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JUSTIN D'AVANZO MD
NPI 1699301630
Emergency Medicine in San Diego, CA

Active since March 22, 2020PECOS EnrolledAccepts Medicare Assignment
73.62/100
CMS Quality Rating
4647 ZION AVE STE 1116, SAN DIEGO, CA 92120(619) 528-5164 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2024, May 3, 2023, Dec 8, 2021 and 2 more (5 updates tracked since 2020).

About Justin D'avanzo Md NPPES

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

JUSTIN D'AVANZO MD (NPI 1699301630) is an individual emergency medicine provider in San Diego, California, licensed in Arizona (69521) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Allegheny General Hospital, and is a graduate of Tufts University School Of Medicine (2020).

NPPES Registry Identity

NPI1699301630
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJUSTIN D'AVANZOCredential: MD
Location Address4647 ZION AVE STE 1116San Diego, CA 92120-2507
Mailing Address4647 Zion Ave Ste 1116San Diego, CA 92120-2507 · (619) 528-5164
Phone(619) 528-5164
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2020
Enumeration DateMarch 22, 2020
Last NPPES UpdateApril 1, 20245 updates tracked since enumeration
NPPES CertifiedApril 1, 2024
✔ NPI 1699301630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in AZ · 69521✔ Licensed in CA · 177986
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4647 ZION AVE STE 1116, San Diego, CA 92120
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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

Justin D'avanzo 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 ID1759776461
PECOS Enrollment IDI20230811001991
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
513 services488 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
213 services204 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
112 services112 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
55 services53 patients

Hospital Affiliations CMS Care Compare

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

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92120 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
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.

73.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Improvement Activities40
Cost58.69

Other Providers at the Same Location NPPES 18

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

ANTHONY MANNARINO MD
Emergency Medicine
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
San Diego County (440) 781-0769
NATHAN JANG MD
Student in an Organized Health Care Education/Training Program
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
San Diego County (619) 528-5164
KATHERINE JOO YEON AN DO
Student in an Organized Health Care Education/Training Program
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
San Diego County (619) 528-5164
MADISON DEMMER
Student in an Organized Health Care Education/Training Program
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
San Diego County (817) 653-3205
DOMONIQUE JANAE PATTERSON MD
Student in an Organized Health Care Education/Training Program
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
San Diego County (833) 574-2273
ASHLEY BARLEY MD
Student in an Organized Health Care Education/Training Program
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
San Diego County (808) 927-6227
DR. KRISTEL RAE CHOY MD, MS
Student in an Organized Health Care Education/Training Program
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
San Diego County (619) 528-5164
JOSEPH ANDREW GERONDALE
Student in an Organized Health Care Education/Training Program
4647 ZION AVE STE 1116
SAN DIEGO, CA 92120
San Diego County (714) 580-9636

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 Justin D'avanzo's NPI number?

The NPI number for Justin D'avanzo is 1699301630. It was assigned to this individual provider in the NPPES registry on March 22, 2020.

Where is Justin D'avanzo located?

Justin D'avanzo practices at 4647 Zion Ave Ste 1116, San Diego, CA 92120. The listed phone number is (619) 528-5164.

What is Justin D'avanzo's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Justin D'avanzo enrolled in Medicare?

Yes. Justin D'avanzo 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 Justin D'avanzo accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Justin D'avanzo 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 Justin D'avanzo affiliated with any hospitals?

According to CMS data, Justin D'avanzo is affiliated with Allegheny General Hospital.

When was this NPI record last updated?

The NPPES record for Justin D'avanzo was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.