2026 NPPES data Emergency Medical Services (Emergency Medicine) Physician NPI 1649402678 MD
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TIGRAN AVOIAN, MD

Emergency Medical Services (Emergency Medicine) Physician in LOS ANGELES, 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
2K
Medicare Part D claims · 604 beneficiaries · Emergency Medical Services (Emergency Medicine) Physician avg: 394
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
Industry payments
$76.26
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: TIGRAN AVOIAN, MD is a Emergency Medical Services (Emergency Medicine) Physician ([object Object]) practicing in LOS ANGELES, California with a Medicare Part D prescribing footprint of 2K claims across 604 beneficiaries . Their CMS MIPS Final Score of 0/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $76.26 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: TIGRAN AVOIAN, MD reported a CMS MIPS final score of 0 out of 100, below the 83.1 national average, and filed 1,719 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

TIGRAN AVOIAN, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

TIGRAN AVOIAN, MD at a glance

Below national average

NPI registry status

Active

Issued 08/08/2009

NPI 1649402678

Primary specialty

Emergency Medical Services (Emergency Medicine) Physician

Niche

3,616 US NPIs in this specialty

Medicare Part D claims

1,719 336% vs specialty avg

2023 prescription claims

Specialty avg: 394

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in California

How Emergency Medical Services (Emergency Medicine) Physician compares to other specialties among California providers

California providers

Emergency Medical Services (Emergency Medicine) Physician share within California

1. Emergency Medical Services (Emergency Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medical Services (Emergency Medicine) Physician share within California

Medicare quality performance — MIPS

TIGRAN AVOIAN, MD's 2023 MIPS final score plotted against the Emergency Medical Services (Emergency Medicine) Physician national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medical Services (Emergency Medicine) Physician) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Emergency Medical Services (Emergency Medicine) Physician) — 0/100 vs national avg 83.1

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).

TIGRAN AVOIAN, MD is a Emergency Medical Services (Emergency Medicine) Physician provider practicing in LOS ANGELES, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1649402678. 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.

TIGRAN AVOIAN, MD appears in the CMS NPPES registry as a Emergency Medical Services (Emergency Medicine) Physician provider holding MD credentials at 2400 S FLOWER ST, LOS ANGELES, CA, 90007, with a listed phone of (213) 742-1000. NPI 1649402678 was issued on 08/08/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AVOIAN 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 1,719 prescription claims written by this provider, covering 604 Medicare beneficiaries and totaling roughly $459K in drug spend, with an opioid prescribing rate of 14.4%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Emergency Medical Services (Emergency Medicine) Physician is a narrow specialty nationwide, with 3,616 enrolled providers across 55 states and an average of 394 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

2400 S FLOWER ST
LOS ANGELES, CA 90007

Provider Details

NPI 1649402678
Specialty Emergency Medical Services (Emergency Medicine) Physician
Credentials MD
Gender Male
NPI Issued 08/08/2009

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

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 TIGRAN AVOIAN, MD. Source: openpaymentsdata.cms.gov.

Total received

$76

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 — 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 TIGRAN AVOIAN, MD. To verify TIGRAN AVOIAN, MD'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.

Medicare Part D Prescribing Data

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

1,719
Total Claims
$459K
Total Drug Cost
604
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,813
Total Day Supply
37,856
Generic Drug Cost
$222K
Opioid Claims
248 (14.4% rate)
Antibiotic Claims
15

Patient Demographics

Average Patient Age
74.4 years
Avg HCC Risk Score
1.40
Gender Split
68% female / 32% male
Age Distribution
<65: 38, 65-74: 302, 75-84: 181, 85+: 83

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Celecoxib
613
Diclofenac Sodium
466
Acetaminophen-Codeine
Acetaminophen With Codeine
184
Meloxicam
180
Pennsaid
Diclofenac Sodium
48
Tramadol Hcl
32
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
31
Methylprednisolone
30
Naproxen
25
Ibuprofen
21

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

Emergency Medical Services (Emergency Medicine) Physician Overview

How TIGRAN AVOIAN, MD fits within the Emergency Medical Services (Emergency Medicine) Physician landscape nationally.

3,616
Emergency Medical Services (Emergency Medicine) Physician Providers in US
55
States with Emergency Medical Services (Emergency Medicine) Physician
394
Avg Claims per Provider

TIGRAN AVOIAN, MD's 1,719 claims are above the specialty average of 394.

Nearby Emergency Medical Services (Emergency Medicine) Physician Providers in California

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

Compare Emergency Medical Services (Emergency Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is TIGRAN AVOIAN, MD's specialty?
TIGRAN AVOIAN, MD specializes in Emergency Medical Services (Emergency Medicine) Physician and practices in LOS ANGELES, California. Credentials: MD.
How much does TIGRAN AVOIAN, MD prescribe under Medicare Part D?
In 2023, TIGRAN AVOIAN, MD wrote 1,719 Medicare Part D claims totaling $459K in drug costs for 604 beneficiaries.
What is TIGRAN AVOIAN, MD's Medicare quality score?
TIGRAN AVOIAN, MD has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TIGRAN AVOIAN, MD located?
TIGRAN AVOIAN, MD is located at 2400 S FLOWER ST, LOS ANGELES, CA, 90007. Phone: (213) 742-1000.
What is TIGRAN AVOIAN, MD's NPI number?
TIGRAN AVOIAN, MD's National Provider Identifier (NPI) is 1649402678, issued on 08/08/2009.
Does TIGRAN AVOIAN, MD prescribe opioids?
Yes, TIGRAN AVOIAN, MD had 248 opioid claims in 2023 with an opioid prescribing rate of 14.4%.
How many Emergency Medical Services (Emergency Medicine) Physician providers are there in the US?
There are 3,616 Emergency Medical Services (Emergency Medicine) Physician providers across 55 states in the US. The average Emergency Medical Services (Emergency Medicine) Physician provider writes 394 Medicare Part D claims per year.
What drugs does TIGRAN AVOIAN, MD prescribe most often?
Based on 2023 Medicare Part D data, TIGRAN AVOIAN, MD's most frequently prescribed drugs include Celecoxib, Diclofenac Sodium, Acetaminophen-Codeine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TIGRAN AVOIAN, MD accept Medicare?
TIGRAN AVOIAN, MD appears in CMS Medicare data with 1,719 Part D claims and 604 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TIGRAN AVOIAN, MD's credentials?
TIGRAN AVOIAN, MD's NPI is 1649402678 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

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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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