Doctor profile · Federal record
Dr. Roy Avalos, M.D.
Cardiovascular Disease Physician (CMS: Cardiovascular Disease (Cardiology)) · Encinitas, CA
- NPI 1154399632
- Accepts Medicare
- 29 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
320 Santa Fe Dr, Suite 204
Encinitas, CA 920245138
(760) 944-7300
fax (760) 634-6564
Credentials & registration
- NPI registered
- March 2006 — 20 yrs on file
- Profile last updated
- March 9, 2017
- Year of graduation
- 1997 — 29 yrs since
- Specialty taxonomy
- 207RC0000X — NUCC code
- State license (1)
- California #A68893
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1154399632. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
4,293
Distinct HCPCS
10
Medicare allowed
$606,635
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose | 526 | 263 | $95 | |
J2785 |
Injection, regadenoson, 0.1 mg | 492 | 123 | $52 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 467 | 344 | $190 | |
93306 |
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 347 | 338 | $71 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 335 | 160 | $123 | |
93015 |
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | 275 | 275 | $68 | |
93306 |
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 269 | 266 | $215 | |
78452 |
Nuclear medicine studies of heart muscle at rest and with stress and spect | 268 | 268 | $504 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 255 | 228 | $137 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 169 | 162 | $179 |
In context: peer comparison
Among 8 peers in this city , average services per provider: 223. This provider delivers 19× the peer median.Open Payments
Industry payments received
All-time total
$3,161
Transactions
64
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Inari Medical, Inc. | 7 | $419.42 | |
| Penumbra, Inc. | 2 | $307.06 | |
| Amgen Inc. | 5 | $289.25 | |
| Medtronic, Inc. | 3 | $203.03 | |
| Merck Sharp & Dohme LLC | 7 | $183.71 | |
| Novo Nordisk Inc | 3 | $162.20 | |
| Novartis Pharmaceuticals Corporation | 8 | $157.04 | |
| HEARTFLOW, INC. | 4 | $153.91 | |
| AstraZeneca Pharmaceuticals LP | 3 | $147.27 | |
| Esperion Therapeutics, Inc. | 6 | $141.35 | |
| iRhythm Technologies, Inc. | 1 | $119.90 | |
| PFIZER INC. | 3 | $113.73 | |
| Kestra Medical Technology Services, Inc. | 1 | $112.48 | |
| ABIOMED | 4 | $103.79 | |
| CVRx, Inc. | 7 | $80.91 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,887
Patients
923
Total drug cost
$581,033
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 385 | 112 | $5,365 |
| Eliquis (Apixaban) | Brand | 342 | 95 | $432,093 |
| Amlodipine Besylate | Generic | 266 | 84 | $2,688 |
| Clopidogrel (Clopidogrel Bisulfate) | Brand | 237 | 76 | $4,826 |
| Losartan Potassium | Generic | 227 | 74 | $4,354 |
| Metoprolol Succinate | Generic | 226 | 79 | $4,366 |
| Furosemide | Generic | 177 | 75 | $1,776 |
| Lisinopril | Generic | 171 | 52 | $2,546 |
| Rosuvastatin Calcium | Generic | 167 | 60 | $6,669 |
| Carvedilol | Generic | 149 | 47 | $2,151 |
Hospital affiliations
Frequently asked questions
What is Dr. Roy Avalos's medical specialty?
Dr. Roy Avalos practices Cardiovascular Disease Physician in Encinitas, CA.
Where does Dr. Roy Avalos practice?
Dr. Roy Avalos practices at 320 Santa Fe Dr, Encinitas, CA 920245138. Office phone: 7609447300.
What is Dr. Roy Avalos's NPI?
Dr. Roy Avalos's National Provider Identifier (NPI) is 1154399632, issued by NPPES.
Does Dr. Roy Avalos accept Medicare assignment?
Yes. Dr. Roy Avalos accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Roy Avalos commonly perform?
Top Medicare-reported procedures in 2023: Technetium tc-99m tetrofosmin, diagnostic, per study dose (HCPCS A9502); Injection, regadenoson, 0.1 mg (HCPCS J2785); Established patient office or other outpatient visit (HCPCS 99215). Source: CMS Medicare Physician & Other Practitioners file.