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. 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
84
Medicare Part D claims · 32 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
MIPS score
79.168/100
▼ 4 pts below national avg 83.1 · [object Object]

What the federal data shows

JUAN AVILA, M.D. reported a CMS MIPS final score of 79.168/100 — below the 83.1 national average — and filed 84 Medicare Part D claims in 2023.

79.168/100
MIPS score · -4 vs avg
84
Part D claims, 2023

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.

JUAN AVILA, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

79 30th percentile higher than 30% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

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

331,761 US NPIs in this specialty

Medicare Part D claims

84 82% vs specialty avg

2023 prescription claims

Specialty avg: 459

MIPS final score

79.168/100 3.931999999999988% pts

Above neutral band

vs 83.1 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

Student in an Organized Health Care Education/Training Program share within Washington

1. Student in an Organized Health Care Education/Training Program42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Student in an Organized Health Care Education/Training Program share within Washington

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
79.168/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Student in an Organized Health Care Education/Training Program) — 79.168/100 vs national avg 83.1

0%100%National avg83%79.2%
MIPS final score (Student in an Organized Health Care Education/Training Program) — 79.168/100 vs national avg 83.1

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).

JUAN AVILA, M.D. appears in the CMS NPPES registry as a Student in an Organized Health Care Education/Training Program provider holding M.D. credentials at 10200 NE 132ND ST, KIRKLAND, WA, 98034, with a listed phone of (504) 236-8154. NPI 1205023959 was issued on 09/26/2007. 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 84 prescription claims written by this provider, covering 32 Medicare beneficiaries and totaling roughly $920 in drug spend. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.168/100 for the 2023 performance year (Quality 74.5323, Cost 56.0276), compared with the national average of 83.1.

Student in an Organized Health Care Education/Training Program is a high-volume specialty nationwide, with 331,761 enrolled providers across 55 states and an average of 459 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

10200 NE 132ND ST
KIRKLAND, WA 98034

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
Avg: 83.1
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.

KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
KIRKLAND, WA
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 2023.

84
Total Claims
$920
Total Drug Cost
32
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
84
Total Day Supply
1,404
Generic Drug Cost
$913

Patient Demographics

Average Patient Age
61.1 years
Avg HCC Risk Score
0.92
Gender Split
56% female / 44% male
Age Distribution
<65: 13, 65-74: 16, 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.

Drug Claims
Trazodone Hcl
11

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

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.

331,761
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
459
Avg Claims per Provider

JUAN AVILA, M.D.'s 84 claims are below the specialty average of 459.

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.

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 2023, JUAN AVILA, M.D. wrote 84 Medicare Part D claims totaling $920 in drug costs for 32 beneficiaries.
What is JUAN AVILA, M.D.'s Medicare quality score?
JUAN AVILA, M.D. has a CMS MIPS Final Score of 79.168/100 (Quality: 74.5323, Cost: 56.0276). The national average MIPS Final Score is 83.1. 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 331,761 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 459 Medicare Part D claims per year.
What drugs does JUAN AVILA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JUAN AVILA, M.D.'s most frequently prescribed drugs include Trazodone Hcl. 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 84 Part D claims and 32 Medicare beneficiaries in 2023. 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

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