NPI registry status
Active
2026 NPPES data Internal Medicine Physician NPI 1154715365 MD
Verify on CMS → Danielle Avila, MD
Internal Medicine Physician in Tuscon, Arizona.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 172,737 in Internal Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
379
Medicare Part D claims · 55 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
43%
generic claims · 57% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.6/100
▲ 15 pts above national avg 83.1 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Danielle Avila, MD reported a CMS MIPS final score of 97.6/100 - above the 83.1 national average - and filed 379 Medicare Part D claims in 2023.
- 97.6/100
- MIPS score · +15 vs avg
- 379
- Part D claims, 2023
- 43%
- generic prescribing
- Likely
- board-certified (heuristic)
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.
Danielle Avila, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
98 Top 15% higher than 85% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023
Where Danielle Avila, MD sits
This provider among internal medicine physician peers
Across the 36,260 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Danielle Avila, MD writes more Part D claims than 38% of them and scores higher on MIPS quality than 88% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one internal medicine physician peer from a representative sample of 60; the gold marker is Danielle Avila, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Danielle Avila, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Danielle Avila, MD?
High performer (top quartile)Primary specialty
Internal Medicine Physician
Medicare Part D claims
379 86% vs specialty avg
MIPS final score
97.6/100 14.5 pts vs avg
Specialty distribution in Arizona
How Internal Medicine Physician compares to other specialties among Arizona providers
Medicare quality performance, MIPS
Danielle Avila, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average
- MIPS Final Score
- 97.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Internal Medicine Physician) - 97.6/100 vs national avg 83.1
How MIPS and board certification work
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).
Danielle Avila, MD appears in the CMS NPPES registry as an Internal Medicine Physician provider holding MD credentials at 3838 N. CAMPBELL AVE, Tuscon, AZ, 85719, with a listed phone of (520) 694-4000. NPI 1154715365 was issued on 03/25/2015.
Medicare Part D records for calendar year 2023 show 379 prescription claims written by this provider, covering 55 Medicare beneficiaries and totaling roughly $968K in drug spend, split 57% brand-name and 43% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97.6/100 for the 2023 performance year (Quality 84.8), compared with the national average of 83.1.
Internal Medicine Physician is a high-volume specialty nationwide, with 172,737 enrolled providers across 56 states and an average of 2,716 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
Provider Details
| NPI | 1154715365 |
|---|---|
| Specialty | Internal Medicine Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 03/25/2015 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
97.6403
Final Score
Avg: 83.1
84.7722
Quality
98.6754
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Danielle Avila, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Banner-University Medical Group
Tucson, AZ
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Brand-heavy
Danielle Avila, MD - brand share 57.0%
Internal Medicine Physician average
57% brand-name claims vs 43% generic, on 379 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
379
Total Claims
$968K
Total Drug Cost
55
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 436
- Total Day Supply
- 10,960
- Brand vs Generic
- 57% brand / 43% generic
- Brand Drug Cost
- $946K
- Generic Drug Cost
- $22K
- Antibiotic Claims
- 141
Patient Demographics
- Average Patient Age
- 64.5 years
- Avg HCC Risk Score
- 3.11
- Gender Split
- 40% female / 60% male
- Age Distribution
- <65: 20, 65-74: 26, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Danielle Avila, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Biktarvy
Biktarvy
128 claims
- Nuzyra 20
Nuzyra
20 claims
- Imipenem-Cilastati… 19
Imipenem-Cilastatin Sodium
19 claims
- Amikacin Sulfate 18
Amikacin Sulfate
18 claims
- Vancomycin Hcl 15
Vancomycin Hcl
15 claims
- Fluconazole 13
Fluconazole
13 claims
- Ondansetron Hcl 12
Ondansetron Hcl
12 claims
- Descovy 11
Descovy
11 claims
| Drug | Claims |
|---|---|
| Biktarvy Bictegrav/Emtricit/Tenofov Ala | 128 |
| Nuzyra Omadacycline Tosylate | 20 |
| Imipenem-Cilastatin Sodium Imipenem/Cilastatin Sodium | 19 |
| Amikacin Sulfate | 18 |
| Vancomycin Hcl | 15 |
| Fluconazole | 13 |
| Ondansetron Hcl | 12 |
| Descovy Emtricitabine/Tenofov Alafenam | 11 |
| Tivicay Dolutegravir Sodium | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Internal Medicine Physician Overview
How Danielle Avila, MD fits within the Internal Medicine Physician landscape nationally.
172,737
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider
Danielle Avila, MD's 379 claims are below the specialty average of 2,716.
Nearby Internal Medicine Physician Providers in Arizona
Other clinicians with the same primary specialty enrolled in Arizona, drawn from the same CMS NPPES roster as Avila.
Dr. Daniel Aaronson
MD
Tucson, AZ
Dr. Jaber Abawi
MD
Payson, AZ
Dr. Demsas Abay
MD
Peoria, AZ
Dr. Firas Abbas
M.D. M.P.H.
Mesa, AZ
Dr. Hassan Abbas
D.O.
Mesa, AZ
Compare Internal Medicine Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Arizona medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Internal Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Danielle Avila, MD's specialty? ▼
Danielle Avila, MD specializes in Internal Medicine Physician and practices in Tuscon, Arizona. Credentials: MD.
How much does Danielle Avila, MD prescribe under Medicare Part D? ▼
In 2023, Danielle Avila, MD wrote 379 Medicare Part D claims totaling $968K in drug costs for 55 beneficiaries.
What is Danielle Avila, MD's Medicare quality score? ▼
Danielle Avila, MD has a CMS MIPS Final Score of 97.6/100 (Quality: 84.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Danielle Avila, MD located? ▼
Danielle Avila, MD is located at 3838 N. CAMPBELL AVE, Tuscon, AZ, 85719. Phone: (520) 694-4000.
What is Danielle Avila, MD's NPI number? ▼
Danielle Avila, MD's National Provider Identifier (NPI) is 1154715365, issued on 03/25/2015.
Does Danielle Avila, MD prescribe more brand-name or generic drugs? ▼
Danielle Avila, MD's prescribing is 57% brand-name and 43% generic drugs by claim count, with $946K in brand drug costs.
How many Internal Medicine Physician providers are there in the US? ▼
There are 172,737 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Danielle Avila, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Danielle Avila, MD's most frequently prescribed drugs include Biktarvy, Nuzyra, Imipenem-Cilastatin Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Danielle Avila, MD accept Medicare? ▼
Danielle Avila, MD appears in CMS Medicare data with 379 Part D claims and 55 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Danielle Avila, MD's credentials? ▼
Danielle Avila, MD's NPI is 1154715365 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
View source datasets and methodology notes
- 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.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.