

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
2,563
Patients
820
Total drug cost
$40,718
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 488 149 $7,480
Amlodipine Besylate Generic 292 98 $2,782
Rosuvastatin Calcium Generic 287 95 $5,109
Losartan Potassium Generic 217 63 $2,827
Lisinopril Generic 175 52 $1,550
Levothyroxine Sodium Generic 150 40 $3,323
Tamsulosin Hcl Generic 132 43 $2,603
Metformin Hcl Generic 129 40 $1,318
Metoprolol Succinate Generic 113 40 $2,717
Hydrochlorothiazide Generic 105 34 $501

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Carlos Rios's medical specialty?
Dr. Carlos Rios practices Internal Medicine Physician in New York, NY.
Where does Dr. Carlos Rios practice?
Dr. Carlos Rios practices at 234 E 85Th St, New York, NY 100283001. Office phone: 2122416585.
What is Dr. Carlos Rios's NPI?
Dr. Carlos Rios's National Provider Identifier (NPI) is 1255540456, issued by NPPES.
Does Dr. Carlos Rios accept Medicare assignment?
Yes. Dr. Carlos Rios accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Carlos Rios commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Insertion of needle into vein for collection of blood sample (HCPCS 36415); Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS 93000). Source: CMS Medicare Physician & Other Practitioners file.