MICHELLE S AVALOS MD
NPI 1912585456
Family Medicine in Brooksville, FL

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment
11375 CORTEZ BLVD, BROOKSVILLE, FL 34613(352) 596-6632 Get Directions Write a Review

NPPES record last updated: July 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 14, 2024, Mar 29, 2021 (2 updates tracked since 2021).

About Michelle S Avalos Md NPPES

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

MICHELLE S AVALOS MD (NPI 1912585456) is an individual family medicine provider in Brooksville, Florida, licensed in Florida (ME167569) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Oak Hill Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1912585456
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMICHELLE S AVALOSCredential: MD
Location Address11375 CORTEZ BLVDBrooksville, FL 34613-5409
Mailing Address11375 Cortez BlvdBrooksville, FL 34613-5409
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 29, 2021
Last NPPES UpdateJuly 14, 20242 updates tracked since enumeration
NPPES CertifiedJuly 14, 2024
NPI 1912585456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ME167569
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11375 CORTEZ BLVD, Brooksville, FL 34613

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

Michelle S Avalos 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 ID9133663479
PECOS Enrollment IDI20240627003322
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.

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.
34 services32 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.
28 services13 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Oak Hill Hospital

Acute Care Hospitals · Brooksville, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100264
Location11375 Cortez BlvdBrooksville, FL 34613 · Hernando County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34613 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

Internal Medicine
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Nurse Anesthetist, Certified Registered
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Emergency Medicine
11375 CORTEZ BLVD
SPRING HILL, FL 34613
Emergency Medicine
11375 CORTEZ BLVD
SPRING HILL, FL 34613
Radiology (Diagnostic Radiology)
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Radiology (Diagnostic Radiology)
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Radiology (Diagnostic Radiology)
11375 CORTEZ BLVD
BROOKSVILLE, FL 34613
Emergency Medicine
11375 CORTEZ BLVD
SPRING HILL, FL 34613

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 Michelle Avalos's NPI number?

The NPI number for Michelle Avalos is 1912585456. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Michelle Avalos located?

Michelle Avalos practices at 11375 Cortez Blvd, Brooksville, FL 34613. The listed phone number is (352) 596-6632.

What is Michelle Avalos's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michelle Avalos enrolled in Medicare?

Yes. Michelle 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.

What insurance does Michelle Avalos accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Michelle Avalos 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 Michelle Avalos affiliated with any hospitals?

According to CMS data, Michelle Avalos is affiliated with Hca Florida Oak Hill Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Avalos was last updated on July 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.