Active NPI 1346377066 Individual Practitioner Male Practitioner

Dr. Oscar Rios , MD

Surgery • Austin, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Oscar Rios, MD is a certified Surgery practicing in Austin, TX. With approximately 24 years of clinical experience since graduating from University Of Texas Medical School At Houston in 2002, Dr. Rios delivers high-quality medical care to the local community at 313 E 12TH ST.

Dr. Rios is affiliated with Seton Family Of Doctors and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

313 E 12th St

Austin, TX 787011954

Telephone 5123248960

Fax 5123248962

Associated Practice Facility / Clinic

🏢 Utmb Faculty Group Practice Facility NPI 1114968294

Medicare Profile & Education

Medical School

University Of Texas Medical School At Houston

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Austin, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +0.1 yrs vs City Avg

City Avg: 23.9 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

153 Specialists

Practicing in Austin, TX (2342 Statewide)

Telehealth Adoption Rate

12.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

68.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rios (24 Years) 24 Yrs

Austin Specialty Average (23.9 Years) 23.9 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	37	31	$310.00	$113.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	35	$603.00	$165.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	17	$216.00	$75.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$406.00	$124.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	54	53	$603.00	$168.86
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	41	37	$310.00	$114.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	21	$216.00	$76.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	58	48	$310.00	$98.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	52	50	$603.00	$190.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	43	$216.00	$68.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	33	$406.00	$129.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	87	74	$310.00	$99.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	53	53	$603.00	$194.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$406.00	$122.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$316.00	$109.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	11	$216.00	$64.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	94	70	$310.00	$103.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	41	$603.00	$201.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	18	$216.00	$71.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$406.00	$136.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	63	50	$310.00	$100.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$406.00	$131.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	32	$603.00	$193.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	13	$216.00	$66.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	42	$214.39	$71.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	33	$403.70	$130.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$599.40	$197.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	16	$115.00	$38.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	88	58	$214.58	$71.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	41	$605.44	$200.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$405.16	$133.55
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	11	$115.12	$38.12
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$296.58	$98.57

Medical Specialties & State Licenses

CMS Verified: 2023-08-08

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX M7575

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.

Surgery - Trauma Surgery

NUCC Taxonomy Code: 2086S0127X

State License TX M7575

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

185610601 (TX)

Commercial Insurance / Payer ID Physician License

M7575 (TX)

Commercial Insurance / Payer ID Bcbs

8AE260 (TX)

Hospital & Practice Group Affiliations

Seton Family Of Doctors

1400 N Ih 35, Austin, TX 787011926

Phone: 5123248300

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Jose Bravo , MD

Surgery

NPI 1013044718

Doctor of Medicine (M.D.)

Maria Kind , APN

Nurse Practitioner

NPI 1356463244

Advanced Practice Nurse

Dr. David Harshaw , MD

Surgery

NPI 1417047291

Doctor of Medicine (M.D.)

Dr. Arshad Ghauri , MD

Internal Medicine

NPI 1699849125

Doctor of Medicine (M.D.)

Dr. Thomas Coopwood , MD

Surgery

NPI 1730218025

Doctor of Medicine (M.D.)

Dr. Murray Holcomb , MD

Surgery

NPI 1871563437

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 11, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location December 11, 2012

Registered at 313 E 12TH ST, AUSTIN, TX 787011954 (Tel: 5123248960)

📍

Updated Business Mailing Address December 11, 2012

Registered at 1601 RIO GRANDE ST, SUITE 340, AUSTIN, TX 787011137 (Tel: 5123248960)

👤

Provider Name / Credentials Updated December 11, 2012

Recorded as OSCAR RIOS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2012

Surgery (License #M7575 in TX)

🟢

Initial NPI Registration & Enumeration February 28, 2007

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: 1346377066

Entity Type:

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

Enumeration Date: February 28, 2007

Last Update: August 08, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1601 Rio Grande St, Suite 340

Austin, TX 787011137

Phone: 5123248960

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.