SUZANNE MICHELLE AVILA (D.O.) – Plastic Surgery Physician, NPI 1124252770

SUZANNE MICHELLE AVILA (D.O.) is a healthcare provider. based in Bellefontaine, Ohio. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials D.O.. They hold a License No. 34.015408 (OH). The NPI Number for SUZANNE MICHELLE AVILA (D.O.) is 1124252770

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
SUZANNE MICHELLE AVILA (D.O.)
NPI
1124252770
Phone
(937) 404-9221
Address
205 E PALMER RD
Enumeration Date
12 May 2009
Last Update Date
27 June 2023

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9375990045
Graduation Year
2009 (17 years ago)
PAC ID
1052537032
Group Practice PAC ID
9032013792
Professional Enrollment ID
I20220511000763
Address ID
OH433119042BE2160XCIRX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

293 PLASTIC AND RECONSTRUCTIVE SURGERY in OH

Provider Addresses for SUZANNE MICHELLE AVILA (D.O.)

  • 205 E PALMER RD

    BELLEFONTAINE, OH 433112281

    Phone: (937) 404-9221

    Fax: (937) 404-9917

    Type: Location

  • Westown Parkway, West Lakes Office Park, West Des Moines, Boone Township, Dallas County, Iowa, 50398, United States

    WEST DES MOINES, IA 502666704

    Phone: (515) 225-7001

    Fax: (515) 440-1953

    Type: Mailing

  • 2160 EWING CRAWFIS CIR

    BELLEFONTAINE, OH 433119042

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $2,514.

Total Amount is formed as General ($2,514) + Research ($0) + Ownership ($0) = $2,514.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: ABBVIE INC. ($2,372).

Total Amount

$2,514

General + Research + Ownership

Payments

17

Total payment records

General Amount

$2,514

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-05-11

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
I20220511000763IPlastic And Reconstructive SurgeryOHTBD

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 43311)

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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: 9032013792View full group profile
NameSpecialtyState
-OH
Orthopedic SurgeryOH
Cardiovascular Disease (Cardiology)OH
-OH
A N E S T H E S I O L O G YOH
Nurse PractitionerOH
General SurgeryOH
-OH
Internal Medicine, Cardiovascular Disease (Cardiology)OH
-OH

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Frequently asked questions

What identifier follows SUZANNE MICHELLE AVILA (D.O.) across health systems?
The NPI 1124252770 uniquely identifies SUZANNE MICHELLE AVILA (D.O.) in U.S. healthcare data.
Is SUZANNE MICHELLE AVILA (D.O.) currently accepting referrals based on NPI status?
Registry metadata lists SUZANNE MICHELLE AVILA (D.O.) as active.
What services align with SUZANNE MICHELLE AVILA (D.O.)'s listing?
SUZANNE MICHELLE AVILA (D.O.)'s public classification highlights Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
Can patients visit SUZANNE MICHELLE AVILA (D.O.) in Bellefontaine, Ohio?
For routing, start with Bellefontaine, Ohio for SUZANNE MICHELLE AVILA (D.O.), then verify phone and hours locally.
Who maintains SUZANNE MICHELLE AVILA (D.O.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.