DR. ROY T AVALOS M.D.
NPI 1154399632
Internal Medicine - Cardiovascular Disease in Encinitas, CA

Active since March 09, 2006PECOS EnrolledAccepts Medicare Assignment
320 SANTA FE DR, SUITE 204, ENCINITAS, CA 92024(760) 944-7300(760) 634-6564 Get Directions Write a Review

NPPES record last updated: March 9, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Roy T Avalos M.d. NPPES

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

DR. ROY T AVALOS M.D. (NPI 1154399632) is an individual cardiovascular disease provider in Encinitas, California, licensed in California (A68893) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (1997).

NPPES Registry Identity

NPI1154399632
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. ROY T AVALOSCredential: M.D.
Location Address320 SANTA FE DR, SUITE 204Encinitas, CA 92024-5138
Mailing Address320 Santa Fe Dr, Ste 204Encinitas, CA 92024-5179 · (760) 944-7300 · Fax (760) 634-6564
Fax(760) 634-6564
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1997
Enumeration DateMarch 9, 2006
Last NPPES UpdateMarch 9, 2017
NPI 1154399632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in CA · A68893
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

320 SANTA FE DR, Encinitas, CA 92024

Other Identifiers 2

Medicare UPINI11988CA
Medicare ID-Type UnspecifiedWA68893ACA · Ppin#

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

Dr. Roy T Avalos 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 ID7214900265
PECOS Enrollment IDI20040817001152
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 37

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 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.
788 services542 patients
Technetium tc-99m tetrofosmin, diagnostic, per study dose A9502
Technetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.
698 services346 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
632 services156 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
426 services420 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
379 services208 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015
An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.
357 services354 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92024 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
320 SANTA FE DR, SUITE 204
ENCINITAS, CA 92024
Physician Assistant
320 SANTA FE DR, STE. 300
ENCINITAS, CA 92024
Specialist
320 SANTA FE DR, STE LL4
ENCINITAS, CA 92024
Specialist
320 SANTA FE DR, SUITE 310
ENCINITAS, CA 92024
Dermatology
320 SANTA FE DR, SUITE 310
ENCINITAS, CA 92024
Internal Medicine
320 SANTA FE DR, SUITE 308
ENCINITAS, CA 92024
Orthopaedic Surgery
320 SANTA FE DR, 301
ENCINITAS, CA 92024
Surgery (Vascular Surgery)
320 SANTA FE DR, STE 212
ENCINITAS, CA 92024

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 Roy Avalos's NPI number?

The NPI number for Roy Avalos is 1154399632. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Roy Avalos located?

Roy Avalos practices at 320 Santa Fe Dr Suite 204, Encinitas, CA 92024. The listed phone number is (760) 944-7300.

What is Roy Avalos's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Roy Avalos enrolled in Medicare?

Yes. Roy Avalos 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.

When was this NPI record last updated?

The NPPES record for Roy Avalos was last updated on March 9, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.