2026 NPPES data Plastic Surgery Physician NPI 1134176837 M.D.
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RAFAEL AVILA, M.D.

Plastic Surgery Physician in MISSION, Texas. 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
214
Medicare Part D claims · 67 beneficiaries · Plastic Surgery Physician avg: 84
Industry payments
$31.64
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: RAFAEL AVILA, M.D. is a Plastic Surgery Physician ([object Object]) practicing in MISSION, Texas with a Medicare Part D prescribing footprint of 214 claims across 67 beneficiaries . Industry payments of $31.64 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: RAFAEL AVILA, M.D. filed 214 Medicare Part D claims in 2023 across MISSION, Texas. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

RAFAEL AVILA, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

RAFAEL AVILA, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 05/28/2006

NPI 1134176837

Primary specialty

Plastic Surgery Physician

Mid-sized

5,316 US NPIs in this specialty

Medicare Part D claims

214 155% vs specialty avg

2023 prescription claims

Specialty avg: 84

Specialty distribution in Texas

How Plastic Surgery Physician compares to other specialties among Texas providers

Texas providers

Plastic Surgery Physician share within Texas

1. Plastic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Plastic Surgery Physician share within Texas

Specialty board-certification context

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

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

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

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

RAFAEL AVILA, M.D. is a Plastic Surgery Physician provider practicing in MISSION, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1134176837. 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.

RAFAEL AVILA, M.D. appears in the CMS NPPES registry as a Plastic Surgery Physician provider holding M.D. credentials at 1022 E GRIFFIN PKWY STE 110, MISSION, TX, 78572, with a listed phone of (956) 519-1332. NPI 1134176837 was issued on 05/28/2006. 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 214 prescription claims written by this provider, covering 67 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 28.5%. 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.

Plastic Surgery Physician is a mid-sized specialty nationwide, with 5,316 enrolled providers across 52 states and an average of 84 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

1022 E GRIFFIN PKWY STE 110
MISSION, TX 78572

Provider Details

NPI 1134176837
Specialty Plastic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 05/28/2006

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 RAFAEL AVILA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$32

Largest payer

ABBVIE 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 — 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 RAFAEL AVILA, M.D.. To verify RAFAEL AVILA, M.D.'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.

Medicare Part D Prescribing Data

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

214
Total Claims
$2K
Total Drug Cost
67
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
214
Total Day Supply
1,338
Generic Drug Cost
$2K
Opioid Claims
61 (28.5% rate)
Antibiotic Claims
83

Patient Demographics

Average Patient Age
74.6 years
Avg HCC Risk Score
1.45
Gender Split
69% female / 31% 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
Cephalexin
65
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
61
Ondansetron Odt
Ondansetron
36
Diazepam
15

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

Plastic Surgery Physician Overview

How RAFAEL AVILA, M.D. fits within the Plastic Surgery Physician landscape nationally.

5,316
Plastic Surgery Physician Providers in US
52
States with Plastic Surgery Physician
84
Avg Claims per Provider

RAFAEL AVILA, M.D.'s 214 claims are above the specialty average of 84.

Nearby Plastic Surgery Physician Providers in Texas

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

Compare Plastic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RAFAEL AVILA, M.D.'s specialty?
RAFAEL AVILA, M.D. specializes in Plastic Surgery Physician and practices in MISSION, Texas. Credentials: M.D..
How much does RAFAEL AVILA, M.D. prescribe under Medicare Part D?
In 2023, RAFAEL AVILA, M.D. wrote 214 Medicare Part D claims totaling $2K in drug costs for 67 beneficiaries.
Where is RAFAEL AVILA, M.D. located?
RAFAEL AVILA, M.D. is located at 1022 E GRIFFIN PKWY STE 110, MISSION, TX, 78572. Phone: (956) 519-1332.
What is RAFAEL AVILA, M.D.'s NPI number?
RAFAEL AVILA, M.D.'s National Provider Identifier (NPI) is 1134176837, issued on 05/28/2006.
Does RAFAEL AVILA, M.D. prescribe opioids?
Yes, RAFAEL AVILA, M.D. had 61 opioid claims in 2023 with an opioid prescribing rate of 28.5%.
How many Plastic Surgery Physician providers are there in the US?
There are 5,316 Plastic Surgery Physician providers across 52 states in the US. The average Plastic Surgery Physician provider writes 84 Medicare Part D claims per year.
What drugs does RAFAEL AVILA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RAFAEL AVILA, M.D.'s most frequently prescribed drugs include Cephalexin, Hydrocodone-Acetaminophen, Ondansetron Odt. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAFAEL AVILA, M.D. accept Medicare?
RAFAEL AVILA, M.D. appears in CMS Medicare data with 214 Part D claims and 67 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAFAEL AVILA, M.D.'s credentials?
RAFAEL AVILA, M.D.'s NPI is 1134176837 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