Carlos Miguel Avila, M.D.
NPI 1386059624ActiveIndividual· Family Medicine· Springfield, IL
Family Medicine (M.D.) with Hammond Henry Dist Hospital, practicing in Springfield, Illinois. Their prescriptions cost Medicare Part D more than their services did: $65,480 for 1,410 claims, against $6,182 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 16 companies reporting payments in 2025, $1,196 in all, mostly food and beverage. Lists Hammond Henry Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1386059624 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 25, 2014 |
| Last updated in NPPES | Jun 25, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 125.065885 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 117 |
|---|---|
| Services billed | 192 across 21 procedure codes |
| Paid by Medicare | $6,182 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,410 · 3,033 30-day fills |
|---|---|
| Patients | 238 |
| Total drug cost | $65,480 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Family Practice |
Medical group
- Hammond Henry Dist HospitalGeneseo, IL · 40 clinicians
Hospital affiliations
- Hammond Henry HospitalGeneseo, IL
- Osf Saint Luke Medical CenterKewanee, IL
Industry payments (Open Payments)
- 2025$1,196 · 68 payments from 16 companies
- 2024$615.92 · 32 payments from 18 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $214.56 | 12 |
| Abbvie Inc. | $158.41 | 9 |
| Pfizer Inc. | $112.03 | 6 |
| Bayer Healthcare Pharmaceuticals Inc. | $102.25 | 6 |
| Lilly USA, LLC | $92.35 | 5 |
What the 2025 payments were for
- Food and Beverage$1,196 · 68 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 173 family medicine physicians in Springfield · All family medicine physicians in Illinois