Jorge Avila, M.D.
NPI 1255538187 · Psychiatry Physician · El Paso, TX
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jorge Avila, M.D. is a Psychiatry Physician provider in El Paso, TX (NPI 1255538187).
Provider details
- NPI number
- 1255538187
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- ME110238 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
215 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 109 | $113 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 43 | $74 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 35 | $77 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 28 | $124 |
Typical Medicare-allowed amounts for these services range $74–$124 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 67 | 31 |
| Trazodone Hcl | 30 | 12 |
| Buspirone Hcl | 21 | — |
| Duloxetine Hcl | 21 | — |
| Doxepin Hcl | 20 | — |
| Quetiapine Fumarate | 20 | 13 |
| Omeprazole | 19 | 13 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$121 across 7 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 1900 Denver AveEl Paso, TX 79902-3008Phone: (915) 544-4000Fax: (915) 544-8750
Registry dates
- Enumerated
- 2007-07-03
- Last updated
- 2024-10-23
- Certified
- 2024-10-23
Frequently asked questions
- What is Jorge Avila's NPI number?
- Jorge Avila's National Provider Identifier (NPI) is 1255538187, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jorge Avila's specialty?
- Jorge Avila is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Jorge Avila located?
- Jorge Avila's practice location on file with NPPES is 125 W Hague Rd Ste 250, El Paso, TX 79902-5814.
- What is Jorge Avila's phone number?
- The practice phone number listed in the NPPES registry for Jorge Avila is (915) 219-4100.
- Does Jorge Avila accept Medicare?
- Jorge Avila is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jorge Avila's NPI active?
- Yes — Jorge Avila's NPI (1255538187) is active in the NPPES registry as of the last update on 2024-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.