Dr. Oscar Rios
- Gender: Male
- Experience: 19 years
- Graduated from: University Of Texas Medical School At Houston
- Graduation year: 2002
- Sole propriator: No
- NPI: 1346377066
Dr. Oscar Rios II M.D.
Surgeon
He is located at 313 East 12th Street in Austin, TX 78701. Can help patients with the following: Esophageal Cancer, Gallstones, Hemorrhoids, Peptic Ulcer, Pilonidal Cyst, Ulcerative Colitis. His National Provider Identifier (NPI) number is 1346377066. Appointment can be made via the phone number (512) 324-8960. He is affiliated with 4 practices and 2 hospitals.
Conditions treated
Dr. Oscar Rios, being an surgeon, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Oscar Rios.
- Achalasia
- Anal Fissure
- Appendicitis
- Boils
- Cancer
- Colon Cancer
- Crohn's Disease
- Cyst
- Diverticulosis
- Enlarged Spleen
- Esophageal Cancer
- Gallstones
- Gangrene
- Heart Disease
- Hemorrhoids
- Hernia
- Inflammatory Bowel Disease (IBD)
- Lymphedema
- Pancreatitis
- Peptic Ulcer
- Pilonidal Cyst
- Sebaceous Cyst
- Ulcerative Colitis
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Oscar Rios as in-network for the following 2026 plans.
Health plans
Ambetter from Superior HealthPlan
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 12 plans from Ambetter from Superior HealthPlan
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Complete Gold | EPO · Gold | Preferred | Accepting new patients |
| Complete Gold + Vision + Adult Dental | EPO · Gold | Preferred | Accepting new patients |
| Enhanced Diabetes Care Silver with $0 Drug Options | EPO · Silver | Preferred | Accepting new patients |
| Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental | EPO · Silver | Preferred | Accepting new patients |
| Everyday Gold | EPO · Gold | Preferred | Accepting new patients |
| Everyday Gold + Vision + Adult Dental | EPO · Gold | Preferred | Accepting new patients |
| Focused Silver | EPO · Silver | Preferred | Accepting new patients |
| Focused Silver + Vision + Adult Dental | EPO · Silver | Preferred | Accepting new patients |
| Standard Gold | EPO · Gold | Preferred | Accepting new patients |
| Standard Gold + Vision + Adult Dental | EPO · Gold | Preferred | Accepting new patients |
| Standard Silver | EPO · Silver | Preferred | Accepting new patients |
| Standard Silver + Vision + Adult Dental | EPO · Silver | Preferred | Accepting new patients |
Blue Cross and Blue Shield of Texas
Network data as of Jun 7, 2026, as reported by the insurer.
Show all 19 plans from Blue Cross and Blue Shield of Texas
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Blue Advantage Bronze HMO℠ 204 (27 plan variants) | HMO · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Bronze HMO℠ 301 (14 plan variants) | HMO · Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Bronze HMO℠ Standard (27 plan variants) | HMO · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Gold HMO℠ 206 (27 plan variants) | HMO · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Gold HMO℠ 603 (14 plan variants) | HMO · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Gold HMO℠ Standard (27 plan variants) | HMO · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Bronze℠ 303 (27 plan variants) | POS · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Bronze℠ 305 (27 plan variants) | POS · Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Bronze℠ Standard (27 plan variants) | POS · Expanded Bronze | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Gold℠ 203 (27 plan variants) | POS · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Gold℠ 803 (27 plan variants) | POS · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Gold℠ Standard (27 plan variants) | POS · Gold | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Silver℠ 202 (27 plan variants) | POS · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Silver℠ 605 (27 plan variants) | POS · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Plus Silver℠ Standard (27 plan variants) | POS · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Security HMO℠ 200 (27 plan variants) | HMO · Catastrophic | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Silver HMO℠ 205 (27 plan variants) | HMO · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Silver HMO℠ 801 (14 plan variants) | HMO · Silver | Blue Advantage HMO | Accepting new patients |
| Blue Advantage Silver HMO℠ Standard (27 plan variants) | HMO · Silver | Blue Advantage HMO | Accepting new patients |
Harbor Health
Network data as of Sep 14, 2026, as reported by the insurer.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Harbor Health G0 $0 Deductible $0 PCP $0 Mental Health Office Visit $0 Express Care | HMO · Gold | Preferred | Accepting new patients |
| Harbor Health G1S $30 PCP $30 Mental Health Office Visit $30 Express Care | HMO · Gold | Preferred | Accepting new patients |
| Harbor Health S1 $0 PCP $0 Mental Health Office Visit $0 Express Care | HMO · Silver | Preferred | Accepting new patients |
| Harbor Health S1S $40 PCP $40 Mental Health Office Visit $40 Express Care | HMO · Silver | Preferred | Accepting new patients |
Moda Health Plan, Inc.
Network data as of Sep 12, 2026, as reported by the insurer.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Moda Select Texas Bronze HDHP 7500 | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Moda Select Texas Standard Bronze | EPO · Expanded Bronze | Preferred | Accepting new patients |
| Moda Select Texas Standard Gold | EPO · Gold | Preferred | Accepting new patients |
| Moda Select Texas Standard Silver | EPO · Silver | Preferred | Accepting new patients |
Oscar Insurance Company
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 12 plans from Oscar Insurance Company
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Bronze Classic 4700 | EPO · Expanded Bronze | Preferred | Accepting new patients at some locations |
| Bronze Classic Standard | EPO · Expanded Bronze | Preferred | Accepting new patients at some locations |
| Bronze Elite + PCP Saver Plus | EPO · Expanded Bronze | Preferred | Accepting new patients at some locations |
| Bronze Simple Breathe Easy with Enhanced COPD Benefits | EPO · Expanded Bronze | Preferred | Accepting new patients at some locations |
| Bronze Simple Chronic Care CKM | EPO · Expanded Bronze | Preferred | Accepting new patients at some locations |
| Bronze Simple Diabetes | EPO · Expanded Bronze | Preferred | Accepting new patients at some locations |
| Gold Classic | EPO · Gold | Preferred | Accepting new patients at some locations |
| Gold Classic Standard | EPO · Gold | Preferred | Accepting new patients at some locations |
| Gold Elite | EPO · Gold | Preferred | Accepting new patients at some locations |
| Silver Classic | EPO · Silver | Preferred | Accepting new patients at some locations |
| Silver Classic Standard | EPO · Silver | Preferred | Accepting new patients at some locations |
| Silver Simple PCP Saver | EPO · Silver | Preferred | Accepting new patients at some locations |
Sendero Health Plans, Local Nonprofit
Network data as of Sep 14, 2026, as reported by the insurer.
Show all 14 plans from Sendero Health Plans, Local Nonprofit
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Sendero Health Austin512 Silver / $40 PCP / $75 Specialist / $15 Generic Drugs / $0 Deductible | HMO · Silver | Non Preferred | Accepting new patients |
| Sendero Health Austin512 Silver / $40 PCP / $75 Specialist / $15 Generic Drugs / $0 Deductible | HMO · Silver | Preferred | Accepting new patients |
| Sendero Health Capital Silver / $40 PCP / $80 Specialist / $20 Generic Drugs | HMO · Silver | Non Preferred | Accepting new patients |
| Sendero Health Capital Silver / $40 PCP / $80 Specialist / $20 Generic Drugs | HMO · Silver | Preferred | Accepting new patients |
| Sendero Health Hill Country Gold / $30 PCP / $60 Specialist / $15 Generic Drugs | HMO · Gold | Non Preferred | Accepting new patients |
| Sendero Health Hill Country Gold / $30 PCP / $60 Specialist / $15 Generic Drugs | HMO · Gold | Preferred | Accepting new patients |
| Sendero Health Original Silver / $20 PCP + 2 $0 PCP Visits / $10 Generic Drugs | HMO · Silver | Non Preferred | Accepting new patients |
| Sendero Health Original Silver / $20 PCP + 2 $0 PCP Visits / $10 Generic Drugs | HMO · Silver | Preferred | Accepting new patients |
| Sendero Health Preferred Bronze / $25 PCP / $75 Specialist / $22 Generic Drugs | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| Sendero Health Preferred Bronze / $25 PCP / $75 Specialist / $22 Generic Drugs | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Sendero Health Quality Care Bronze High Deductible / $50 PCP / $25 Generic Drugs / $100 Specialist | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| Sendero Health Quality Care Bronze High Deductible / $50 PCP / $25 Generic Drugs / $100 Specialist | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Sendero Health Real Gold / $350 Deductible | HMO · Gold | Non Preferred | Accepting new patients |
| Sendero Health Real Gold / $350 Deductible | HMO · Gold | Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Oscar Rios is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Oscar Rios is enrolled to bill Medicare as a Practitioner - General Surgery .
Bills through: Seton Family Of Doctors
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Intuitive Surgical | $7743 |
| Allergan | $1169 |
| Lifecell | $414 |
Other
| Travel and Lodging | $6843 |
| Food and Beverage | $3242 |
Studies
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated in 2002Affiliated practices
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Questions & Answers
Does Dr. Oscar Rios have affiliation with practices?
Dr. Oscar Rios is affiliated with Seton Family of Doctors. For the full list of practices see this list.
Has Dr. Oscar Rios affiliation with hospitals?
Dr. Oscar Rios is affiliated with SETON MEDICAL CENTER HAYS. For the full list of hospitals see this list.
Does Dr. Oscar Rios accept patients with Ambetter from Superior HealthPlan?
Yes, Dr. Oscar Rios is listed in-network for Ambetter from Superior HealthPlan through the ACA Marketplace (Obamacare/HealthCare.gov). See the Marketplace plans section for details.
Where can you meet with Dr. Oscar Rios?
Dr. Oscar Rios's office is located at 313 East 12th Street in Austin, TX 78701.
What conditions does Dr. Oscar Rios treat?
Dr. Oscar Rios provides treatment for Esophageal Cancer, Gallstones, Hemorrhoids, Peptic Ulcer, Pilonidal Cyst, Ulcerative Colitis. For the full list see this list.