Active NPI 1134176837 Individual Practitioner Male Practitioner

Dr. Rafael A Avila , MD

Plastic Surgery • Mission, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Rafael Avila, MD is a certified Plastic Surgery practicing in Mission, TX. With approximately 37 years of clinical experience since graduating from University Of Texas Medical School At San Antonio in 1989, Dr. Avila delivers high-quality medical care to the local community at 1022 E GRIFFIN PKWY STE 110.

Dr. Avila accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1022 E Griffin Pkwy Ste 110

Mission, TX 785722401

Telephone 9565191332

Fax 9565193515

Associated Practice Facility / Clinic

🏢 Rafael A. Avila M.d. P.a. Facility NPI 1407063175

Medicare Profile & Education

Medical School

University Of Texas Medical School At San Antonio

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Mission, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs Matches City Avg

City Avg: 37.0 Yrs

State Avg: 29.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Mission, TX (399 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Avila (37 Years) 37 Yrs

Mission Specialty Average (37.0 Years) 37.0 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
99202 New patient office or other outpatient visit, typically 20 minutes	57	57	$135.00	$68.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	19	$86.00	$53.82
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	21	18	$560.00	$213.67
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	12	$661.00	$245.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	52	52	$135.00	$69.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	30	$86.00	$54.09
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	21	20	$2230.00	$619.51
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	19	19	$560.00	$221.72
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	14	$661.00	$256.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	47	47	$135.00	$70.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	31	$86.00	$54.57
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	30	24	$560.00	$215.88
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	21	18	$661.00	$242.65
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	12	12	$2230.00	$635.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	52	52	$135.00	$70.94
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	24	21	$560.00	$210.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	14	$86.00	$54.77
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	14	$661.00	$249.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	42	42	$135.00	$73.82
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	34	29	$560.00	$218.85
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	26	22	$661.00	$258.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	19	$86.00	$43.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	67	67	$135.00	$70.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	44	$86.00	$41.97
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	30	26	$661.00	$248.66
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	21	20	$560.00	$195.40
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	15	15	$2230.00	$613.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	92	92	$135.00	$68.12
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	47	39	$661.00	$237.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	33	$86.00	$39.74
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	35	30	$560.00	$191.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	60	60	$135.00	$66.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	29	$86.00	$38.87
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	18	17	$661.00	$235.20
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	17	15	$560.00	$199.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$188.00	$96.34

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License TX K5785

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 1022 E GRIFFIN PKWY STE 110, MISSION, TX 785722401 (Tel: 9565191332)

📍

Updated Business Mailing Address July 09, 2007

Registered at 1022 EAST GRIFFIN PARKWAY STE 110, MISSION, TX 78572 (Tel: 9565191332)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as RAFAEL AVILA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Plastic Surgery (License #K5785 in TX)

🟢

Initial NPI Registration & Enumeration May 28, 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: 1134176837

Entity Type:

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

Enumeration Date: May 28, 2006

Last Update: July 09, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1022 East Griffin Parkway Ste 110

Mission, TX 78572

Phone: 9565191332

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.