DR. RICARDO A AVILES MD
NPI 1205837010
Ophthalmology in Sierra Vista, AZ

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
96.92/100
CMS Quality Rating
2445 E WILCOX DR, SIERRA VISTA, AZ 85635(520) 458-8131(520) 458-0422 Get Directions Write a Review

NPPES record last updated: April 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ricardo A Aviles Md NPPES

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

DR. RICARDO A AVILES MD (NPI 1205837010) is an individual ophthalmology provider in Sierra Vista, Arizona, licensed in Arizona (32367) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Geisel School Of Medicine At Dartmouth (2000).

NPPES Registry Identity

NPI1205837010
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. RICARDO A AVILESCredential: MD
Location Address2445 E WILCOX DRSierra Vista, AZ 85635-2842
Mailing Address2445 E Wilcox DrSierra Vista, AZ 85635-2842 · (520) 458-8131 · Fax (520) 458-0422
Fax(520) 458-0422
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 2000
Enumeration DateAugust 2, 2005
Last NPPES UpdateApril 7, 2008
NPI 1205837010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in AZ · 32367 Licensed in WY · 7754A
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
2445 E WILCOX DR, Sierra Vista, AZ 85635

Other Identifiers 5

Medicare ID-Type Unspecified79992AZ
Medicare UPINI 03911AZ
Medicaid874158AZ
Medicaid1205837010WY
Medicare PIN21543WY

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

Dr. Ricardo A 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 ID4486635414
PECOS Enrollment IDI20040526000795
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 22

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
7,560 services22 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
1,269 services543 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,183 services174 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
834 services69 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
671 services250 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.
533 services409 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85635 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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.

96.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost89.75

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%118 patients5/55-star benchmark: 100%
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.

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.

Specialist
2445 E WILCOX DR
SIERRA VISTA, AZ 85635
Clinic/Center (Ambulatory Surgical)
2445 E WILCOX DR
SIERRA VISTA, AZ 85635
Ophthalmology
2445 E WILCOX DR
SIERRA VISTA, AZ 85635

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 Ricardo Aviles's NPI number?

The NPI number for Ricardo Aviles is 1205837010. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Ricardo Aviles located?

Ricardo Aviles practices at 2445 E Wilcox Dr, Sierra Vista, AZ 85635. The listed phone number is (520) 458-8131.

What is Ricardo Aviles's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Ricardo Aviles enrolled in Medicare?

Yes. Ricardo 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 Ricardo Aviles accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Ricardo 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.

When was this NPI record last updated?

The NPPES record for Ricardo Aviles was last updated on April 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.