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JOSEPH ANTHONY AVALOS M.D.
NPI 1912296971
Hospitalist in San Diego, CA

Active since March 30, 2011PECOS EnrolledAccepts Medicare Assignment
200 W ARBOR DRIVE, MC8485, SAN DIEGO, CA 92103(619) 471-9198(619) 543-8255 Get Directions Write a Review

NPPES record last updated: September 12, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 12, 2017, Nov 8, 2016, Aug 19, 2016 (3 updates tracked since 2016).

About Joseph Anthony Avalos M.d. NPPES

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

JOSEPH ANTHONY AVALOS M.D. (NPI 1912296971) is an individual hospitalist provider in San Diego, California, licensed in California (A143574) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS and is a graduate of University Of New Mexico School Of Medicine (2011).

NPPES Registry Identity

NPI1912296971
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJOSEPH ANTHONY AVALOSCredential: M.D.
Location Address200 W ARBOR DRIVE, MC8485San Diego, CA 92103-8485
Mailing AddressPo Box 232410San Diego, CA 92193-2410 · (619) 471-9186
Phone(619) 471-9198
Fax(619) 543-8255
Sole ProprietorYes
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2011
Enumeration DateMarch 30, 2011
Last NPPES UpdateSeptember 12, 20173 updates tracked since enumeration
✔ NPI 1912296971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CA · A143574
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

200 W ARBOR DRIVE, San Diego, CA 92103
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Other Identifiers 3

Medicaid2146513LA
Medicaid04505760MS
Medicare PIN365722YH3ULA

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

Joseph Anthony Avalos M.d. 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 ID446470306
PECOS Enrollment IDI20160915002095
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
228 services119 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
202 services93 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
61 services61 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
37 services37 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers23 claims23 services$783.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. JUSTIN WAYNE HEIL M.D., PHD
Anesthesiology
200 W ARBOR DRIVE, UNIVERSITY OF CALIFORNIA SAN DIEGO
SAN DIEGO, CA 92103
San Diego County (619) 522-8961
DR. CHARLES M LAKIN M.D.
Urology
200 W ARBOR DRIVE, MEDICAL OFFICES NORTH SUITE 3-4
SAN DIEGO, CA 92103
San Diego County (619) 543-3572
DR. GARTH R JACOBSEN MD
Surgery
200 W ARBOR DRIVE, #8220
SAN DIEGO, CA 92103
San Diego County (619) 543-6711
MS. ALANNA FRASER CFNP
Nurse Practitioner (Adult Health)
200 W ARBOR DRIVE, UCSD MEDICAL CENTER OWEN CLINIC
SAN DIEGO, CA 92103
San Diego County (619) 543-3995
DR. DAVID LEON BRAFF MD
General Acute Care Hospital
200 W ARBOR DRIVE, MAIL CODE 8816
SAN DIEGO, CA 92103
San Diego County (619) 543-5570
DR. CHARLES LOWELL PARSONS M.D.
Urology
200 W ARBOR DRIVE
SAN DIEGO, CA 92103
San Diego County (619) 543-3572
JESSICA BAZICK MD
Hospitalist
200 W ARBOR DRIVE
SAN DIEGO, CA 92103
San Diego County (619) 471-9186
DUDLEY G ELMORE III RN,FNP
Nurse Practitioner (Family)
200 W ARBOR DRIVE, MC 8401
SAN DIEGO, CA 92103
San Diego County (619) 543-5870

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 Joseph Avalos's NPI number?

The NPI number for Joseph Avalos is 1912296971. It was assigned to this individual provider in the NPPES registry on March 30, 2011.

Where is Joseph Avalos located?

Joseph Avalos practices at 200 W Arbor Drive Mc8485, San Diego, CA 92103. The listed phone number is (619) 471-9198.

What is Joseph Avalos's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Joseph Avalos enrolled in Medicare?

Yes. Joseph Avalos 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.

When was this NPI record last updated?

The NPPES record for Joseph Avalos was last updated on September 12, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.