Mark Avdalovic, M.D.
NPI 1649254467 · Pulmonary Disease Physician · Sacramento, CA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Avdalovic, M.D. is a Pulmonary Disease Physician provider in Sacramento, CA (NPI 1649254467).
Provider details
- NPI number
- 1649254467
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 00A635080 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
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
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
1,143 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 364 | $115 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 127 | $75 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 118 | $79 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 91 | $17 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 53 | $26 |
| Test to Determine Lung Volumes Using Sensors |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 44 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ambrisentan | 219 | 26 |
| Riociguatbrand: Adempas | 211 | 23 |
| Tadalafil | 201 | 33 |
| Furosemide | 182 | 49 |
| Spironolactone | 134 | 32 |
| Macitentanbrand: Opsumit | 102 | 11 |
| Treprostinil Diolaminebrand: Orenitram Er | 80 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$12,697 across 14 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
- 2005-12-05
- Last updated
- 2011-09-29
Frequently asked questions
- What is Mark Avdalovic's NPI number?
- Mark Avdalovic's National Provider Identifier (NPI) is 1649254467, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Avdalovic's specialty?
- Mark Avdalovic is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Avdalovic located?
- Mark Avdalovic's practice location on file with NPPES is 4150 V St, Sacramento, CA 95817-1460.
- What is Mark Avdalovic's phone number?
- The practice phone number listed in the NPPES registry for Mark Avdalovic is (916) 734-3564.
- Does Mark Avdalovic accept Medicare?
- Mark Avdalovic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Avdalovic's NPI active?
- Yes — Mark Avdalovic's NPI (1649254467) is active in the NPPES registry as of the last update on 2011-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.