2026 NPPES data Periodontics NPI 1043301609 D.D.S.
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JOHN AVERA, D.D.S.

Periodontics in APTOS, California. 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
380
Medicare Part D claims · 144 beneficiaries · Periodontics avg: 264
Industry payments
$176.56
6 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOHN AVERA, D.D.S. is a Periodontics ([object Object]) practicing in APTOS, California with a Medicare Part D prescribing footprint of 380 claims across 144 beneficiaries . Industry payments of $176.56 across 6 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOHN AVERA, D.D.S. filed 380 Medicare Part D claims in 2023 across APTOS, California. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

JOHN AVERA, D.D.S. at a glance

Quality data not reported

NPI registry status

Active

Issued 09/27/2006

NPI 1043301609

Primary specialty

Periodontics

Mid-sized

6,061 US NPIs in this specialty

Medicare Part D claims

380 44% vs specialty avg

2023 prescription claims

Specialty avg: 264

Specialty distribution in California

How Periodontics compares to other specialties among California providers

California providers

Periodontics share within California

1. Periodontics42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Periodontics share within California

Specialty board-certification context

Estimated specialty board-certified rate — Periodontics (ABMS / AOA reference)

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

Est. board-certified rate (Periodontics) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Periodontics) — 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).

JOHN AVERA, D.D.S. is a Periodontics provider practicing in APTOS, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: D.D.S.. NPI: 1043301609. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JOHN AVERA, D.D.S. appears in the CMS NPPES registry as a Periodontics provider holding D.D.S. credentials at 9059 SOQUEL DR, APTOS, CA, 95003, with a listed phone of (831) 688-1975. NPI 1043301609 was issued on 09/27/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AVERA 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 380 prescription claims written by this provider, covering 144 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 28.4%. 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.

Periodontics is a mid-sized specialty nationwide, with 6,061 enrolled providers across 53 states and an average of 264 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

9059 SOQUEL DR
APTOS, CA 95003

Provider Details

NPI 1043301609
Specialty Periodontics
Credentials D.D.S.
Gender Male
NPI Issued 09/27/2006

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 JOHN AVERA, D.D.S.. Source: openpaymentsdata.cms.gov.

Total received

$177

Largest payer

Dentsply Sirona 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.

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to JOHN AVERA, D.D.S.. To verify JOHN AVERA, D.D.S.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

380
Total Claims
$2K
Total Drug Cost
144
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
382
Total Day Supply
1,849
Brand Drug Cost
$0
Generic Drug Cost
$2K
Opioid Claims
108 (28.4% rate)
Antibiotic Claims
153

Patient Demographics

Average Patient Age
74.4 years
Avg HCC Risk Score
0.70
Gender Split
56% female / 44% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ibuprofen
106
Penicillin V Potassium
97
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
57
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
51
Amoxicillin
35
Clindamycin Hcl
15

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

Periodontics Overview

How JOHN AVERA, D.D.S. fits within the Periodontics landscape nationally.

6,061
Periodontics Providers in US
53
States with Periodontics
264
Avg Claims per Provider

JOHN AVERA, D.D.S.'s 380 claims are above the specialty average of 264.

Nearby Periodontics Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as AVERA.

Compare Periodontics nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN AVERA, D.D.S.'s specialty?
JOHN AVERA, D.D.S. specializes in Periodontics and practices in APTOS, California. Credentials: D.D.S..
How much does JOHN AVERA, D.D.S. prescribe under Medicare Part D?
In 2023, JOHN AVERA, D.D.S. wrote 380 Medicare Part D claims totaling $2K in drug costs for 144 beneficiaries.
Where is JOHN AVERA, D.D.S. located?
JOHN AVERA, D.D.S. is located at 9059 SOQUEL DR, APTOS, CA, 95003. Phone: (831) 688-1975.
What is JOHN AVERA, D.D.S.'s NPI number?
JOHN AVERA, D.D.S.'s National Provider Identifier (NPI) is 1043301609, issued on 09/27/2006.
Does JOHN AVERA, D.D.S. prescribe opioids?
Yes, JOHN AVERA, D.D.S. had 108 opioid claims in 2023 with an opioid prescribing rate of 28.4%.
How many Periodontics providers are there in the US?
There are 6,061 Periodontics providers across 53 states in the US. The average Periodontics provider writes 264 Medicare Part D claims per year.
What drugs does JOHN AVERA, D.D.S. prescribe most often?
Based on 2023 Medicare Part D data, JOHN AVERA, D.D.S.'s most frequently prescribed drugs include Ibuprofen, Penicillin V Potassium, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN AVERA, D.D.S. accept Medicare?
JOHN AVERA, D.D.S. appears in CMS Medicare data with 380 Part D claims and 144 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN AVERA, D.D.S.'s credentials?
JOHN AVERA, D.D.S.'s NPI is 1043301609 with credentials D.D.S.. 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