NPI registry status
Active
2026 NPPES data Physician Assistant NPI 1396405312
Verify on CMS → Sergio Avila
Physician Assistant in Lake Elsinore, California.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 150,974 in Physician Assistant, 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
354
Medicare Part D claims · 106 beneficiaries · Physician Assistant avg: 790
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$48.39
2 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Sergio Avila filed 354 Medicare Part D claims in 2023 as a Physician Assistant in Lake Elsinore, California, prescribing 87% generic.
- 354
- Part D claims, 2023
- 87%
- generic prescribing
- $48.39
- industry payments (Sunshine Act)
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.
Sergio Avila's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
354 Top 43% higher than 57% of 1,370,886 prescribers
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.
Source CMS Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Sergio Avila?
Quality data not reportedPrimary specialty
Physician Assistant
Medicare Part D claims
354 55% vs specialty avg
Specialty distribution in California
How Physician Assistant compares to other specialties among California 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 Physician Assistant. 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).
Sergio Avila appears in the CMS NPPES registry as a Physician Assistant provider at 31571 CANYON ESTATES DR STE 228, Lake Elsinore, CA, 92532, with a listed phone of (951) 471-0200. NPI 1396405312 was issued on 12/20/2021.
Medicare Part D records for calendar year 2023 show 354 prescription claims written by this provider, covering 106 Medicare beneficiaries and totaling roughly $55K in drug spend, split 13% brand-name and 87% generic by claim count.
Physician Assistant is a high-volume specialty nationwide, with 150,974 enrolled providers across 56 states and an average of 790 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
Provider Details
| NPI | 1396405312 |
|---|---|
| Specialty | Physician Assistant |
| Gender | Male |
| NPI Issued | 12/20/2021 |
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 Sergio Avila. Source: openpaymentsdata.cms.gov.
Total received
$48
Largest payer
ITI, Inc. (d/b/a Intra-Cellular Therapies, 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 - California MBC 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 ~150K California medical licensees in 2023 - they are NOT specific to Sergio Avila. To verify Sergio Avila's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases
MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Sergio Avila - brand share 13.0%
Physician Assistant average
13% brand-name claims vs 87% generic, on 354 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.
354
Total Claims
$55K
Total Drug Cost
106
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 711
- Total Day Supply
- 21,287
- Brand vs Generic
- 13% brand / 87% generic
- Brand Drug Cost
- $44K
- Generic Drug Cost
- $11K
Patient Demographics
- Average Patient Age
- 72.1 years
- Avg HCC Risk Score
- 2.33
- Gender Split
- 53% female / 47% male
- Age Distribution
- <65: 11, 65-74: 57, 75-84: 27, 85+: 11
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sergio Avila prescribes most
Top Medicare Part D drugs by claim count, 2023
- Furosemide
Furosemide
47 claims
- Hydralazine Hcl
Hydralazine Hcl
28 claims
- Carvedilol
Carvedilol
25 claims
- Potassium Chloride
Potassium Chloride
24 claims
- Amlodipine Besylate 18
Amlodipine Besylate
18 claims
- Losartan Potassium 18
Losartan Potassium
18 claims
- Eliquis 16
Eliquis
16 claims
- Metoprolol Succinate 14
Metoprolol Succinate
14 claims
| Drug | Claims |
|---|---|
| Furosemide | 47 |
| Hydralazine Hcl | 28 |
| Carvedilol | 25 |
| Potassium Chloride | 24 |
| Amlodipine Besylate | 18 |
| Losartan Potassium | 18 |
| Eliquis Apixaban | 16 |
| Metoprolol Succinate | 14 |
| Isosorbide Mononitrate Er Isosorbide Mononitrate | 13 |
| Atorvastatin Calcium | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Physician Assistant Overview
How Sergio Avila fits within the Physician Assistant landscape nationally.
150,974
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider
Sergio Avila's 354 claims are below the specialty average of 790.
Nearby Physician Assistant Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Avila.
Dr. Marcia -Galbraith
PA
Stockton, CA
Dr. Danny Abad
PA
Orange, CA
Dr. Lea Dominique Abadies
PA
Tustin, CA
Dr. Rea Elizabeth Abaniel
P.A.-C
Seal Beach, CA
Dr. Ramina Abbasi
PA-C
Signal Hill, CA
Compare Physician Assistant nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the California medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Physician Assistant peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Sergio Avila's specialty? ▼
Sergio Avila specializes in Physician Assistant and practices in Lake Elsinore, California.
How much does Sergio Avila prescribe under Medicare Part D? ▼
In 2023, Sergio Avila wrote 354 Medicare Part D claims totaling $55K in drug costs for 106 beneficiaries.
Where is Sergio Avila located? ▼
Sergio Avila is located at 31571 CANYON ESTATES DR STE 228, Lake Elsinore, CA, 92532. Phone: (951) 471-0200.
What is Sergio Avila's NPI number? ▼
Sergio Avila's National Provider Identifier (NPI) is 1396405312, issued on 12/20/2021.
Does Sergio Avila prescribe more brand-name or generic drugs? ▼
Sergio Avila's prescribing is 13% brand-name and 87% generic drugs by claim count, with $44K in brand drug costs.
How many Physician Assistant providers are there in the US? ▼
There are 150,974 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does Sergio Avila prescribe most often? ▼
Based on 2023 Medicare Part D data, Sergio Avila's most frequently prescribed drugs include Furosemide, Hydralazine Hcl, Carvedilol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sergio Avila accept Medicare? ▼
Sergio Avila appears in CMS Medicare data with 354 Part D claims and 106 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sergio Avila's credentials? ▼
Sergio Avila's NPI is 1396405312. 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 (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
Compiled from official public sources by the PlainDoctor editorial team.
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 May 2026.