Active NPI 1568424422 Individual Practitioner Male Practitioner

Dr. Brian Avecilla Palafox , MD

Specialist • Orange, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Palafox, MD is a certified Specialist practicing in Orange, CA. With approximately 51 years of clinical experience since graduating from University Of California, Irvine, California College Of Medicine in 1975, Dr. Palafox delivers high-quality medical care to the local community at 1310 W STEWART DR.

Dr. Palafox is affiliated with Orange County Thoracic And Cardiovascular Surgeons A Med Corp and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, new patient outpatient office visit, coronary artery bypass using artery graft, 1 graft. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1310 W Stewart Dr
Suite 503

Orange, CA 928683854

Telephone 7149972224

Fax 7149971187

Associated Practice Facility / Clinic

🏢 Adult And Pediatric Orthopaedic Specialists A Medical Group Inc Facility NPI 1902831514

Medicare Profile & Education

Medical School

University Of California, Irvine, California College Of Medicine

Graduation Year

1975

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Orange, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

51 Yrs +13.9 yrs vs City Avg

City Avg: 37.1 Yrs

State Avg: 38.0 Yrs

Regional Practice Density

58 Specialists

Practicing in Orange, CA (6446 Statewide)

Telehealth Adoption Rate

6.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Palafox (51 Years) 51 Yrs

Orange Specialty Average (37.1 Years) 37.1 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	32	$642.45	$178.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$373.14	$120.00
33533 Coronary artery bypass using artery graft, 1 graft	23	23	$3564.43	$1086.68
33268 Exclusion of appendage of left upper chamber of heart performed during other procedure on chest	20	20	$287.03	$88.67
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	20	20	$35.88	$11.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$554.37	$179.08
76998 Ultrasonic guidance during surgery	16	16	$197.49	$46.66
33361 Replacement of aortic valve through the skin and femoral artery	14	14	$2391.64	$741.80
33518 Coronary artery bypass using vein or artery graft, 2 grafts	13	13	$974.41	$295.60
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$304.29	$98.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$642.45	$182.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$554.37	$179.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	11	$230.52	$83.20
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$304.29	$98.29
33533 Coronary artery bypass using artery graft, 1 graft	13	13	$4067.11	$1195.36
33361 Replacement of aortic valve through the skin and femoral artery	12	12	$2391.64	$757.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$373.14	$121.49
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	11	11	$31.71	$9.92
33268 Exclusion of appendage of left upper chamber of heart performed during other procedure on chest	11	11	$282.69	$90.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$642.45	$210.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	15	$230.52	$75.73
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$730.77	$240.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$554.37	$182.74
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	16	16	$44.85	$15.03
33533 Coronary artery bypass using artery graft, 1 graft	16	16	$5346.65	$1622.21
32674 Removal of lymph nodes of chest cavity using an endoscope	13	13	$635.63	$207.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	97	21	$127.79	$41.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	15	$236.00	$76.84
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$691.38	$243.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$655.79	$214.15
99213 Established patient office or other outpatient visit, typically 15 minutes	21	16	$254.27	$101.43
33533 Coronary artery bypass using artery graft, 1 graft	12	12	$5756.93	$1897.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$544.94	$184.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	40	$657.00	$218.52
99213 Established patient office or other outpatient visit, typically 15 minutes	35	24	$249.00	$81.86
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	34	34	$687.00	$227.03
33533 Coronary artery bypass using artery graft, 1 graft	21	21	$5635.35	$1880.10
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	21	21	$51.75	$17.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$544.00	$180.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$361.00	$109.16
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$687.00	$182.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	44	$657.00	$215.86
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	45	45	$687.00	$224.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$361.00	$118.68
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	29	29	$50.32	$16.53
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$249.00	$81.79
33533 Coronary artery bypass using artery graft, 1 graft	24	24	$5256.33	$1688.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$544.00	$178.99
33362 Replacement of aortic valve by through femoral artery	21	21	$3060.08	$968.57
11981 Insertion of drug delivery implant into tissue	11	11	$240.50	$44.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	27	$165.00	$41.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$768.00	$178.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$512.00	$118.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$762.00	$216.45
99213 Established patient office or other outpatient visit, typically 15 minutes	29	25	$266.00	$80.19
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$956.00	$224.23
11981 Insertion of drug delivery implant into tissue	18	18	$437.50	$44.38
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	14	14	$250.00	$16.96
33202 Insertion of electrodes to outer layer of heart, open procedure	14	14	$2224.00	$440.53
33533 Coronary artery bypass using artery graft, 1 graft	12	12	$8611.17	$1804.46
32674 Removal of lymph nodes of chest cavity using an endoscope	12	12	$1557.50	$224.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$513.27	$115.28
99213 Established patient office or other outpatient visit, typically 15 minutes	36	33	$266.00	$78.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	35	$547.00	$141.61
11981 Insertion of drug delivery implant into tissue	23	22	$748.04	$45.08
33361 Replacement of aortic valve through the skin and femoral artery	21	21	$5666.00	$876.21
33533 Coronary artery bypass using artery graft, 1 graft	19	19	$9023.21	$1595.90
33367 Replacement of aortic valve with prosthetic valve on heart-lung machine	19	19	$2608.00	$644.50
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	17	17	$250.00	$16.63
33518 Coronary artery bypass using vein or artery graft, 2 grafts	13	13	$2779.62	$395.98
32674 Removal of lymph nodes of chest cavity using an endoscope	12	11	$947.00	$221.75

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA G33498

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00G334980 (CA)

Hospital & Practice Group Affiliations

Orange County Thoracic And Cardiovascular Surgeons A Med Corp

1310 W Stewart Dr, Orange, CA 928683856

Phone: 7149972224

Practice Associates & Co-Workers

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

14 Associated Practitioners

Ryan Chan , PA

Physician Assistant - Surgical

NPI 1093184988

Physician Assistant

Dr. Sevak Darbinian , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1306859178

Doctor of Medicine (M.D.)

Lionel Gonzales , PA

Physician Assistant - Surgical

NPI 1326072950

Physician Assistant

Dr. Aaron Fowler , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1346582053

Doctor of Medicine (M.D.)

Dr. William Thibault , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1417981929

Doctor of Medicine (M.D.)

Dr. Puneet Dhawan , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1447247853

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 14, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 14, 2015

Registered at 1310 W STEWART DR, SUITE 503, ORANGE, CA 928683854 (Tel: 7149972224)

📍

Updated Business Mailing Address April 14, 2015

Registered at 1310 W STEWART DR, SUITE 503, ORANGE, CA 928683854 (Tel: 7149972224)

👤

Provider Name / Credentials Updated April 14, 2015

Recorded as BRIAN PALAFOX, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2015

Specialist (License #G33498 in CA)

🟢

Initial NPI Registration & Enumeration April 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1568424422

Entity Type:

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

Enumeration Date: April 05, 2006

Last Update: April 14, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1310 W Stewart Dr, Suite 503

Orange, CA 928683854

Phone: 7149972224

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.