NPI registry status
Active
2026 NPPES data Allergy Physician NPI 1356312011 MD
Verify on CMS → Pedro Avila, MD
Allergy Physician in Spring, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,015 in Allergy 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
1K
Medicare Part D claims · 245 beneficiaries · Allergy Physician avg: 805
Generic prescribing
76%
generic claims · 24% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$859.61
42 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Pedro Avila, MD filed 1,194 Medicare Part D claims in 2024 as an Allergy Physician in Spring, Texas, prescribing 76% generic.
- 1K
- Part D claims, 2024
- 76%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥77th
- pct by Part D claim volume (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 Pedro Avila, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1356312011), first enumerated 01/31/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 1,194 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$859.61 in reported industry payments (42 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Texas statewide board action statistics are published annually — these figures describe aggregate state activity, not Pedro Avila, MD's individual license status. Verify directly with the state medical board.
Source: TMB 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 1356312011 · Allergy Physician
NPI-10 · ENUM-LEGACY · TAX-NARROW · RX-MID · BOOK-THIN · PHOTO-ENUM
- NPI-10 1356312011
- ENUM-LEGACY 2006
- TAX-NARROW 1,015
- RX-MID 1,194
- BOOK-THIN 70 in Texas
- PHOTO-ENUM Laura Gesicki-Wood,… · 2006
Pedro Avila, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
1,194 ≥ 77th percentile 77% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Pedro Avila, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Pedro Avila, MD?
Quality data not reportedPrimary specialty
Allergy Physician
Medicare Part D claims
1,194 48% vs specialty avg
Specialty distribution in Texas
How Allergy Physician compares to other specialties among Texas providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Allergy Physician. Verify directly:
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
Provider Details
| NPI | 1356312011 |
|---|---|
| Specialty | Allergy Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 01/31/2006 |
Hospital and facility affiliations
Facilities where Pedro 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.
Allergy And Ent Associates PLLC
Spring, TX
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
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 Pedro Avila, MD. Source: openpaymentsdata.cms.gov.
Total received
$860
Largest payer
GlaxoSmithKline, LLC.
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 - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Pedro Avila, MD. To verify Pedro Avila, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Pedro Avila, MD - brand share 24.0%
Allergy Physician average
24% brand-name claims vs 76% generic, on 1,194 2024 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 2024.
1,194
Total Claims
$217K
Total Drug Cost
245
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,038.167
- Total Day Supply
- 54,404
- Brand vs Generic
- 24% brand / 76% generic
- Brand Drug Cost
- $187K
- Generic Drug Cost
- $30K
- Antibiotic Claims
- 110
Patient Demographics
- Average Patient Age
- 73.4 years
- Avg HCC Risk Score
- 1.12
- Gender Split
- 66% female / 34% male
- Age Distribution
- <65: 11, 65-74: 132, 75-84: 89, 85+: 13
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Pedro Avila, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Fluticasone Propio…
Fluticasone Propionate
119 claims
- Montelukast Sodium
Montelukast Sodium
116 claims
- Azelastine Hcl
Azelastine Hcl
99 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
91 claims
- Prednisone
Prednisone
73 claims
- Amoxicillin-Clavul…
Amoxicillin-Clavulanate Potass
55 claims
- Cromolyn Sodium
Cromolyn Sodium
50 claims
- Ipratropium Bromide 38
Ipratropium Bromide
38 claims
| Drug | Claims |
|---|---|
| Fluticasone Propionate | 119 |
| Montelukast Sodium | 116 |
| Azelastine Hcl | 99 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 91 |
| Prednisone | 73 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 55 |
| Cromolyn Sodium | 50 |
| Ipratropium Bromide | 38 |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 38 |
| Breo Ellipta Fluticasone/Vilanterol | 34 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Allergy Physician Overview
How Pedro Avila, MD fits within the Allergy Physician landscape nationally.
1,015
Allergy Physician Providers in US
50
States with Allergy Physician
805
Avg Claims per Provider
Pedro Avila, MD's 1,194 claims are above the specialty average of 805.
Nationwide Allergy Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Avila, both outside Texas so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Allergy Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Avila.
One of 70 Allergy Physician providers enrolled in Texas, 5 are shown here.
Dr. Stuart Abramson
M.D.
San Angelo, TX
Dr. Sasha Alvarado
D.O.
Murphy, TX
Dr. Sheila Amar
M.D.
Georgetown, TX
Dr. Aneesh Angirekula
MD
Houston, TX
Dr. Suzanne Beck
M.D.
Lubbock, TX
Compare Allergy Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Pedro Avila, MD's specialty? ▼
Pedro Avila, MD specializes in Allergy Physician and practices in Spring, Texas. Credentials: MD.
How much does Pedro Avila, MD prescribe under Medicare Part D? ▼
In 2024, Pedro Avila, MD wrote 1,194 Medicare Part D claims totaling $217K in drug costs for 245 beneficiaries.
Where is Pedro Avila, MD located? ▼
Pedro Avila, MD is located at 20631 KUYKENDAHL RD, Spring, TX, 77379. Phone: (281) 453-1001.
What is Pedro Avila, MD's NPI number? ▼
Pedro Avila, MD's National Provider Identifier (NPI) is 1356312011, issued on 01/31/2006.
Does Pedro Avila, MD prescribe more brand-name or generic drugs? ▼
Pedro Avila, MD's prescribing is 24% brand-name and 76% generic drugs by claim count, with $187K in brand drug costs.
How many Allergy Physician providers are there in the US? ▼
There are 1,015 Allergy Physician providers across 50 states in the US. The average Allergy Physician provider writes 805 Medicare Part D claims per year.
What drugs does Pedro Avila, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Pedro Avila, MD's most frequently prescribed drugs include Fluticasone Propionate, Montelukast Sodium, Azelastine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Pedro Avila, MD accept Medicare? ▼
Pedro Avila, MD appears in CMS Medicare data with 1,194 Part D claims and 245 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Pedro Avila, MD's credentials? ▼
Pedro Avila, MD's NPI is 1356312011 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 (2024). 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 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
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.