2026 NPPES data General Practice Physician NPI 1811221799 MD
Verify on CMS →

ANDRES AVILA, MD

General Practice Physician in SAN JUAN, Puerto Rico. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
501
Medicare Part D claims · 255 beneficiaries · General Practice Physician avg: 3K
Industry payments
$324.56
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ANDRES AVILA, MD filed 501 Medicare Part D claims in 2023 as a General Practice Physician in SAN JUAN, Puerto Rico.

501
Part D claims, 2023
$324.56
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

ANDRES AVILA, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

501 Top 34% higher than 66% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). This entry sits in this band. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

ANDRES AVILA, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about ANDRES AVILA, MD?

Quality data not reported

NPI registry status

Active

Issued 09/25/2009

NPI 1811221799

Primary specialty

General Practice Physician

Mid-sized

16,677 US NPIs in this specialty

Medicare Part D claims

501 83% vs specialty avg

2023 prescription claims

Specialty avg: 2,872

Specialty distribution in Puerto Rico

How General Practice Physician compares to other specialties among Puerto Rico providers

Puerto Rico providers

General Practice Physician share within Puerto Rico

1. General Practice Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
General Practice Physician share within Puerto Rico

Specialty board-certification context

Estimated specialty board-certified rate — General Practice Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
General Practice Physician ABMS/AOA estimate

Est. board-certified rate (General Practice Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (General Practice Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ANDRES AVILA, MD appears in the CMS NPPES registry as a General Practice Physician provider holding MD credentials at 825 CALLE 13 SW, SAN JUAN, PR, 00921, with a listed phone of (787) 677-1041. NPI 1811221799 was issued on 09/25/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AVILA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 501 prescription claims written by this provider, covering 255 Medicare beneficiaries and totaling roughly $13K in drug spend, with an opioid prescribing rate of 4.0%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

General Practice Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

825 CALLE 13 SW
SAN JUAN, PR 00921

Provider Details

NPI 1811221799
Specialty General Practice Physician
Credentials MD
Gender Male
NPI Issued 09/25/2009

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for ANDRES AVILA, MD. Source: openpaymentsdata.cms.gov.

Total received

$325

Largest payer

Boehringer Ingelheim Pharmaceuticals, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

501
Total Claims
$13K
Total Drug Cost
255
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
541
Total Day Supply
8,222
Generic Drug Cost
$5K
Opioid Claims
20 (4.0% rate)
Antibiotic Claims
128

Patient Demographics

Average Patient Age
72.7 years
Avg HCC Risk Score
2.35
Gender Split
62% female / 38% male
Age Distribution
<65: 43, 65-74: 110, 75-84: 59, 85+: 43

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What ANDRES AVILA, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Diclofenac Potassium
60
Pantoprazole Sodium
45
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
39
Montelukast Sodium
26
Levofloxacin
24
Gabapentin
17
Ciprofloxacin Hcl
15
Dicyclomine Hcl
14
Metronidazole
14
Tramadol Hcl-Acetaminophen
Tramadol Hcl/Acetaminophen
14

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

General Practice Physician Overview

How ANDRES AVILA, MD fits within the General Practice Physician landscape nationally.

16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider

ANDRES AVILA, MD's 501 claims are below the specialty average of 2,872.

Nearby General Practice Physician Providers in Puerto Rico

Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as AVILA.

Compare General Practice Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANDRES AVILA, MD's specialty?
ANDRES AVILA, MD specializes in General Practice Physician and practices in SAN JUAN, Puerto Rico. Credentials: MD.
How much does ANDRES AVILA, MD prescribe under Medicare Part D?
In 2023, ANDRES AVILA, MD wrote 501 Medicare Part D claims totaling $13K in drug costs for 255 beneficiaries.
Where is ANDRES AVILA, MD located?
ANDRES AVILA, MD is located at 825 CALLE 13 SW, SAN JUAN, PR, 00921. Phone: (787) 677-1041.
What is ANDRES AVILA, MD's NPI number?
ANDRES AVILA, MD's National Provider Identifier (NPI) is 1811221799, issued on 09/25/2009.
Does ANDRES AVILA, MD prescribe opioids?
Yes, ANDRES AVILA, MD had 20 opioid claims in 2023 with an opioid prescribing rate of 4.0%.
How many General Practice Physician providers are there in the US?
There are 16,677 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does ANDRES AVILA, MD prescribe most often?
Based on 2023 Medicare Part D data, ANDRES AVILA, MD's most frequently prescribed drugs include Diclofenac Potassium, Pantoprazole Sodium, Nitrofurantoin Mono-Macro. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDRES AVILA, MD accept Medicare?
ANDRES AVILA, MD appears in CMS Medicare data with 501 Part D claims and 255 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDRES AVILA, MD's credentials?
ANDRES AVILA, MD's NPI is 1811221799 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology