Active NPI 1598772428 Individual Practitioner Male Practitioner

Dr. Robert Avena , MD

Internal Medicine • Sullivan, IN

Professional Overview & Biography Verified Profile Summary

Dr. Robert Avena, MD is a registered healthcare professional specializing in Internal Medicine in Sullivan, IN. Practice services are available at 2200 N SECTION ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2200 N Section St

Sullivan, IN 478827523

Telephone 8122686292

Associated Practice Facility / Clinic

🏢 Sullivan County Community Hospital Facility NPI 1497759260

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Sullivan, IN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Sullivan, IN (2204 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

43.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

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	80	68	$160.00	$101.47
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	46	27	$200.00	$99.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	13	$40.00	$12.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	25	$340.00	$192.01
99442 Telephone medical discussion with physician, 11-20 minutes	16	16	$25.00	$24.85

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	224	142	$160.00	$101.53
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	98	45	$200.00	$99.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	86	75	$135.00	$69.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	80	75	$260.00	$131.08
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	74	17	$13.98	$1.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$260.00	$156.02
G0008 Administration of influenza virus vaccine	42	42	$25.00	$15.55
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	35	23	$40.00	$15.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	34	$340.00	$194.15
90662 Influenza vaccine split virus, preservative free	22	22	$70.00	$54.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	22	$220.00	$138.75
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	20	20	$35.00	$17.48
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$340.00	$196.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	340	151	$69.09	$67.62
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	108	71	$98.93	$97.23
99239 Hospital discharge day management, more than 30 minutes	101	98	$102.59	$100.83
99217 Hospital observation care on day of discharge	30	29	$69.30	$68.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$192.02	$188.79
99225 Subsequent observation care, typically 25 minutes per day	22	19	$69.43	$68.41
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$340.00	$194.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$160.00	$101.36
99220 Hospital observation care, typically 70 minutes	14	14	$176.48	$173.68
G0008 Administration of influenza virus vaccine	14	14	$25.00	$19.10
G0009 Administration of pneumococcal vaccine	12	12	$25.00	$19.10
90670 Pneumococcal vaccine for injection into muscle	11	11	$480.00	$201.01
99238 Hospital discharge day management, 30 minutes or less	11	11	$69.04	$67.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$220.00	$136.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	629	270	$105.14	$67.58
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	249	146	$156.68	$98.24
99239 Hospital discharge day management, more than 30 minutes	226	213	$141.07	$101.32
99217 Hospital observation care on day of discharge	83	81	$103.88	$68.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	78	77	$271.58	$191.08
99225 Subsequent observation care, typically 25 minutes per day	61	45	$96.07	$68.12
99291 Critical care, first 30-74 minutes	53	23	$511.66	$209.63
99220 Hospital observation care, typically 70 minutes	46	46	$250.74	$174.64
99238 Hospital discharge day management, 30 minutes or less	17	17	$135.89	$68.13
99226 Subsequent observation care, typically 35 minutes per day	12	11	$134.41	$99.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$213.49	$128.66

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IN 01038723

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1003265760C (IN)

Commercial Insurance / Payer ID Railroad Medicare

110123778 (IN)

Commercial Insurance / Payer ID Federal Black Lung

023329800 (IN)

Commercial Insurance / Payer ID Caqh

10780065 (IN)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Morgan Beard

Nurse Practitioner - Family

NPI 1093509671

Angela Walters , FNP-C

General Practice

NPI 1407674195

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 28, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location September 28, 2010

Registered at 2200 N SECTION ST, SULLIVAN, IN 478827523 (Tel: 8122686292)

📍

Updated Business Mailing Address September 28, 2010

Registered at PO BOX 385, SULLIVAN, IN 478820385 (Tel: 8122686292)

👤

Provider Name / Credentials Updated September 28, 2010

Recorded as ROBERT AVENA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2010

Internal Medicine (License #01038723 in IN)

🟢

Initial NPI Registration & Enumeration August 02, 2006

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: 1598772428

Entity Type:

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

Enumeration Date: August 02, 2006

Last Update: September 28, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 385

Sullivan, IN 478820385

Phone: 8122686292

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.