DIEGO AVILES MD
NPI 1043830045
Family Medicine in Bellingham, WA

Active since April 20, 2020PECOS EnrolledAccepts Medicare Assignment
81.48/100
CMS Quality Rating
4545 CORDATA PKWY STE 2C, BELLINGHAM, WA 98226(360) 752-5165(360) 752-5686 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 8, 2023, Apr 20, 2020 (2 updates tracked since 2020).

About Diego Aviles Md NPPES

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

DIEGO AVILES MD (NPI 1043830045) is an individual family medicine provider in Bellingham, Washington, licensed in Washington (MD61425471) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and maintains a secondary practice location in Vancouver.

NPPES Registry Identity

NPI1043830045
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDIEGO AVILESCredential: MD
Location Address4545 CORDATA PKWY STE 2CBellingham, WA 98226-7264
Mailing Address100 E 33rd St Ste 100Vancouver, WA 98663-2776 · (360) 514-7550
Fax(360) 752-5686
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 20, 2020
Last NPPES UpdateJune 8, 20232 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
NPI 1043830045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD61425471
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4545 CORDATA PKWY STE 2C, Bellingham, WA 98226

Secondary Practice Location 1

Location 1100 E 33rd St Ste 100Vancouver, WA 98663-2776 · Phone (360) 514-7550

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Diego Aviles Md 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 ID244654234
PECOS Enrollment IDI20230714003491
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
174 services129 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
60 services42 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
52 services48 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
20 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph Hospital

Acute Care Hospitals · Bellingham, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500030
Location2901 Squalicum ParkwayBellingham, WA 98225 · Whatcom County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

81.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Promoting Interoperability100
Improvement Activities40
Cost56.14

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.64 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$57.94 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers18 claims18 services$199.98 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 7

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

Family Medicine
4545 CORDATA PKWY STE 2C
BELLINGHAM, WA 98226
Family Medicine
4545 CORDATA PKWY STE 2C
BELLINGHAM, WA 98226
Family Medicine
4545 CORDATA PKWY STE 2C
BELLINGHAM, WA 98226
Family Medicine
4545 CORDATA PKWY STE 2C
BELLINGHAM, WA 98226
Family Medicine
4545 CORDATA PKWY STE 2C
BELLINGHAM, WA 98226
Family Medicine
4545 CORDATA PKWY STE 2C
BELLINGHAM, WA 98226
Nurse Practitioner (Family)
4545 CORDATA PKWY STE 2C
BELLINGHAM, WA 98226

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 Diego Aviles's NPI number?

The NPI number for Diego Aviles is 1043830045. It was assigned to this individual provider in the NPPES registry on April 20, 2020.

Where is Diego Aviles located?

Diego Aviles practices at 4545 Cordata Pkwy Ste 2C, Bellingham, WA 98226. The listed phone number is (360) 752-5165.

What is Diego Aviles's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Diego Aviles enrolled in Medicare?

Yes. Diego Aviles 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.

What insurance does Diego Aviles accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Diego Aviles 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.

Is Diego Aviles affiliated with any hospitals?

According to CMS data, Diego Aviles is affiliated with St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Diego Aviles was last updated on June 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.