HERNAN M AVELLA (MD) – Pulmonary Disease Physician, NPI 1073736302
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
74 CRITICAL CARE (INTENSIVISTS) in ID
Provider Addresses for HERNAN M AVELLA (MD)
77 WARREN ST FL 2
BRIGHTON, MA 021353601
Phone: (617) 789-2081
Fax: (617) 779-6798
Type: Mailing
2347 E Gala St
Meridian, ID 836424881
Phone: (208) 323-3767
Type: Location
960 MASSACHUSETTS AVE STE 2
BOSTON, MA 021182690
Phone:
Fax: (617) 414-6031
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $27.
Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.
Last reported payment date: 2024-10-07 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($27).
Total Amount
$27
General + Research + Ownership
Payments
1
Total payment records
General Amount
$27
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $27 |
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: 2021-06-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20130528000761 | I | Internal Medicine | ID | TBD |
| I20190320001557 | I | Pulmonary Disease | MA | TBD |
| I20210611001991 | I | Critical Care (Intensivists) | MA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02135)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | MA | |
| Emergency Medicine | MA | |
| Diagnostic Radiology | MA | |
| Anesthesiology, Pain Management | MA | |
| Diagnostic Radiology | NM | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | MA | |
| Physician Assistant | MA | |
| Diagnostic Radiology | MA | |
| Physician Assistant | MA | |
| Pulmonary Disease, Infectious Disease | MA |
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