Dr. Jose Luis Rios , MD
Plastic Surgery • Joliet, IL
1124 Essington Rd
Joliet, IL 604358423
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on August 16, 2006; this date does not establish years in practice.
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Published CMS data list 454 Original Medicare Part B services in 2021.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021. Published rows only; this is not a quality measure.
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Published Part B service records, 2021:
- 13132 — Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm: 187 service units.
- 12032 — Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm: 78 service units.
- 13121 — Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm: 38 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2020 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2021). CPT notice
See all 12 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 11 Medicare Part D prescriptions, including refills, in 2019.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2019. Published rows only; this is not a quality measure.
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Published Part D records, 2019:
- Clindamycin Hcl — 11 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2019. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 1,291 in 2017 to 454 in 2021.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2021.
Practice Location & Contact Primary Location
1124 Essington Rd
Joliet, IL 604358423
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Plastic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
442 people with Original Medicare in 2021
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2021.
Medicare-allowed amount
About $181,693 in 2021
The total amount Medicare approved for these services in 2021. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021.
Paid by Medicare
About $144,674 in 2021
The part of the Medicare-allowed amount that Medicare itself paid in 2021, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021.
30-day fills
11 standardized 30-day fills in 2019
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$113 in 2019
The total cost of these prescriptions in 2019, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2019.
Open Payments general payments, program year 2023
All general payments: $103.16 across 2 records.
By nature of payment
- Food and Beverage: $103.16 across 2 records.
Reporting-company totals
- AstraZeneca Pharmaceuticals LP: $86.84 across 1 record.
- ABBVIE INC.: $16.32 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2023 (published June 30, 2026).
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Rios has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Rios as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Joliet and Illinois
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Rios are from 2021.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Rios are from 2019.
3 active clinicians are listed under Plastic Surgery with a practice address in Joliet, IL (227 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 65% from 1,291 in 2017 to 454 in 2021.
- 2017: 1,291
- 2018: 1,512
- 2019: 1,478
- 2020: 715
- 2021: 454
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Medicare-allowed amount
Medicare-allowed amount decreased 64% from $505,344 in 2017 to $181,693 in 2021.
- 2017: $505,344
- 2018: $610,598
- 2019: $576,832
- 2020: $335,277
- 2021: $181,693
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Paid by Medicare
Paid by Medicare decreased 64% from $399,592 in 2017 to $144,674 in 2021.
- 2017: $399,592
- 2018: $482,904
- 2019: $457,526
- 2020: $267,242
- 2021: $144,674
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 68% from 34 in 2015 to 11 in 2019.
- 2015: 34
- 2016: 26
- 2017: 16
- 2019: 11
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30-day fills
30-day fills decreased 68% from 34 in 2015 to 11 in 2019.
- 2015: 34
- 2016: 26
- 2017: 16
- 2019: 11
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Part D drug cost
Part D drug cost went from $178 in 2015 to $113 in 2019.
- 2015: $178
- 2016: $149
- 2017: $70
- 2019: $113
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $143.22 in 2021 to $103.16 in 2023.
- 2021: $143.22
- 2022: $554.76
- 2023: $103.16
Sources: CMS Medicare Physician & Other Practitioners (2021), CMS Medicare Part D Prescribers (2019), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $103.16.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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FARXIGA | General | $86.84 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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— | General | $16.32 |
Source: CMS Open Payments, program year 2023, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2020 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2021; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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13132
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm
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187 | 182 | $1556.28 | $472.65 |
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12032
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
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78 | 76 | $983.64 | $275.81 |
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13121
Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm
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38 | 38 | $1401.78 | $422.91 |
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11603
Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm
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32 | 29 | $917.13 | $149.29 |
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13152
Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm
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26 | 26 | $1645.05 | $485.88 |
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11402
Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm
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18 | 18 | $554.88 | $103.14 |
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14060
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less
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16 | 16 | $2511.09 | $759.59 |
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11602
Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
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14 | 14 | $804.27 | $124.71 |
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15260
Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less
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12 | 12 | $3264.48 | $981.31 |
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12042
Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm
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11 | 11 | $978.57 | $291.89 |
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12052
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm
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11 | 11 | $993.54 | $312.31 |
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13131
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm
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11 | 11 | $1273.89 | $375.93 |
Source: CMS Part B by Provider and Service, 2021; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2019.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Clindamycin Hcl | Clindamycin Hcl | 11 | 73 | $113.03 | 11 |
Source: CMS Part D by Provider and Drug, 2019; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-06-24NUCC Taxonomy Code: 208200000X
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
NUCC Taxonomy Code: 208200000X
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PLASTIC AND RECONSTRUCTIVE SURGERY
I20230622003540
TX
8123012838
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Pathology - Anatomic Pathology & Clinical Pathology
Doctor of Osteopathic Medicine (D.O.)
Dermatology
Doctor of Medicine (M.D.)
Dermatology
Doctor of Medicine (M.D.)
Dermatology
Doctor of Medicine (M.D.)
Physician Assistant - Medical
Physician Assistant (Certified)
Physician Assistant - Medical
Physician Assistant (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Plastic Surgery (license number reported to NPPES: NC 2020-00458)
Registered at 820 SPRINGER DR, LOMBARD, IL 601486413 (Tel: 7086344602)
NPI status registered as active in NPPES database
Registered at 1124 ESSINGTON RD, JOLIET, IL 604358423 (Tel: 8157448554)
Registered at 1124 ESSINGTON RD, JOLIET, IL 604358423 (Tel: 8157448554)
Recorded as JOSE RIOS, M.D.
Plastic Surgery (license number reported to NPPES: IL 036-109103)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Plastic Surgery Specialists in Joliet
Healthcare providers in JolietMailing Address
820 Springer Dr
Lombard, IL 601486413
Phone: 7086344602