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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARIA DEL PILAR SANCHEZ AVILA M.D.
NPI 1033133806
General Practice in Saint Cloud, FL

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
4691 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769(407) 680-3361(407) 603-8285 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2026, Apr 17, 2024, Jul 11, 2022 and 2 more (5 updates tracked since 2016).

About Dr. Maria Del Pilar Sanchez Avila M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARIA DEL PILAR SANCHEZ AVILA M.D. (NPI 1033133806) is an individual general practice provider in Saint Cloud, Florida, licensed in Florida (ACN492) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kissimmee, and is a graduate of Baylor College Of Medicine (1999).

NPPES Registry Identity

NPI1033133806
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. MARIA DEL PILAR SANCHEZ AVILACredential: M.D.
Location Address4691 OLD CANOE CREEK RDSaint Cloud, FL 34769-1550
Mailing Address121 S Orange Ave Ste 940Orlando, FL 32801-3234
Phone(407) 680-3361
Fax(407) 603-8285
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 1999
Enumeration DateJuly 26, 2006
Last NPPES UpdateSeptember 30, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ NPI 1033133806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in FL · ACN492✔ Licensed in PR · 14568
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPediatricsTaxonomy 208000000X · License ACN492 (FL)
4691 OLD CANOE CREEK RD, Saint Cloud, FL 34769
Open in Google Maps ↗

Secondary Practice Location 1

Location 13223 Hillsdale LnKissimmee, FL 34741-7561 · Phone (407) 201-2576

Other Identifiers 1

Medicaid113080100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Maria Del Pilar Sanchez Avila M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254327158
PECOS Enrollment IDI20131024000747
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Maria Sanchez Avila reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jag Health & Care LLC
8.8 mi
Primary Care
3223 HILLSDALE LN
Kissimmee, FL 34741
  • Reassigned Medicare billing, Florida enrollment
NPI 1841059771 (407) 201-2576
Premier Medical Associates All Florida, LLC
62 mi
Internal Medicine
1580 SANTA BARBARA BLVD, SUITE C
The Villages, FL 32159
  • Reassigned Medicare billing, Florida enrollment
  • 92 clinicians in this Medicare group
NPI 1093829442 (352) 259-2159
Premier Medical Associates Of Florida Healthcare, PA
62 mi
Internal Medicine
1580 SANTA BARBARA BLVD
The Villages, FL 32159
  • Reassigned Medicare billing, Florida enrollment
  • 99 clinicians in this Medicare group
NPI 1023612827 (352) 259-2159

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 100% · 26 patients
100%27 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier12 claims12 services$107.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AGUSTIN VEGA SANTIAGO M.D.
Internal Medicine
4691 OLD CANOE CREEK RD
SAINT CLOUD, FL 34769
Osceola County (407) 498-4015
AVS MEDICAL LLC
Internal Medicine
4691 OLD CANOE CREEK RD
SAINT CLOUD, FL 34769
Osceola County (407) 498-4015
FLORIDA CARE MEDICAL CENTER INC
General Practice
4691 OLD CANOE CREEK RD
SAINT CLOUD, FL 34769
Osceola County (407) 842-8283

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maria Sanchez Avila's NPI number?

The NPI number for Maria Sanchez Avila is 1033133806. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Maria Sanchez Avila located?

Maria Sanchez Avila practices at 4691 Old Canoe Creek Rd, Saint Cloud, FL 34769. The listed phone number is (407) 680-3361.

What is Maria Sanchez Avila's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Maria Sanchez Avila enrolled in Medicare?

Yes. Maria Sanchez Avila is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Maria Sanchez Avila's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Sanchez Avila reassigns Medicare benefits to 3 organizations: Jag Health & Care LLC (Kissimmee, FL), Premier Medical Associates All Florida, LLC (The Villages, FL) and Premier Medical Associates Of Florida Healthcare, PA (The Villages, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maria Sanchez Avila's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maria Sanchez Avila accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida list Maria Sanchez Avila as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maria Sanchez Avila was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.