Margie Banzuelo-Rio
NPI 1255773248 · Hospitalist Physician · Baltimore, MD
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Margie Banzuelo-Rio is a Hospitalist Physician provider in Baltimore, MD (NPI 1255773248).
Provider details
- NPI number
- 1255773248
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- D75702 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
615 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 462 | $176 |
| Critical Care, First 30-74 Minutes99291 | 80 | $217 |
| Prolonged Hospital Inpatient Or Observation Care Evaluation and Management Service(s) Beyond the Total Time for the Primary Service (when the Primary Service Has Been Selected Using Time on the Date of the Primary Service); Each Additional 15 Minutes By ThG0316 | 35 | $31 |
| Smoking and Tobacco Use Intensive Counseling, 4-10 Minutes99406 | 27 | $12 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 11 | $121 |
Typical Medicare-allowed amounts for these services range $12–$217 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-07-19
- Last updated
- 2013-07-19
Frequently asked questions
- What is Margie Banzuelo-Rio's NPI number?
- Margie Banzuelo-Rio's National Provider Identifier (NPI) is 1255773248, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Margie Banzuelo-Rio's specialty?
- Margie Banzuelo-Rio is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Margie Banzuelo-Rio located?
- Margie Banzuelo-Rio's practice location on file with NPPES is 5601 Loch Raven Blvd, Baltimore, MD 21239-2945.
- What is Margie Banzuelo-Rio's phone number?
- The practice phone number listed in the NPPES registry for Margie Banzuelo-Rio is (443) 444-3904.
- Does Margie Banzuelo-Rio accept Medicare?
- Margie Banzuelo-Rio is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Margie Banzuelo-Rio's NPI active?
- Yes — Margie Banzuelo-Rio's NPI (1255773248) is active in the NPPES registry as of the last update on 2013-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.