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2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1205023959 M.D.
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Juan Avila, M.D.

Student in an Organized Health Care Education/Training Program in Kirkland, Washington.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 351,014 in Student in an Organized Health Care Education/Training Program, 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
97
Medicare Part D claims · 39 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 488
MIPS score
79.2/100
▼ 4 pts below national avg 83.5 · Above neutral
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Juan Avila, M.D. reported a CMS MIPS final score of 79.2/100 - below the 83.5 national average - and filed 97 Medicare Part D claims in 2024.

79.2/100
MIPS score · -4 vs avg
97
Part D claims, 2024
≥26th
pct among measured MIPS (lower-bound band)

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.

Federal trust snapshot

What official records show about Juan Avila, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1205023959), first enumerated 09/26/2007.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 97 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 79.2/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • State context

    State board disciplinary context

    Washington statewide board action statistics are published annually — these figures describe aggregate state activity, not Juan Avila, M.D.'s individual license status. Verify directly with the state medical board.

    Source: WMC annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1205023959 · Student in an Organized Health Care Education/Training Program

NPI-10 · ENUM-MID · TAX-MEGA · MIPS-BELOW · RX-TRACE · BOOK-MID · PHOTO-FINISH

  • NPI-10 1205023959
  • ENUM-MID 2007
  • TAX-MEGA 351K Student in
  • MIPS-BELOW 79.2/100
  • RX-TRACE 97
  • BOOK-MID 7,140 in Washington
  • PHOTO-FINISH Lauren Eller · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Juan Avila, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

79 ≥ 26th percentile 26% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Juan Avila, M.D. sits

This provider among student in an organized health care education/training program peers

Across the 12,177 student in an organized health care education/training program providers who report both Medicare Part D prescribing and a MIPS quality score, Juan Avila, M.D. writes more Part D claims than 26% of them and scores higher on MIPS quality than 23% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 15Juan Avila, M.D., Part D claim volume, percentile in specialty: 26 · MIPS quality, percentile: 23
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one student in an organized health care education/training program peer from a representative sample of 60; the gold marker is Juan Avila, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Juan Avila, M.D.?

Near national average

NPI registry status

Active

Issued 09/26/2007

NPI 1205023959

Primary specialty

Student in an Organized Health Care Education/Training Program

High-volume

351,014 US NPIs in this specialty

Medicare Part D claims

97 80% vs specialty avg

2024 prescription claims

Specialty avg: 488

MIPS final score

79.2/100 4.3 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Washington

How Student in an Organized Health Care Education/Training Program compares to other specialties among Washington providers

Washington providers
Mental Health Counselor8.5%Massage Therapist6.4%Counselor5.7%Behavior Technician4.7%Pharmacist3.8%Physical Therapist3.6%Student in an Organized Heal…3.5%
Largest specialties in Washington (% of in-state providers)

Medicare quality performance, MIPS

Juan Avila, M.D.'s 2023 MIPS final score plotted against the Student in an Organized Health Care Education/Training Program national average

Near national average
MIPS Final Score
79.2/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%79.2%
MIPS final score (Student in an Organized Health Care Education/Training Program) - 79.2/100 vs national avg 83.5
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).

Practice Address

10200 NE 132ND ST
Kirkland, WA 98034
(504) 236-8154

Provider Details

NPI 1205023959
Specialty Student in an Organized Health Care Education/Training Program
Credentials M.D.
Gender Male
NPI Issued 09/26/2007

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

79.168
Final Score
Measured-score avg: 83.5
74.5323
Quality
56.0276
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Juan Avila, M.D. 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.

Overlake Medical Clinics LLC
Bellevue, WA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context - Washington WMC 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 ~34K Washington medical licensees in 2023 - they are NOT specific to Juan Avila, M.D.. To verify Juan Avila, M.D.'s current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington 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 2024.

97
Total Claims
$713
Total Drug Cost
39
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
97
Total Day Supply
1,449
Brand Drug Cost
$0
Generic Drug Cost
$713

Patient Demographics

Average Patient Age
60.3 years
Avg HCC Risk Score
0.99
Gender Split
72% female / 28% male
Age Distribution
<65: 19, 65-74: 13, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

Drug Claims
Quetiapine Fumarate
 17

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

More Student in an Organized Health Care Education/Training Program in WA → All providers in Washington → Compare specialties →

Student in an Organized Health Care Education/Training Program Overview

How Juan Avila, M.D. fits within the Student in an Organized Health Care Education/Training Program landscape nationally.

351,014
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
488
Avg Claims per Provider

Juan Avila, M.D.'s 97 claims are below the specialty average of 488.

Nationwide Student in an Organized Health Care Education/Training Program peers with similar MIPS or enrollment year

Two federal-record peer sets for Avila, both outside Washington so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (79.2 here).

Lauren Eller 79.2 OR Emilie Badje 79.2 KS Courtney Barbero 79.2 VA Tatiana Hill 79.2 VA

Same NPPES enumeration year (2007)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Jason McDonald Huntington, NY Joseph Cochran Houston, TX Thomas Chow Orangeburg, SC Soames Boyle San Diego, CA

Nearby Student in an Organized Health Care Education/Training Program Providers in Washington

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

One of 7,140 Student in an Organized Health Care Education/Training Program providers enrolled in Washington, 5 are shown here.

Dr. Fnu Aakash
MD
Richland, WA
Dr. Justin Abadejos
DO
Seattle, WA
Carmen Abbe
Burien, WA
Dr. James Abbey
M.D.
Anacortes, WA
Laura Abbey
Spokane, WA

Compare Student in an Organized Health Care Education/Training Program nationally: see state-by-state distribution →

Frequently Asked Questions

What is Juan Avila, M.D.'s specialty? ▼
Juan Avila, M.D. specializes in Student in an Organized Health Care Education/Training Program and practices in Kirkland, Washington. Credentials: M.D..
How much does Juan Avila, M.D. prescribe under Medicare Part D? ▼
In 2024, Juan Avila, M.D. wrote 97 Medicare Part D claims totaling $713 in drug costs for 39 beneficiaries.
What is Juan Avila, M.D.'s Medicare quality score? ▼
Juan Avila, M.D. has a CMS MIPS Final Score of 79.2/100 (Quality: 74.5, Cost: 56). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Juan Avila, M.D. located? ▼
Juan Avila, M.D. is located at 10200 NE 132ND ST, Kirkland, WA, 98034. Phone: (504) 236-8154.
What is Juan Avila, M.D.'s NPI number? ▼
Juan Avila, M.D.'s National Provider Identifier (NPI) is 1205023959, issued on 09/26/2007.
How many Student in an Organized Health Care Education/Training Program providers are there in the US? ▼
There are 351,014 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 488 Medicare Part D claims per year.
What drugs does Juan Avila, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Juan Avila, M.D.'s most frequently prescribed drugs include Quetiapine Fumarate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Juan Avila, M.D. accept Medicare? ▼
Juan Avila, M.D. appears in CMS Medicare data with 97 Part D claims and 39 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Juan Avila, M.D.'s credentials? ▼
Juan Avila, M.D.'s NPI is 1205023959 with credentials M.D.. 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 (2024). 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 August 2026 (NPPES) / 2024 (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 editorial process.

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 August 2026.