# Rodolfo J Rios, MD

Source: https://ourhealthnetwork.com/doctor/rodolfo-rios-md-1609889658
NPI: 1609889658
Data source: CMS NPI Registry (DAC), refreshed monthly

## Quick facts

Rodolfo J Rios, MD is a ophthalmology based in Lewes, DE with NPI 1609889658.

## Profile

- Primary specialty: Ophthalmology
- Credential: MD
- Gender: Male
- Graduation year: 1986
- NPI: 1609889658 ([NPPES record](https://npiregistry.cms.hhs.gov/provider-view/1609889658))

## Practice and contact

- Address: 1306 Savannah Rd, Lewes, DE, 199581526
- Phone: 3026448007110

## CMS quality measures (MIPS)

- Overall MIPS final score: 92.72/100
- Quality category score: 85.44/100
- Improvement Activities score: 40.00/100

Source: CMS Quality Payment Program. MIPS scores reflect Medicare provider performance on quality, cost, and care improvement measures.

## Insurance accepted (13 networks)

This provider is in network with the following insurance carriers, based on federal Transparency in Coverage filings and FHIR provider directories:

- [HCSC: BCBS Illinois](https://ourhealthnetwork.com/insurance/hcsc-bcbs-illinois) — 59 plans
- [Cigna](https://ourhealthnetwork.com/insurance/cigna) — 17 plans
- [UnitedHealthcare](https://ourhealthnetwork.com/insurance/unitedhealthcare) — 12 plans
- [Highmark BCBS Delaware](https://ourhealthnetwork.com/insurance/highmark-bcbs-delaware) — 10 plans
- [Aetna](https://ourhealthnetwork.com/insurance/aetna) — 5 plans
- [Highmark BCBS WV](https://ourhealthnetwork.com/insurance/highmark-bcbs-wv) — 4 plans
- [Oxford Health Plans (UHC)](https://ourhealthnetwork.com/insurance/oxford-health-plans-uhc) — 2 plans
- [UMR](https://ourhealthnetwork.com/insurance/umr) — 2 plans
- [Anthem Vision](https://ourhealthnetwork.com/insurance/anthem-vision) — 1 plan
- [BCBS Massachusetts HMO](https://ourhealthnetwork.com/insurance/bcbs-massachusetts-hmo) — 1 plan
- [EmblemHealth](https://ourhealthnetwork.com/insurance/emblemhealth) — 1 plan
- [Humana](https://ourhealthnetwork.com/insurance/humana) — 1 plan
- [Medicare](https://ourhealthnetwork.com/insurance/medicare) — 1 plan

To verify a specific plan covers Rodolfo J Rios, use the [OurHealthNetwork Insurance Matcher](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1609889658).

## Industry payments disclosure (CMS Open Payments)

Per CMS Open Payments data (most recent year 2024), this provider has received 1 disclosed payment from medical industry sources totaling approximately $28.

Largest disclosed payer: ABBVIE INC. ($28 cumulative).

Source: CMS Open Payments program (federal financial-transparency dataset). Industry payment disclosures do not imply any wrongdoing; many are legitimate consulting fees, research support, or speaker honoraria.

## Related on OurHealthNetwork

- [More Ophthalmology doctors in LEWES, DE](https://ourhealthnetwork.com/ophthalmology/de/lewes)
- [Find insurance plans that cover this doctor](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1609889658)
- [Browse all 5.5M US healthcare providers](https://ourhealthnetwork.com/find-doctors)
- [About our data and methodology](https://ourhealthnetwork.com/methodology)