HERNAN M AVELLA MD
NPI 1073736302
Internal Medicine - Pulmonary Disease in Katy, TX
About Hernan M Avella Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HERNAN M AVELLA MD (NPI 1073736302) is an individual pulmonary disease provider in Katy, Texas, licensed in Texas (W5256) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Lawrence General Hospital, and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted 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
Hernan M Avella 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.
Medicare Billing Reassignments
7Medicare enrollment records show Hernan Avella reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Johnstown, CO 80534
- Reassigned Medicare billing, Idaho enrollment
- 40 clinicians in this Medicare group
Charlotte, NC 28210
- Reassigned Medicare billing, North Carolina enrollment
- 2,223 clinicians in this Medicare group
Watertown, MA 02472
- Reassigned Medicare billing, Massachusetts enrollment
- 1,103 clinicians in this Medicare group
Boston, MA 02118
- Reassigned Medicare billing, Massachusetts enrollment
- 716 clinicians in this Medicare group
North Andover, MA 01845
- Reassigned Medicare billing, Massachusetts enrollment
- 57 clinicians in this Medicare group
North Andover, MA 01845
- Reassigned Medicare billing, Massachusetts enrollment
- 52 clinicians in this Medicare group
North Andover, MA 01845
- Reassigned Medicare billing, Massachusetts enrollment
- 71 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lawrence General Hospital
Acute Care Hospitals · Lawrence, MASt Elizabeth's Medical Center
Acute Care Hospitals · Brighton, MAHoly Family Hospital
Acute Care Hospitals · Methuen, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77493 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Hernan Avella's NPI number?
The NPI number for Hernan Avella is 1073736302. It was assigned to this individual provider in the NPPES registry on April 11, 2007. The provider is also known as Hernan M Avella Macias.
Where is Hernan Avella located?
Hernan Avella practices at 1331 W Grand Pkwy N Ste 215, Katy, TX 77493. The listed phone number is (832) 706-0016.
What is Hernan Avella's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Hernan Avella enrolled in Medicare?
Yes. Hernan Avella 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 Hernan Avella's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hernan Avella reassigns Medicare benefits to 7 organizations: Vibra Physicians LLC (Johnstown, CO), Carolinas Medical Center (Charlotte, NC), Steward Medical Group, Inc (Watertown, MA), Bmc Affiliated Physicians, Inc. (Boston, MA), Incare Tufts PLLC (North Andover, MA) and 2 more organizations, listed in the Medicare section above. 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 Hernan Avella's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hernan Avella accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health and Oscar Health and 4 other insurers list Hernan Avella 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 Hernan Avella affiliated with any hospitals?
According to CMS data, Hernan Avella is affiliated with Lawrence General Hospital, St Elizabeth's Medical Center and Holy Family Hospital.
When was this NPI record last updated?
The NPPES record for Hernan Avella was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Hernan M Avella, MD · NPI 1073736302
Pulmonary Disease physician in Katy, Texas. Individual provider, active in the CMS NPPES registry since April 11, 2007.
## Identity
- **NPI:** 1073736302 (Entity type: Individual)
- **Enumerated:** April 11, 2007
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** W5256 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1331 W GRAND PKWY N STE 215, Katy, TX 77493-2710
- **Phone:** (832) 706-0016
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Vibra Physicians LLC (NPI 1659705424, Johnstown, CO); Carolinas Medical Center (NPI 1932534914, Charlotte, NC); Steward Medical Group, Inc (NPI 1629398219, Watertown, MA); Bmc Affiliated Physicians, Inc. (NPI 1245320910, Boston, MA); Incare Tufts PLLC (NPI 1164305611, North Andover, MA); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** November 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073736302) · Data from the CMS NPPES public registry.