Active NPI 1366459182 Individual Practitioner Male Practitioner

Carlos Rios , PA-C

Physician Assistant • Plainview, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Carlos Rios, PA-C is a certified Physician Assistant practicing in Plainview, NY. With approximately 36 years of clinical experience since completing medical education in 1990, Carlos Rios delivers high-quality medical care to the local community at 1117 OLD COUNTRY RD.

Carlos Rios is affiliated with City Medical Of Upper East Side Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1117 Old Country Rd

Plainview, NY 118035019

Telephone 5169385900

Fax 5164954577

Associated Practice Facility / Clinic

🏢 City Medical Of Upper East Side, Pllc Facility NPI 1649768904

Medicare Profile & Education

Medical School

Other

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Plainview, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +25.6 yrs vs City Avg

City Avg: 10.4 Yrs

State Avg: 12.0 Yrs

Regional Practice Density

35 Specialists

Practicing in Plainview, NY (15701 Statewide)

Telehealth Adoption Rate

2.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rios (36 Years) 36 Yrs

Plainview Specialty Average (10.4 Years) 10.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	581	533	$205.36	$87.40
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	266	256	$150.00	$68.48
81003 Automated urinalysis test	90	80	$8.00	$2.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	86	$302.00	$109.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	84	$300.00	$121.69
71046 X-ray of chest, 2 views	60	58	$110.00	$32.58
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	60	60	$30.00	$16.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	33	$123.00	$55.34
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	19	19	$100.00	$34.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$458.00	$162.83
82962 Blood glucose (sugar) test performed by hand-held instrument	13	13	$8.00	$3.21
71101 X-ray of ribs on side of body, minimum of 3 views	12	12	$104.00	$41.22
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$48.00	$14.15
73630 X-ray of foot, minimum of 3 views	11	11	$83.00	$31.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	562	504	$204.68	$90.88
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	238	222	$99.58	$34.33
87804 Detection test by immunoassay with direct visual observation for influenza virus	178	87	$30.00	$16.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	128	$300.00	$127.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$302.00	$114.66
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	77	76	$30.00	$16.20
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	65	65	$150.00	$30.32
71046 X-ray of chest, 2 views	62	59	$110.00	$34.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	55	$123.00	$56.06
81002 Urinalysis, manual test	61	60	$9.00	$3.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$458.00	$168.40
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$48.00	$14.92
73630 X-ray of foot, minimum of 3 views	14	14	$83.00	$35.91
99283 Emergency department visit with low level of medical decision making	12	12	$251.00	$71.95
73562 X-ray of knee, 3 views	12	11	$103.00	$42.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	361	334	$100.00	$34.70
99213 Established patient office or other outpatient visit, typically 15 minutes	286	265	$204.34	$91.89
87804 Detection test by immunoassay with direct visual observation for influenza virus	162	80	$30.00	$16.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	106	$301.98	$115.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	103	$300.00	$128.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	74	$123.00	$58.73
99282 Emergency department visit with straightforward medical decision making	74	74	$152.00	$44.01
81002 Urinalysis, manual test	37	35	$9.00	$3.42
71046 X-ray of chest, 2 views	35	35	$110.00	$35.38
99284 Emergency department visit with moderate level of medical decision making	29	28	$432.00	$125.89
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	28	28	$30.00	$16.28
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$210.00	$75.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$458.00	$172.64
99283 Emergency department visit with low level of medical decision making	16	16	$259.00	$75.44
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$48.00	$15.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	289	269	$100.00	$35.33
99213 Established patient office or other outpatient visit, typically 15 minutes	152	142	$210.27	$93.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	82	$310.61	$132.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$308.48	$116.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$470.31	$173.09
99284 Emergency department visit with moderate level of medical decision making	37	37	$420.00	$127.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	31	$124.42	$57.65
87804 Detection test by immunoassay with direct visual observation for influenza virus	30	15	$35.90	$16.55
99283 Emergency department visit with low level of medical decision making	28	28	$247.00	$74.85
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$210.00	$75.96
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	14	14	$42.71	$16.53
99282 Emergency department visit with straightforward medical decision making	13	13	$146.00	$44.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	69	68	$100.00	$35.33
99213 Established patient office or other outpatient visit, typically 15 minutes	59	56	$216.99	$77.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$321.32	$111.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	27	$317.23	$111.54
99284 Emergency department visit with moderate level of medical decision making	17	17	$472.59	$122.85
99283 Emergency department visit with low level of medical decision making	15	15	$257.67	$66.12
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$220.15	$79.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	33	32	$501.00	$114.68
99283 Emergency department visit with low level of medical decision making	32	32	$270.00	$60.45
99285 Emergency department visit for life threatening or functioning severity	13	13	$746.00	$169.05
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$221.77	$70.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	69	$277.81	$104.25
87804 Detection test by immunoassay with direct visual observation for influenza virus	40	20	$45.00	$16.22
99213 Established patient office or other outpatient visit, typically 15 minutes	24	24	$148.18	$68.85
99283 Emergency department visit with low level of medical decision making	21	21	$270.00	$60.32
99284 Emergency department visit with moderate level of medical decision making	21	20	$501.00	$114.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$275.00	$161.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$210.40	$106.22
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	16	16	$26.50	$16.20
99285 Emergency department visit for life threatening or functioning severity	15	15	$746.00	$168.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	73	$275.00	$105.41
99213 Established patient office or other outpatient visit, typically 15 minutes	42	42	$138.33	$71.55
99283 Emergency department visit with low level of medical decision making	30	29	$270.00	$59.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$200.00	$108.14
99284 Emergency department visit with moderate level of medical decision making	28	28	$501.00	$114.50
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	22	22	$25.00	$11.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$275.00	$162.34
G0008 Administration of influenza virus vaccine	15	15	$35.00	$29.93
99285 Emergency department visit for life threatening or functioning severity	11	11	$746.00	$169.18

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 003774

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

City Medical Of Upper East Side Pllc

1930 Deer Park Ave, Deer Park, NY 117293328

Phone: 6312545900

City Medical Of Upper East Side Pllc

1919 Hempstead Tpke, East Meadow, NY 115541710

Phone: 5162272273

City Medical Of Upper East Side Pllc

1757 Sunrise Hwy, Bay Shore, NY 117066014

City Medical Of Upper East Side Pllc

901 Sunrise Hwy, Copiague, NY 117261300

Phone: 6318415900

City Medical Of Upper East Side Pllc

519 W Jericho Tpke, Smithtown, NY 117872619

Phone: 6313605900

City Medical Of Upper East Side Pllc

336 E 86th St, New York, NY 100284615

Phone: 2127723627

City Medical Of Upper East Side Pllc

1117 Old Country Rd, Plainview, NY 118035019

Phone: 5169385900

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Alan Katz , MD

Emergency Medicine

NPI 1760468540

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location December 06, 2019

Registered at 1117 OLD COUNTRY RD, PLAINVIEW, NY 118035019 (Tel: 5169385900)

📍

Updated Business Mailing Address December 06, 2019

Registered at 1345 RXR PLZ FL 13, UNIONDALE, NY 115561301 (Tel: 5164530435)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 9002 QUEENS BLVD, ELMHURST, NY 113734941 (Tel: 7185581000)

📍

Updated Business Mailing Address July 08, 2007

Registered at 12 SUNNYFIELD RD, HICKSVILLE, NY 118014823 (Tel: 5163515407)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as CARLOS RIOS, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #003774 in NY)

🟢

Initial NPI Registration & Enumeration August 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366459182

Entity Type:

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

Enumeration Date: August 02, 2006

Last Update: December 06, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1345 Rxr Plz Fl 13

Uniondale, NY 115561301

Phone: 5164530435

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.