2026 NPPES data Physician Assistant NPI 1396405312
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SERGIO AVILA

Physician Assistant in LAKE ELSINORE, California. 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
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)

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

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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 reported

NPI registry status

Active

Issued 12/20/2021

NPI 1396405312

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

354 55% vs specialty avg

2023 prescription claims

Specialty avg: 790

Specialty distribution in California

How Physician Assistant compares to other specialties among California providers

California providers

Physician Assistant share within California

1. Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physician Assistant share within California

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Physician Assistant) — 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).

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. 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 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. 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.

Physician Assistant is a high-volume specialty nationwide, with 149,975 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

31571 CANYON ESTATES DR STE 228
LAKE ELSINORE, CA 92532

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%
Specialty average (est.)

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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

149,975
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.

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

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 149,975 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

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