DR. ROY T AVALOS (M.D.) – Cardiovascular Disease Physician, NPI 1154399632
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,010 CARDIOVASCULAR DISEASE (CARDIOLOGY) in CA
Loading map...
Provider Addresses for DR. ROY T AVALOS (M.D.)
320, Santa Fe Drive, Encinitas, San Diego County, California, 92007, United States
STE 204
ENCINITAS, CA 920245179
Phone: (760) 944-7300
Fax: (760) 634-6564
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 171 Open Payments records for all available years, with a total value of $5,949.
Total Amount is formed as General ($5,949) + Research ($0) + Ownership ($0) = $5,949.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($521).
Total Amount
$5,949
General + Research + Ownership
Payments
171
Total payment records
General Amount
$5,949
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $521 |
| Inari Medical, Inc. | $419 |
| Medtronic, Inc. | $405 |
| Penumbra, Inc. | $307 |
| Amgen Inc. | $289 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-08-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040817001152 | I | Cardiovascular Disease (Cardiology) | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 616 | 604 | $0 |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 526 | 263 | $0 |
| J2785 | Injection, regadenoson, 0.1 mg | 492 | 123 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 491 | 366 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 335 | 160 | $0 |
Insurance plans in this area (ZIP 92024)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | CA | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 394 | 389 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | CA | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 14 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | CA | |
| N E U R O S U R G E R Y | CA | |
| - | CA | |
| Internal Medicine | CA | |
| General Surgery | CA | |
| Nephrology, Internal Medicine | CA | |
| P S Y C H I A T R Y | CA | |
| Internal Medicine | TX | |
| Cardiovascular Disease (Cardiology), Internal Medicine | CA | |
| H E M A T O L O G Y | CA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.