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SARAH AVILA
NPI 1568824928
Ophthalmology in Miami, FL

Active since March 24, 2016PECOS Enrolled
100/100
CMS Quality Rating
2601 SW 37TH AVE STE 806, MIAMI, FL 33133(305) 442-0066 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 24, 2025, Jun 27, 2024, Apr 15, 2024 and 4 more (7 updates tracked since 2016).

About Sarah Avila NPPES

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

SARAH AVILA (NPI 1568824928) is an individual ophthalmology provider in Miami, Florida, licensed in Florida (ME152915) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568824928
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameSARAH AVILA
Location Address2601 SW 37TH AVE STE 806Miami, FL 33133-2751
Mailing Address2601 Sw 37th Ave Ste 806Miami, FL 33133-2751 · (561) 901-7303 · Fax (305) 786-5069
Phone(305) 442-0066
Sole ProprietorYes
Enumeration DateMarch 24, 2016
Last NPPES UpdateJune 24, 20257 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1568824928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in FL · ME152915
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.
Also ListedOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryTaxonomy 207WX0200X · License ME152915 (FL)
2601 SW 37TH AVE STE 806, Miami, FL 33133
Open in Google Maps ↗

Other Identifiers 1

Medicaid113864800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield, AvMed and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sarah Avila is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Sarah Avila reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Isidoro Zarco M.D. P.A.
2.0 mi
Eyewear Supplier
3230 W FLAGLER ST
Miami, FL 33135
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Isidoro Zarco MD PA
  • 4 clinicians in this Medicare group
NPI 1972778975 (305) 443-3330
Drs Airala Laser & Cataract Institute PA
14 mi
Ophthalmology
2050 NE 163RD ST
North Miami Beach, FL 33162
  • Reassigned Medicare billing, Florida enrollment
  • 16 clinicians in this Medicare group
NPI 1871551051 (305) 442-0066
Stanley D Braverman MD LLC
20 mi
Ophthalmology
1050 N FEDERAL HWY
Hollywood, FL 33020
  • Reassigned Medicare billing, Florida enrollment
  • 42 clinicians in this Medicare group
NPI 1265586127 (954) 458-2112

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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 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.
22 services21 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
19 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33133 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost78.91

Other Providers at the Same Location NPPES

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

ONE OCULOPLASTICS PLLC
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
2601 SW 37TH AVE STE 806
MIAMI, FL 33133
Miami-Dade County (305) 442-0066

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 Sarah Avila's NPI number?

The NPI number for Sarah Avila is 1568824928. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Sarah Avila located?

Sarah Avila practices at 2601 SW 37th Ave Ste 806, Miami, FL 33133. The listed phone number is (305) 442-0066.

What is Sarah Avila's specialty?

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

Is Sarah Avila enrolled in Medicare?

Yes. Sarah Avila is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sarah Avila's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Avila reassigns Medicare benefits to 3 organizations: Isidoro Zarco M.D. P.A. (Miami, FL), Drs Airala Laser & Cataract Institute PA (North Miami Beach, FL) and Stanley D Braverman MD LLC (Hollywood, FL). 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 Sarah Avila's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarah Avila accept?

Health plans from AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield, AvMed, Oscar Health and Oscar Health Maintenance Organization of Florida list Sarah Avila 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 Sarah Avila was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.