NPI registry status
Active
2026 NPPES data Pediatric Urology Physician NPI 1962588608 M.D
Verify on CMS → Edgar Rios, M.D
Pediatric Urology Physician in Chicago, Illinois.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 348 in Pediatric Urology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
24
Medicare Part D claims · Pediatric Urology Physician avg: 654
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Edgar Rios, M.D filed 24 Medicare Part D claims in 2023 as a Pediatric Urology Physician in Chicago, Illinois.
- 24
- Part D claims, 2023
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Edgar Rios, M.D's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
24 0th percentile higher than 0% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
◑
Board-eligible specialty (heuristic, not verified)
Edgar Rios, M.D practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Edgar Rios, M.D?
Quality data not reportedPrimary specialty
Pediatric Urology Physician
Medicare Part D claims
24 96% vs specialty avg
Specialty distribution in Illinois
How Pediatric Urology Physician compares to other specialties among Illinois providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pediatric Urology Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Edgar Rios, M.D appears in the CMS NPPES registry as a Pediatric Urology Physician provider holding M.D credentials at 4152 W 26TH ST, Chicago, IL, 60623, with a listed phone of (773) 521-1100. NPI 1962588608 was issued on 10/27/2006.
Medicare Part D records for calendar year 2023 show 24 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $1K in drug spend.
Pediatric Urology Physician is a narrow specialty nationwide, with 348 enrolled providers across 43 states and an average of 654 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1962588608 |
|---|---|
| Specialty | Pediatric Urology Physician |
| Credentials | M.D |
| Gender | Male |
| NPI Issued | 10/27/2006 |
License & disciplinary context - Illinois IDFPR 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 - they are NOT specific to Edgar Rios, M.D. To verify Edgar Rios, M.D's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases
IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
24
Total Claims
$1K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 26
- Total Day Supply
- 720
- Brand Drug Cost
- $0
- Generic Drug Cost
- $1K
Patient Demographics
- Average Patient Age
- 82.5 years
- Avg HCC Risk Score
- 1.50
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Diclofenac Sodium | 12 |
| Naproxen | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatric Urology Physician Overview
How Edgar Rios, M.D fits within the Pediatric Urology Physician landscape nationally.
348
Pediatric Urology Physician Providers in US
43
States with Pediatric Urology Physician
654
Avg Claims per Provider
Edgar Rios, M.D's 24 claims are below the specialty average of 654.
Nearby Pediatric Urology Physician Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Rios.
Dr. David Chu
MD, MSCE
Chicago, IL
Dr. Ali El Ghazzaoui
MD
Peoria, IL
Dr. L. Flom
MD
Des Plaines, IL
Dr. Edward Gong
M.D.
Chicago, IL
Mohan Gundeti
Chicago, IL
Compare Pediatric Urology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Illinois medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatric Urology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Illinois
Frequently Asked Questions
What is Edgar Rios, M.D's specialty? ▼
Edgar Rios, M.D specializes in Pediatric Urology Physician and practices in Chicago, Illinois. Credentials: M.D.
How much does Edgar Rios, M.D prescribe under Medicare Part D? ▼
In 2023, Edgar Rios, M.D wrote 24 Medicare Part D claims totaling $1K in drug costs for N/A beneficiaries.
Where is Edgar Rios, M.D located? ▼
Edgar Rios, M.D is located at 4152 W 26TH ST, Chicago, IL, 60623. Phone: (773) 521-1100.
What is Edgar Rios, M.D's NPI number? ▼
Edgar Rios, M.D's National Provider Identifier (NPI) is 1962588608, issued on 10/27/2006.
How many Pediatric Urology Physician providers are there in the US? ▼
There are 348 Pediatric Urology Physician providers across 43 states in the US. The average Pediatric Urology Physician provider writes 654 Medicare Part D claims per year.
What drugs does Edgar Rios, M.D prescribe most often? ▼
Based on 2023 Medicare Part D data, Edgar Rios, M.D's most frequently prescribed drugs include Diclofenac Sodium, Naproxen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Edgar Rios, M.D accept Medicare? ▼
Edgar Rios, M.D appears in CMS Medicare data with 24 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Edgar Rios, M.D's credentials? ▼
Edgar Rios, M.D's NPI is 1962588608 with credentials M.D. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.