Doctor profile · Federal record

Dr. Carlos Rios, PA-C

Physician Assistant · Plainview, NY

  • NPI 1366459182
  • Accepts Medicare
  • MIPS 76.5 / 100 · 2023
  • 36 yrs in practice
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1117 Old Country RD
Plainview, NY 118035019
(516) 938-5900
fax (516) 495-4577
Mailing address
1345 Rxr Plz Fl 13
Uniondale, NY 115561301

Credentials & registration

NPPES · NUCC
NPI registered
August 2006 — 20 yrs on file
Profile last updated
December 6, 2019
Year of graduation
1990 — 36 yrs since
Specialty taxonomy
363A00000X — NUCC code
State license (1)
New York #003774

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1366459182. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
1,593
Distinct HCPCS
10
Medicare allowed
$102,768
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 562 504 $91
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 238 222 $34
87804 Detection test by immunoassay with direct visual observation for influenza virus 178 87 $16
99214 Established patient office or other outpatient visit, 30-39 minutes 133 128 $127
99203 New patient office or other outpatient visit, 30-44 minutes 83 83 $115
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 77 76 $16
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 65 65 $30
71046 X-ray of chest, 2 views 62 59 $35
81002 Urinalysis, manual test 61 60 $3
99212 Established patient office or other outpatient visit, 10-19 minutes 61 55 $56

In context: peer comparison

Among 5 peers in Plainview Physician Assistant, average services per provider: 126. This provider delivers 13× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
808
Patients
784
Total drug cost
$5,556
Drug Type Claims Patients Total cost
Prednisone Generic 291 277 $440
Azithromycin Generic 62 62 $326
Doxycycline Hyclate Generic 62 61 $627
Cephalexin Generic 49 49 $341
Doxycycline Monohydrate Generic 46 46 $582
Paxlovid (Eua) (Nirmatrelvir/Ritonavir) Brand 45 45 $469
Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) Brand 41 41 $596
Albuterol Sulfate Hfa (Albuterol Sulfate) Brand 39 35 $1,184
Amoxicillin Generic 39 38 $184
Gentamicin Sulfate Generic 34 33 $270

Frequently asked questions

Auto-generated from federal data
What is Dr. Carlos Rios's medical specialty?
Dr. Carlos Rios practices Physician Assistant in Plainview, NY.
Where does Dr. Carlos Rios practice?
Dr. Carlos Rios practices at 1117 Old Country RD, Plainview, NY 118035019. Office phone: 5169385900.
What is Dr. Carlos Rios's NPI?
Dr. Carlos Rios's National Provider Identifier (NPI) is 1366459182, 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 99213); Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS 87426); Detection test by immunoassay with direct visual observation for influenza virus (HCPCS 87804). Source: CMS Medicare Physician & Other Practitioners file.