Active NPI 1679917280 Individual Practitioner Male Practitioner

Dr. Gregory Avetisov , DO

General Practice • Lincoln, CA

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Avetisov, DO is a certified General Practice practicing in Lincoln, CA. With approximately 9 years of clinical experience since completing medical education in 2017, Dr. Avetisov delivers high-quality medical care to the local community at 2641 MILLER RUN LN.

Dr. Avetisov does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual alcohol misuse screening, 5 to, annual depression screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2641 Miller Run Ln

Lincoln, CA 956487545

Telephone 2097546262

Associated Practice Facility / Clinic

🏢 M A C T Health Board Incorporated Facility NPI 1295727287

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Lincoln, CA

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs Matches City Avg

City Avg: 9.0 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

3 Specialists

Practicing in Lincoln, CA (2300 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Avetisov (9 Years) 9 Yrs

Lincoln Specialty Average (9.0 Years) 9.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	30	22	$179.98	$88.28
G0442 Annual alcohol misuse screening, 5 to 15 minutes	18	18	$37.00	$17.98
G0444 Annual depression screening, 5 to 15 minutes	16	16	$37.00	$17.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	154	111	$120.53	$88.34
J1100 Injection, dexamethasone sodium phosphate, 1 mg	43	13	$4.67	$0.12
36415 Insertion of needle into vein for collection of blood sample	33	33	$10.73	$8.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	23	$174.20	$125.10
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$167.71	$125.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$266.75	$164.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	76	65	$132.22	$87.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$393.07	$167.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$295.93	$124.74
36415 Insertion of needle into vein for collection of blood sample	13	13	$11.00	$2.94
83036 Hemoglobin A1C level	12	12	$35.00	$9.55
81003 Automated urinalysis test	12	11	$13.25	$2.20
80061 Blood test, lipids (cholesterol and triglycerides)	11	11	$40.00	$13.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	96	$193.23	$129.70
36415 Insertion of needle into vein for collection of blood sample	78	73	$10.00	$3.00
83721 Ldl cholesterol level	66	66	$20.00	$10.50
80061 Blood test, lipids (cholesterol and triglycerides)	66	66	$25.00	$13.39
80053 Blood test, comprehensive group of blood chemicals	47	46	$20.00	$10.56
84443 Blood test, thyroid stimulating hormone (TSH)	44	44	$30.00	$16.80
81000 Manual urinalysis test with examination using microscope, non-automated	40	39	$5.00	$4.02
83021 Hemoglobin analysis and measurement, chromatography	31	31	$30.00	$18.06
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	30	28	$15.00	$7.77
80048 Blood test, basic group of blood chemicals (calcium, total)	26	26	$15.00	$8.46
82570 Creatinine level to test for kidney function or muscle injury	25	25	$10.00	$5.18
82043 Urine microalbumin (protein) level	25	25	$10.00	$5.78
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	21	21	$40.00	$6.47
84450 Liver enzyme (sgot), level	20	20	$10.00	$5.18
84460 Liver enzyme (sgpt), level	20	20	$10.00	$5.30
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$129.63	$86.23
84439 Thyroxine (thyroid chemical), free	13	13	$15.00	$9.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	52	$166.64	$109.18
36415 Insertion of needle into vein for collection of blood sample	20	20	$18.00	$3.00
83721 Ldl cholesterol level	13	13	$20.00	$10.50
80061 Blood test, lipids (cholesterol and triglycerides)	13	13	$25.00	$13.39

Medical Specialties & State Licenses

CMS Verified: 2026-06-01

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA 20A22510

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License FL 17139

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Gina Vanderhorst , RDH

Dental Hygienist

NPI 1215585419

Registered Dental Hygienist

Nancy White , RDH

Dental Hygienist

NPI 1376214668

Registered Dental Hygienist

Hillary Little , RDH

Dental Hygienist

NPI 1568925345

Registered Dental Hygienist

Dr. Christopher Jones , MD

Obstetrics & Gynecology

NPI 1649594417

Doctor of Medicine (M.D.)

Amy Rogers , FNP

Nurse Practitioner

NPI 1649679390

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

18 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2026

Family Medicine (License #17139 in FL)

📍

Updated Practice Location January 28, 2026

Registered at 2641 MILLER RUN LN, LINCOLN, CA 956487545 (Tel: 2097546262)

📍

Updated Business Mailing Address January 28, 2026

Registered at PO BOX 939, ANGELS CAMP, CA 952220939

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2026

General Practice (License #20A22510 in CA)

📍

Updated Practice Location January 06, 2025

Registered at 925 BEVINS COURT, LAKEPORT, CA 954539754 (Tel: 7072638383)

📍

Updated Business Mailing Address January 06, 2025

Registered at PO BOX 1950, LAKEPORT, CA 954531950 (Tel: 7072638383)

📍

Updated Practice Location December 28, 2023

Registered at 11531 SE US HIGHWAY 301, BELLEVIEW, FL 344204429 (Tel: 3525531669)

📍

Updated Business Mailing Address December 28, 2023

Registered at 601 S HARBOUR ISLAND BLVD STE 200, TAMPA, FL 336025925 (Tel: 8004805243)

📍

Updated Practice Location October 06, 2020

Registered at 5700 STIRLING RD STE 100, HOLLYWOOD, FL 330211522 (Tel: 2773134764)

📍

Updated Business Mailing Address October 06, 2020

Registered at 721 COLORADO AVE STE 100, STUART, FL 349943017 (Tel: 7728882545)

👤

Provider Name / Credentials Updated October 06, 2020

Recorded as GREGORY AVETISOV, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2020

General Practice (License #OS17139 in FL)

✅

NPI Profile Active April 25, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location April 25, 2013

Registered at 10039 BISSONNET ST STE 250, HOUSTON, TX 770367852 (Tel: 7137799800)

📍

Updated Business Mailing Address April 25, 2013

Registered at 10039 BISSONNET ST STE 250, HOUSTON, TX 770367852 (Tel: 7137799800)

👤

Provider Name / Credentials Updated April 25, 2013

Recorded as GREGORY AVETISOV, SA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2013

Specialist/Technologist, Other (License #11-255 in VA)

🟢

Initial NPI Registration & Enumeration April 25, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679917280

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 25, 2013

Last Update: June 01, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 939

Angels Camp, CA 952220939

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.