Roy T. Avalos, M.D.
NPI 1154399632ActiveIndividual· Internal Medicine, Cardiovascular Disease· Encinitas, CA
Internal Medicine, Cardiovascular Disease (M.D.) in Encinitas, California, trained at University of California, Geffen School of Medicine (class of 1997). Their prescriptions cost Medicare Part D more than their services did: $914,673 for 4,785 claims, against $607,940 paid for services in 2024. Aop Health US, LLC was the largest of 27 companies reporting payments in 2025, $4,560 in all, mostly food and beverage.
Overview
| NPI | 1154399632 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Mar 9, 2006 |
| Last updated in NPPES | Mar 9, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | A68893 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Cardiovascular Disease (Cardiology) (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,360 |
|---|---|
| Services billed | 6,360 across 78 procedure codes |
| Paid by Medicare | $607,940 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,785 · 12,794 30-day fills |
|---|---|
| Patients | 638 |
| Total drug cost | $914,673 |
| Generic share | 84% of claims |
Education and affiliations
| Medical school | University of California, Geffen School of Medicine |
|---|---|
| Graduation year | 1997 |
| Medicare specialty | Cardiovascular Disease (Cardiology) |
| Telehealth | Offers telehealth |
Medical groups
- Emergency and Acute Care Medical CorporationLa Mesa, CA · 422 clinicians
- Scripps Cardiology Medical Group, Inc.La Jolla, CA · 18 clinicians
- San Diego Cardiovascular Associates Medical Group IncEncinitas, CA · 15 clinicians
Hospital affiliations
- Scripps Green HospitalLa Jolla, CA
- Scripps Memorial Hospital - EncinitasEncinitas, CA
- Scripps Memorial Hospital la JollaLa Jolla, CA
Industry payments (Open Payments)
- 2025$4,560 · 102 payments from 27 companies
- 2024$3,161 · 83 payments from 24 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Aop Health US, LLC | $947.62 | 2 |
| Abiomed | $503.65 | 6 |
| Amgen Inc. | $343.35 | 8 |
| Kestra Medical Technology Services, Inc. | $326.95 | 7 |
| Stryker Corporation | $310.68 | 5 |
What the 2025 payments were for
- Food and Beverage$4,560 · 102 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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