Active NPI 1922194620 Individual Practitioner Male Practitioner

Dr. John P Rioux , MD PL

Surgery • Port Charlotte, FL

Professional Overview & Biography Verified Profile Summary

Dr. John Rioux, MD PL is a registered healthcare professional specializing in Surgery in Port Charlotte, FL. Practice services are available at 21260 OLEAN BLVD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

21260 Olean Blvd
Suite 200

Port Charlotte, FL 339526705

Telephone 9416254270

Fax 9416251751

Associated Practice Facility / Clinic

🏢 Surgery Center Of Port Charlotte Ltd Facility NPI 1679523351

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Port Charlotte, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 19.2 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

17 Specialists

Practicing in Port Charlotte, FL (2030 Statewide)

Telehealth Adoption Rate

17.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	287	224	$92.00	$45.73
99202 New patient office or other outpatient visit, typically 20 minutes	130	130	$157.00	$77.02
99213 Established patient office or other outpatient visit, typically 15 minutes	128	102	$153.00	$75.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	117	117	$232.00	$108.60
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	97	97	$1027.86	$236.11
99231 Follow-up hospital inpatient care per day, typically 15 minutes	85	40	$86.00	$40.81
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	68	68	$647.18	$101.36
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	68	68	$799.00	$197.10
45378 Diagnostic exam of large bowel using a flexible endoscope	38	38	$813.79	$184.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	35	$435.00	$208.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	27	$153.00	$74.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	26	$300.00	$142.60
49505 Repair of groin hernia (5 years or older)	18	18	$1897.00	$567.62
45380 Biopsy of large bowel using an endoscope	16	16	$1033.75	$169.64
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$799.00	$198.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	389	274	$92.00	$44.58
99202 New patient office or other outpatient visit, typically 20 minutes	193	193	$157.00	$76.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	130	130	$232.00	$107.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	116	57	$86.00	$40.06
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	113	113	$996.00	$231.74
99213 Established patient office or other outpatient visit, typically 15 minutes	108	100	$153.00	$73.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	100	54	$153.00	$73.78
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	82	82	$643.05	$105.94
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	72	72	$814.61	$194.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	65	63	$300.00	$139.23
45378 Diagnostic exam of large bowel using a flexible endoscope	54	54	$819.81	$194.12
47562 Removal of gallbladder using an endoscope	27	27	$2750.00	$684.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$435.00	$205.19
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	26	26	$799.00	$196.58
49505 Repair of groin hernia (5 years or older)	18	18	$1897.00	$537.13
45380 Biopsy of large bowel using an endoscope	15	15	$950.00	$160.72
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$1127.00	$270.89
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	13	$565.43	$112.80
49560 Repair of incisional or abdominal hernia	12	12	$2722.00	$784.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$225.00	$108.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	415	288	$92.00	$41.93
99202 New patient office or other outpatient visit, typically 20 minutes	217	217	$157.00	$72.17
99231 Follow-up hospital inpatient care per day, typically 15 minutes	150	76	$86.00	$38.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	131	59	$153.00	$71.08
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	130	127	$623.00	$100.65
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	125	125	$996.00	$227.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	124	124	$232.00	$104.36
99213 Established patient office or other outpatient visit, typically 15 minutes	106	96	$153.00	$70.00
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	98	98	$804.73	$183.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	79	76	$300.00	$132.15
45378 Diagnostic exam of large bowel using a flexible endoscope	71	71	$799.00	$179.22
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	33	33	$816.03	$176.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$435.00	$198.18
47562 Removal of gallbladder using an endoscope	25	25	$2750.00	$674.40
49505 Repair of groin hernia (5 years or older)	16	16	$1897.00	$504.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$225.00	$103.31
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$1127.00	$248.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	259	198	$92.00	$42.82
99231 Follow-up hospital inpatient care per day, typically 15 minutes	198	70	$86.00	$39.46
99213 Established patient office or other outpatient visit, typically 15 minutes	187	158	$153.00	$71.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	125	125	$232.00	$106.53
99202 New patient office or other outpatient visit, typically 20 minutes	110	110	$157.00	$73.83
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	79	79	$623.00	$112.55
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	72	71	$996.00	$220.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	68	66	$300.00	$137.53
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	66	66	$807.52	$193.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	51	$225.00	$105.99
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	33	33	$799.00	$194.26
45378 Diagnostic exam of large bowel using a flexible endoscope	32	32	$799.00	$182.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	20	$153.00	$72.25
47562 Removal of gallbladder using an endoscope	22	22	$2750.00	$635.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$358.00	$156.11
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$223.00	$102.43
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$1127.00	$267.83

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME72810

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

252909200 (FL)

Commercial Insurance / Payer ID Aetna

7078180 (FL)

Commercial Insurance / Payer ID Blue Cross Blue Shield

41412 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Michael Bays , DO

Internal Medicine - Gastroenterology

NPI 1134101090

Doctor of Osteopathic Medicine (D.O.)

Richard Jackson , PA-C

Physician Assistant - Surgical

NPI 1174587505

Physician Assistant (Certified)

Amanda Nedd , RD, CD

Dietitian, Registered

NPI 1699293241

Registered Dietitian, CD

Erin Alonso , NP

Nurse Practitioner

NPI 1992224174

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 21, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 21, 2013

Registered at 21260 OLEAN BLVD, SUITE 200, PORT CHARLOTTE, FL 339526705 (Tel: 9416254270)

📍

Updated Business Mailing Address October 21, 2013

Registered at 21260 OLEAN BLVD, SUITE 200, PORT CHARLOTTE, FL 339526705 (Tel: 9416254270)

👤

Provider Name / Credentials Updated October 21, 2013

Recorded as JOHN RIOUX, MD PL

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2013

Surgery (License #ME72810 in FL)

🟢

Initial NPI Registration & Enumeration October 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1922194620

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 04, 2006

Last Update: October 21, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

21260 Olean Blvd, Suite 200

Port Charlotte, FL 339526705

Phone: 9416254270

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.