Mark Avila, MD
NPI 1598742058 · Gastroenterology Physician · Miami, FL
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Avila, MD is a Gastroenterology Physician provider in Miami, FL (NPI 1598742058).
Provider details
- NPI number
- 1598742058
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME54241 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
275 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 89 | $95 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 76 | $134 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 28 | $384 |
| Measurement of Liver Stiffness91200 | 28 | $32 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 26 | $178 |
| Biopsy of Large Bowel Using a Flexible Endoscope |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 20 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 174 | 64 |
| Omeprazole | 141 | 48 |
| Sod Picosulf/Mag Ox/Citric Acbrand: Clenpiq | 102 | 101 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 101 | 100 |
| Famotidine | 96 | 34 |
| Carvedilol | 48 | 14 |
| Dicyclomine Hcl | 42 | 17 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$892 across 42 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
Registry dates
- Enumerated
- 2005-12-27
- Last updated
- 2024-06-07
- Certified
- 2024-06-07
Frequently asked questions
- What is Mark Avila's NPI number?
- Mark Avila's National Provider Identifier (NPI) is 1598742058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Avila's specialty?
- Mark Avila is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Avila located?
- Mark Avila's practice location on file with NPPES is 7887 N Kendall Dr, Miami, FL 33156-7494.
- What is Mark Avila's phone number?
- The practice phone number listed in the NPPES registry for Mark Avila is (305) 273-6266.
- Does Mark Avila accept Medicare?
- Mark Avila is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Avila's NPI active?
- Yes — Mark Avila's NPI (1598742058) is active in the NPPES registry as of the last update on 2024-06-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.