2026 NPPES data Gastroenterology Physician NPI 1265492730 M.D.
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LOUIS AVILES, M.D.

Gastroenterology Physician in CLEARWATER, Florida. 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
275
Medicare Part D claims · 93 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: LOUIS AVILES, M.D. is a Gastroenterology Physician ([object Object]) practicing in CLEARWATER, Florida with a Medicare Part D prescribing footprint of 275 claims across 93 beneficiaries — 13% brand-name prescribing .

What stands out: LOUIS AVILES, M.D. filed 275 Medicare Part D claims in 2023 across CLEARWATER, Florida. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

LOUIS AVILES, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 3 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

LOUIS AVILES, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 03/27/2006

NPI 1265492730

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

275 67% vs specialty avg

2023 prescription claims

Specialty avg: 833

Specialty distribution in Florida

How Gastroenterology Physician compares to other specialties among Florida providers

Florida providers

Gastroenterology Physician share within Florida

1. Gastroenterology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gastroenterology Physician share within Florida

Specialty board-certification context

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

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

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

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

LOUIS AVILES, M.D. is a Gastroenterology Physician provider practicing in CLEARWATER, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1265492730. 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.

LOUIS AVILES, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 1007 JEFFORDS ST, CLEARWATER, FL, 33756, with a listed phone of (727) 447-9000. NPI 1265492730 was issued on 03/27/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AVILES 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 275 prescription claims written by this provider, covering 93 Medicare beneficiaries and totaling roughly $67K in drug spend, split 13% brand-name and 87% generic by claim count. 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.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

1007 JEFFORDS ST
CLEARWATER, FL 33756

Provider Details

NPI 1265492730
Specialty Gastroenterology Physician
Credentials M.D.
Gender Male
NPI Issued 03/27/2006

Hospital and facility affiliations

Facilities where LOUIS AVILES, 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.

ALTRU HEALTH SYSTEM
GRAND FORKS, ND
BANNER HEALTH PHYSICIANS COLORADO LLC
GREELEY, CO
GUNDERSEN LUTHERAN MEDICAL CENTER INC
LA CROSSE, WI

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 — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to LOUIS AVILES, M.D.. To verify LOUIS AVILES, M.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

LOUIS AVILES, M.D. — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 275 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.

275
Total Claims
$67K
Total Drug Cost
93
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
628
Total Day Supply
18,235
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$55K
Generic Drug Cost
$13K

Patient Demographics

Average Patient Age
74.4 years
Avg HCC Risk Score
1.62
Gender Split
54% female / 46% 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
Omeprazole
67
Famotidine
51
Pantoprazole Sodium
24
Sulfasalazine
11

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

Gastroenterology Physician Overview

How LOUIS AVILES, M.D. fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

LOUIS AVILES, M.D.'s 275 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in Florida

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

Compare Gastroenterology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is LOUIS AVILES, M.D.'s specialty?
LOUIS AVILES, M.D. specializes in Gastroenterology Physician and practices in CLEARWATER, Florida. Credentials: M.D..
How much does LOUIS AVILES, M.D. prescribe under Medicare Part D?
In 2023, LOUIS AVILES, M.D. wrote 275 Medicare Part D claims totaling $67K in drug costs for 93 beneficiaries.
Where is LOUIS AVILES, M.D. located?
LOUIS AVILES, M.D. is located at 1007 JEFFORDS ST, CLEARWATER, FL, 33756. Phone: (727) 447-9000.
What is LOUIS AVILES, M.D.'s NPI number?
LOUIS AVILES, M.D.'s National Provider Identifier (NPI) is 1265492730, issued on 03/27/2006.
Does LOUIS AVILES, M.D. prescribe more brand-name or generic drugs?
LOUIS AVILES, M.D.'s prescribing is 13% brand-name and 87% generic drugs by claim count, with $55K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does LOUIS AVILES, M.D. prescribe most often?
Based on 2023 Medicare Part D data, LOUIS AVILES, M.D.'s most frequently prescribed drugs include Omeprazole, Famotidine, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LOUIS AVILES, M.D. accept Medicare?
LOUIS AVILES, M.D. appears in CMS Medicare data with 275 Part D claims and 93 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LOUIS AVILES, M.D.'s credentials?
LOUIS AVILES, M.D.'s NPI is 1265492730 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.
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