DR. ALBERTO JULIAN AVILES (M.D.) – Surgery of the Hand (Plastic Surgery) Physician, NPI 1093880403
Surgery of the Hand (Plastic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
246 PLASTIC AND RECONSTRUCTIVE SURGERY in MI
Provider Addresses for DR. ALBERTO JULIAN AVILES (M.D.)
29201 TELEGRAPH RD STE 200
SOUTHFIELD, MI 480347645
Phone: (248) 936-0067
Fax: (248) 716-5955
Type: Mailing
East 12 Mile Road, Warren, Macomb County, Michigan, 48093, United States
WARREN, MI 480933490
Phone: (586) 582-7815
Fax: (586) 576-4344
Type: Mailing
East 12 Mile Road, Warren, Macomb County, Michigan, 48092, United States
SUITE 308
WARREN, MI 480933400
Phone: (586) 582-7815
Fax: (586) 576-4344
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $2,155.
Total Amount is formed as General ($2,155) + Research ($0) + Ownership ($0) = $2,155.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Smith+Nephew, Inc. ($699).
Total Amount
$2,155
General + Research + Ownership
Payments
45
Total payment records
General Amount
$2,155
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $699 |
| MIMEDX Group, Inc. | $262 |
| Organogenesis Inc. | $259 |
| Integra LifeSciences Corporation | $187 |
| MERZ NORTH AMERICA, INC. | $167 |
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: 2008-10-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081029000107 | I | Plastic And Reconstructive Surgery | MI | 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 |
|---|---|---|---|---|
| G0277 | Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval | 1,028 | 19 | $0 |
| 99183 | Management of oxygen chamber therapy | 389 | 45 | $0 |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 147 | 35 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 118 | 57 | $0 |
| 11046 | Removal of muscle and/or tissue, each additional 20.0 sq cm or less | 115 | 11 | $0 |
Insurance plans in this area (ZIP 48034)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PLASTIC AND RECONSTRUCTIVE SURGERY | MI | 11042 | Removal of skin and tissue first 20 sq cm or less | 88 | 31 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI |
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