Doctor profile · Federal record
Dr. Carlos Avila, M.D.
Family Medicine Physician (CMS: Family Practice) · Springfield, IL
- NPI 1386059624
- Accepts Medicare
- 21 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
520 N 4Th St
Springfield, IL 627025238
(217) 757-8100
fax (217) 757-8161
Credentials & registration
- NPI registered
- June 2014 — 12 yrs on file
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Illinois #125.065885
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1386059624. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
568
Distinct HCPCS
9
Medicare allowed
$33,888
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
36415 |
Insertion of needle into vein for collection of blood sample | 221 | 167 | $8 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 221 | 158 | $122 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 25 | 23 | $87 | |
96372 |
Injection of drug or substance under skin or into muscle | 23 | 11 | $13 | |
81002 |
Urinalysis, manual test | 21 | 19 | $3 | |
71046 |
X-ray of chest, 2 views | 19 | 19 | $20 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 16 | 16 | $123 | |
87880 |
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 11 | 11 | $16 | |
93005 |
Routine electrocardiogram (ecg) using at least 12 leads with tracing | 11 | 11 | $6 |
In context: peer comparison
Among 27 peers in this city , average services per provider: 79. This provider delivers 7.2× the peer median.Open Payments
Industry payments received
All-time total
$616
Transactions
29
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Otsuka America Pharmaceutical, Inc. | 3 | $61.58 | |
| AstraZeneca Pharmaceuticals LP | 3 | $61.40 | |
| Novartis Pharmaceuticals Corporation | 2 | $44.36 | |
| Novo Nordisk Inc | 2 | $43.48 | |
| Lundbeck LLC | 2 | $43.00 | |
| Lilly USA, LLC | 3 | $42.97 | |
| ABBVIE INC. | 2 | $42.29 | |
| Exact Sciences Corporation | 2 | $37.93 | |
| Phathom Pharmaceuticals, Inc. | 2 | $35.65 | |
| PFIZER INC. | 2 | $34.22 | |
| IRONSHORE PHARMACEUTICALS INC. | 2 | $34.07 | |
| Sumitomo Pharma America, Inc. | 1 | $24.21 | |
| Dexcom, Inc. | 1 | $22.81 | |
| Astellas Pharma US Inc | 1 | $20.17 | |
| Bayer Healthcare Pharmaceuticals Inc. | 1 | $17.77 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
916
Patients
251
Total drug cost
$10,938
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Losartan Potassium | Generic | 126 | 34 | $1,878 |
| Atorvastatin Calcium | Generic | 118 | 35 | $1,474 |
| Lisinopril | Generic | 83 | 25 | $343 |
| Metoprolol Succinate | Generic | 67 | 19 | $925 |
| Amlodipine Besylate | Generic | 65 | 21 | $559 |
| Levothyroxine Sodium | Generic | 58 | 18 | $909 |
| Omeprazole | Generic | 58 | 15 | $768 |
| Metformin Hcl | Generic | 55 | 18 | $500 |
| Gabapentin | Generic | 45 | 0 | $1,077 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 44 | 15 | $1,153 |
Frequently asked questions
What is Dr. Carlos Avila's medical specialty?
Dr. Carlos Avila practices Family Medicine Physician in Springfield, IL.
Where does Dr. Carlos Avila practice?
Dr. Carlos Avila practices at 520 N 4Th St, Springfield, IL 627025238. Office phone: 2177578100.
What is Dr. Carlos Avila's NPI?
Dr. Carlos Avila's National Provider Identifier (NPI) is 1386059624, issued by NPPES.
Does Dr. Carlos Avila accept Medicare assignment?
Yes. Dr. Carlos Avila accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Carlos Avila commonly perform?
Top Medicare-reported procedures in 2023: Insertion of needle into vein for collection of blood sample (HCPCS 36415); Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.