DR. ROBERT JOSEPH AVILA (D.C., CCST, CCCN) – Chiropractor, NPI 1245248400

DR. ROBERT JOSEPH AVILA (D.C., CCST, CCCN) is a healthcare provider. based in Pueblo, Colorado. specializing in Chiropractor. They hold the professional credentials D.C., CCST, CCCN. They hold a License No. 4867 (CO). The NPI Number for DR. ROBERT JOSEPH AVILA (D.C., CCST, CCCN) is 1245248400

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT JOSEPH AVILA (D.C., CCST, CCCN)
NPI
1245248400
Phone
(719) 565-1276
Address
3960 IVYWOOD LN
Enumeration Date
4 August 2006
Last Update Date
17 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7195651276
Graduation Year
1998 (28 years ago)
PAC ID
0941465769
Group Practice PAC ID
3375708274
Professional Enrollment ID
I20120629000072
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. ROBERT JOSEPH AVILA (D.C., CCST, CCCN)

  • 3960, Ivywood Lane, Pueblo, Pueblo County, Colorado, 81005, United States

    PUEBLO, CO 810052567

    Phone: (719) 565-1276

    Fax: (719) 565-2313

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-06-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120629000072IChiropracticCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81005)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375708274View full group profile

Reviews

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Frequently asked questions

How do I look up DR. ROBERT JOSEPH AVILA (D.C., CCST, CCCN) by NPI?
Use NPI 1245248400 when you need to reference DR. ROBERT JOSEPH AVILA (D.C., CCST, CCCN) in forms, claims, or directories.
Is DR. ROBERT JOSEPH AVILA (D.C., CCST, CCCN) active in the national directory?
DR. ROBERT JOSEPH AVILA (D.C., CCST, CCCN)'s public NPI profile is in an active state.
Does DR. ROBERT JOSEPH AVILA (D.C., CCST, CCCN) list a primary specialty?
If you are matching referrals, note Chiropractor for DR. ROBERT JOSEPH AVILA (D.C., CCST, CCCN). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. ROBERT JOSEPH AVILA (D.C., CCST, CCCN)?
The page summarizes Pueblo, Colorado for DR. ROBERT JOSEPH AVILA (D.C., CCST, CCCN); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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