PHILIP ANTONINUS D'AVILAR PA
NPI 1801854302
Physician Assistant in Monroe, NC

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
613 E ROOSEVELT BLVD, MONROE, NC 28112(704) 283-8193 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 46 more (49 updates tracked since 2018).

About Philip Antoninus D'avilar Pa NPPES

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

PHILIP ANTONINUS D'AVILAR PA (NPI 1801854302) is an individual physician assistant in Monroe, North Carolina, licensed in North Carolina (103028) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1801854302
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePHILIP ANTONINUS D'AVILARCredential: PA
Location Address613 E ROOSEVELT BLVDMonroe, NC 28112-5124
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1999
Enumeration DateMay 3, 2006
Last NPPES UpdateJuly 15, 202449 updates tracked since enumeration
NPI 1801854302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 103028
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
613 E ROOSEVELT BLVD, Monroe, NC 28112

Secondary Practice Locations 4

Location 1704 Gold Hill Rd, Ste 1200Fort Mill, SC 29715-8906 · Phone (704) 667-3380
Location 25727 Prosperity Crossing Dr, Ste 1100Charlotte, NC 28269-2206 · Phone (704) 863-9930
Location 37810 Providence Rd, Ste 102Charlotte, NC 28226-2954 · Phone (704) 543-6636
Location 45717 Albemarle RdCharlotte, NC 28212-1634 · Phone (704) 563-2150

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

Philip Antoninus D'avilar Pa 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 ID4385534007
PECOS Enrollment IDI20080206000176
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 8

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
116 services110 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
112 services13 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.
61 services57 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
49 services47 patients
Detection test by nucleic acid for multiple types influenza virus 87502
A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
31 services31 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
26 services23 patients

Hospital Affiliations CMS Care Compare

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28112 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

Physician Assistant
613 E ROOSEVELT BLVD
MONROE, NC 28112
Family Medicine
613 E ROOSEVELT BLVD
MONROE, NC 28112
Family Medicine
613 E ROOSEVELT BLVD
MONROE, NC 28112
Durable Medical Equipment & Medical Supplies
613 E ROOSEVELT BLVD
MONROE, NC 28112
Family Medicine
613 E ROOSEVELT BLVD
MONROE, NC 28112
Physician Assistant
613 E ROOSEVELT BLVD
MONROE, NC 28112
Physician Assistant
613 E ROOSEVELT BLVD
MONROE, NC 28112
Physician Assistant
613 E ROOSEVELT BLVD
MONROE, NC 28112

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 Philip D'avilar's NPI number?

The NPI number for Philip D'avilar is 1801854302. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Philip D'avilar located?

Philip D'avilar practices at 613 E Roosevelt Blvd, Monroe, NC 28112. The listed phone number is (704) 283-8193.

What is Philip D'avilar's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Philip D'avilar enrolled in Medicare?

Yes. Philip D'avilar 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 Philip D'avilar accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Philip D'avilar 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 Philip D'avilar affiliated with any hospitals?

According to CMS data, Philip D'avilar is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Philip D'avilar was last updated on July 15, 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.