Medicare Enrolled

Dr. William Rios, MD

Internal Medicine · Gainesville, FL
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
1130 NW 64TH TER, Gainesville, FL 32605
3523335242
Registered in NPPES since 2006
NPI: 1164443644 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Rios from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Rios? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Rios

Dr. William Rios is an internal medicine specialist in Gainesville, FL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Rios performed 10,510 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Rios received a total of $5,447 from 45 pharmaceutical and/or device companies across 238 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Rios is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years of NPI registration ▲ Top 3% volume in FL $5,447 industry payments

Florida License Status

FL DOH · MQA
1
Active license
None
Board action on record
0
Recent admin complaints
Profession License # Status Expires Board Action
Medical Doctor 46792 Clear January 31, 2027 —
Data from Florida Department of Health Medical Quality Assurance. License records are public under Chapter 119, Florida Statutes. Verify directly on FL DOH →

Medicare Practice Summary — 2023

Medicare Utilization ↗
10,510
Medicare services
Top 3% in FL for internal medicine
Not available
Unique patients (not deduplicated)
$26
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
1,743 $8 $15
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
1,314 $86 $175
Complete blood count (CBC) with differential
An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells.
1,110 $8 $32
Comprehensive metabolic blood panel
A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers.
1,055 $10 $44
Lipid panel (cholesterol and triglycerides)
A blood test that measures cholesterol and triglyceride levels.
897 $13 $63
Hemoglobin A1c test (diabetes monitoring)
A blood test that measures your average blood sugar levels over the past two to three months.
854 $10 $62
Thyroid stimulating hormone (TSH) test
A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function.
808 $16 $65
Vitamin B-12 level test
A blood test that measures the amount of vitamin B-12 in your body.
354 $15 $63
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
244 $60 $120
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
225 $128 $150
Vitamin D level test
A blood test to measure the amount of Vitamin D-3 in your body.
219 $29 $90
Basic metabolic blood panel
A blood test that measures a group of basic chemicals, including total calcium levels.
207 $8 $30
PSA test (prostate cancer screening)
A blood test that measures the level of prostate-specific antigen to screen for prostate cancer.
165 $19 $68
Automated urinalysis
An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine.
121 $2 $29
PSA test (prostate cancer screening) 107 $18 $68
Ferritin level test (iron stores)
A blood test that measures the level of ferritin, a protein that stores iron in the body.
96 $13 $60
Iron level test 94 $6 $30
Iron binding capacity test
A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron.
94 $9 $30
Free thyroxine (T4) test
A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream.
90 $9 $35
Creatinine test (kidney function)
A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury.
74 $5 $30
Flu vaccine, high-dose
High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe.
72 $72 $93
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
72 $30 $48
Home health plan of care certification
Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians.
66 $39 $110
Kidney function blood test panel 56 $9 $24
Transitional care management services, moderate complexity
Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity.
49 $146 $200
Magnesium level test
A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess.
44 $7 $16
Home health plan of care re-certification
A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present.
43 $30 $85
Sed rate test (inflammation marker)
This automated test measures how quickly red blood cells settle in a tube to detect inflammation in the body.
40 $3 $28
Urine microalbumin test (kidney screening)
A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage.
37 $6 $48
Urine total protein level
A laboratory test that measures the total amount of protein present in a urine sample.
37 $4 $30
Hemoglobin blood test
A blood test that measures the amount of hemoglobin, the protein in red blood cells that carries oxygen.
34 $2 $16
Trigger point injection, 1-2 muscles
A procedure involving the injection of medication into one or two specific muscles to treat trigger points.
20 $40 $125
Ultrasound of head and neck blood flow, bilateral
An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck.
19 $137 $315
Pneumococcal conjugate vaccine (PCV20)
An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria.
13 $283 $565
Electrocardiogram (EKG), 12-lead
A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report.
13 $10 $50
Pneumonia vaccine administration
This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider.
13 $30 $48
Initial preventive physical examination, new Medicare beneficiary
A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care.
11 $166 $180
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$5,447
Total received (2018-2024)
Avg $778/year across 7 years
Top 13% in FL for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
45
Companies
238
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$520
2023
$1,413
2022
$968
2021
$975
2020
$346
2019
$670
2018
$555

Payments by company (2024)

Boston Scientific Corporation
$182
Lilly USA, LLC
$123
Novo Nordisk Inc
$64
PFIZER INC.
$47
ABBVIE INC.
$33
Boehringer Ingelheim Pharmaceuticals, Inc.
$22
Exact Sciences Corporation
$17
GlaxoSmithKline, LLC.
$17
Inspire Medical Systems, Inc.
$15
Top 3 companies account for 70.9% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$771
Boehringer Ingelheim Pharmaceuticals, Inc.
$553
Lilly USA, LLC
$461
Amgen Inc.
$402
Esperion Therapeutics, Inc.
$323
PFIZER INC.
$261
Amarin Pharma Inc.
$209
ABBVIE INC.
$190
Boston Scientific Corporation
$182
Bayer Healthcare Pharmaceuticals Inc.
$153
Biohaven Pharmaceutical Holding Company Ltd.
$145
UCB, Inc.
$123
Biohaven Pharmaceuticals, Inc.
$119
Janssen Pharmaceuticals, Inc
$117
IDORSIA PHARMACEUTICALS US INC
$105
Teva Pharmaceuticals USA, Inc.
$103
AbbVie Inc.
$101
Merck Sharp & Dohme Corporation
$100
Kowa Pharmaceuticals America, Inc.
$97
Novartis Pharmaceuticals Corporation
$94
Takeda Pharmaceuticals U.S.A., Inc.
$89
AstraZeneca Pharmaceuticals LP
$89
Abbott Laboratories
$83
SANOFI-AVENTIS U.S. LLC
$56
AbbVie, Inc.
$51
Allergan Inc.
$46
Xeris Pharmaceuticals, Inc.
$42
Merck Sharp & Dohme LLC
$37
Radius Health, Inc.
$36
Inspire Medical Systems, Inc.
$36
Bayer HealthCare Pharmaceuticals Inc.
$35
Exact Sciences Corporation
$31
Edwards Lifesciences Corporation
$30
Nevro Corp.
$24
SANOFI PASTEUR INC.
$19
Sumitomo Pharma America, Inc.
$18
Neurelis, Inc.
$18
GlaxoSmithKline, LLC.
$17
Astellas Pharma US Inc
$15
Eisai Inc.
$15
Genentech USA, Inc.
$14
Medtronic MiniMed, Inc.
$12
Clarus Therapeutics Inc.
$11
Sunovion Pharmaceuticals Inc.
$11
Nuvectra Corporation
$6
Top 3 companies account for 32.8% of all-time payments
Associated products mentioned in payments ›
AJOVY · Aimovig · Algovita · BELSOMRA · Cologuard Collection Kit · DALVANCE · Dayvigo · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · FARXIGA · FLUBLOK QUADRIVALENT · FreeStyle Libre · FreeStyle Libre blood glucose Flash Monitoring System · GARDASIL 9 · GEMTESA · GVOKE PFS · Guardian Connect · INSPIRE · JANUVIA · JARDIANCE · JATENZO · Kerendia · Livalo · MOUNJARO · NEXLETOL · NEXLIZET · NURTEC ODT · Omnia · Ozempic · PAXLOVID · PNEUMOVAX 23 · PREMARIN · Proclaim Family of SCS IPGs · Prolia · QULIPTA · QUVIVIQ · RYBELSUS · Repatha · Rybelsus · SAPIEN 3 Ultra RESILIA · SOLIQUA 100/33 · SPRAVATO · SYNTHROID · Saxenda · Synthroid · TOUJEO · TRELEGY ELLIPTA · TRINTELLIX · Tymlos · UBRELVY · VALTOCO · VRAYLAR · Vascepa · Veozah · Victoza · WATCHMAN FLX · Wegovy · XARELTO · Xofluza · Xultophy 100/3.6
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Looking for an internal medicine specialist in Gainesville?
Compare internal medicine physicians in the Gainesville area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal medicine physicians in nearby ZIP areas
390
County median income
$59,659
Nearest hospital to ZIP centroid (approximate)
HCA FLORIDA NORTH FLORIDA HOSPITAL
0.0 mi

Data Sources

Provider Registry ✓ NPPES NPPES snapshot; verify current record
Medicare Enrollment ✓ PECOS PECOS snapshot
Practice Data ✓ Medicare Util. Annual (CY lag)
Industry Payments ✓ Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Rios is a clinical cardiology specialist, with above-average Medicare volume (top 3% in FL), with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Rios experienced with blood draw (venipuncture)?
Based on Medicare claims data, Dr. Rios performed 1,743 blood draw (venipuncture) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Rios receive payments from pharmaceutical companies?
Yes. Dr. Rios received a total of $5,447 from 45 companies across 238 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Rios's costs compare to other internal medicine physicians in Gainesville?
Dr. Rios's average Medicare payment per service is $26. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Rios) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →