DR. JUAN CARLO AVALON DO
NPI 1295239614
Student in an Organized Health Care Education/Training Program in Morgantown, WV

Active since March 20, 2018PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506(304) 293-2463(304) 293-5160 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 10, 2025, Mar 20, 2018 (2 updates tracked since 2018).

About Dr. Juan Carlo Avalon Do NPPES

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

DR. JUAN CARLO AVALON DO (NPI 1295239614) is an individual student in an organized health care education/training program in Morgantown, West Virginia and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of Ohio University, College Of Osteopathic Medicine (2018).

NPPES Registry Identity

NPI1295239614
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JUAN CARLO AVALONCredential: DO
Location Address1 MEDICAL CENTER DRIVEMorgantown, WV 26506
Mailing Address1 Medical Center Drive, P.o. Box 9001-aMorgantown, WV 26506 · (304) 293-2463 · Fax (304) 293-5160
Fax(304) 293-5160
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2018
Enumeration DateMarch 20, 2018
Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
✔ NPI 1295239614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 3828 (WV)
1 MEDICAL CENTER DRIVE, Morgantown, WV 26506

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

Dr. Juan Carlo Avalon Do 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 ID4981940863
PECOS Enrollment IDI20220324000965
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 Juan Carlo Avalon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1 MEDICAL CENTER DRIVE
Morgantown, WV 26506
  • Reassigned Medicare billing, West Virginia enrollment
  • 2,471 clinicians in this Medicare group
Family Medicine
177 MIDDLETOWN RD STE 1
White Hall, WV 26554
  • Reassigned Medicare billing, West Virginia enrollment
  • 441 clinicians in this Medicare group
Surgery
604 ANN ST
Parkersburg, WV 26101
  • Reassigned Medicare billing, West Virginia enrollment
  • 461 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

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

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.

Family Medicine
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Physical Therapist
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Family Medicine
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Internal Medicine (Gastroenterology)
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Hospitalist
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Emergency Medicine
1 MEDICAL CENTER DRIVE, ROOM 4601
MORGANTOWN, WV 26506
Neurological Surgery
1 MEDICAL CENTER DRIVE, ROOM 4300
MORGANTOWN, WV 26506
Nurse Practitioner (Family)
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506

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 Juan Carlo Avalon's NPI number?

The NPI number for Juan Carlo Avalon is 1295239614. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Where is Juan Carlo Avalon located?

Juan Carlo Avalon practices at 1 Medical Center Drive, Morgantown, WV 26506. The listed phone number is (304) 293-2463.

What is Juan Carlo Avalon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Juan Carlo Avalon enrolled in Medicare?

Yes. Juan Carlo Avalon 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 Juan Carlo Avalon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Carlo Avalon reassigns Medicare benefits to 3 organizations: West Virginia University Medical Corporation (Morgantown, WV), United Hospital Center, Inc. (White Hall, WV) and Camden-Clark Physician Corporation (Parkersburg, WV). 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 Juan Carlo Avalon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Juan Carlo Avalon accept?

Health plans from CareSource and Molina Healthcare list Juan Carlo Avalon 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 Juan Carlo Avalon affiliated with any hospitals?

According to CMS data, Juan Carlo Avalon is affiliated with West Virginia University Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Juan Carlo Avalon was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.