DAVID RIOS (M.D.) – Family Medicine Physician, NPI 1083797435
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DAVID RIOS (M.D.)
24953, Paseo de Valencia, Acacia Knolls, Laguna Hills, Orange County, California, 92653, United States
STE 4A
LAGUNA HILLS, CA 926534342
Phone: (949) 837-7521
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $769.
Total Amount is formed as General ($769) + Research ($0) + Ownership ($0) = $769.
Last reported payment date: 2023-11-16 • Largest payer in this snapshot: ABBVIE INC. ($136).
Total Amount
$769
General + Research + Ownership
Payments
37
Total payment records
General Amount
$769
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $136 |
| Exact Sciences Corporation | $102 |
| Lilly USA, LLC | $81 |
| AstraZeneca Pharmaceuticals LP | $80 |
| GlaxoSmithKline, LLC. | $70 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-12-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101220000433 | I | Family Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 237 | 94 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 62 | 34 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 52 | 31 | $0 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 46 | 30 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 45 | 32 | $0 |
Insurance plans in this area (ZIP 92653)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | CA | |
| Gastroenterology, Internal Medicine | CA | |
| Endocrinology, Internal Medicine | CA | |
| Nephrology, Internal Medicine | NV | |
| Internal Medicine | NV | |
| Internal Medicine | NV | |
| Family Practice | CA | |
| Nephrology, Internal Medicine | NV | |
| Internal Medicine | NV | |
| Internal Medicine | NV |
Reviews
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