David Avina , PA
Physician Assistant โข Elmhurst, IL
155 E Brush Hill Rd
Elmhurst, IL 601265658
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on June 4, 2015; this date does not establish years in practice.
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Published CMS data list 280 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99213 โ Established patient outpatient office visit: 99 service units.
- 99214 โ Established patient outpatient office visit: 46 service units.
- U0002 โ 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc: 33 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 8 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 189 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Prednisone โ 36 prescription fills, including refills.
- Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) โ 25 prescription fills, including refills.
- Fluticasone Propionate โ 24 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 10 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in Elmhurst, IL (2024, 15 clinicians with data). Median for this group: 280. Middle half: 153 to 469.
Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: 212. Middle half: 76 to 548.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 175 in 2020 to 280 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
155 E Brush Hill Rd
Elmhurst, IL 601265658
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 2 distinct group names: Elmhurst Memorial Hospital; Endeavor Health Medical Group. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2015
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
205 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $20,328 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $15,003 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
190 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$2,555 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021โ2025.
Years since graduation
11 years (graduated 2015)
CMS Doctors and Clinicians data list 2015 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2015
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
David Avina has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists David Avina as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Elmhurst and Illinois
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Physician Assistant in Elmhurst, IL (2024, 15 clinicians with data). Median for this group: 280. Middle half: 153 to 469.
Close to the middle for clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: 212. Middle half: 76 to 548.
Medicare-allowed amount
Close to the middle for clinicians listed under Physician Assistant in Elmhurst, IL (2024, 15 clinicians with data). Median for this group: $20,726. Middle half: $9,578 to $42,883.
Close to the middle for clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: $16,580. Middle half: $6,650 to $35,717.
Paid by Medicare
Close to the middle for clinicians listed under Physician Assistant in Elmhurst, IL (2024, 15 clinicians with data). Median for this group: $15,018. Middle half: $7,340 to $32,855.
Close to the middle for clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: $12,415. Middle half: $4,894 to $26,472.
Medicare Part D prescriptions
Fewer Part D prescriptions than 75% of clinicians listed under Physician Assistant in Elmhurst, IL (2024, 15 clinicians with data). Median for this group: 298. Middle half: 198 to 474.
Close to the middle for clinicians listed under Physician Assistant in Illinois (2024, 2,668 clinicians with data). Median for this group: 203. Middle half: 67 to 595.
Part D drug cost
A lower Part D drug cost than 70% of clinicians listed under Physician Assistant in Elmhurst, IL (2024, 15 clinicians with data). Median for this group: $3,284. Middle half: $2,011 to $36,981.
Close to the middle for clinicians listed under Physician Assistant in Illinois (2024, 2,668 clinicians with data). Median for this group: $3,018. Middle half: $535 to $48,132.
21 active clinicians are listed under Physician Assistant with a practice address in Elmhurst, IL (4,929 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Elmhurst
14.3% of these 21 clinicians have the CMS telehealth indicator.
90.5% of these 21 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 60% from 175 in 2020 to 280 in 2024.
- 2020: 175
- 2021: 107
- 2022: 71
- 2023: 267
- 2024: 280
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Medicare-allowed amount
Medicare-allowed amount varied from year to year: $19,854 in 2020 and $20,328 in 2024.
- 2020: $19,854
- 2021: $10,067
- 2022: $7,215
- 2023: $19,137
- 2024: $20,328
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Paid by Medicare
Paid by Medicare varied from year to year: $14,213 in 2020 and $15,003 in 2024.
- 2020: $14,213
- 2021: $6,652
- 2022: $5,248
- 2023: $14,591
- 2024: $15,003
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 627% from 26 in 2020 to 189 in 2024.
- 2020: 26
- 2021: 18
- 2022: 13
- 2023: 141
- 2024: 189
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30-day fills
30-day fills increased 629% from 26 in 2020 to 190 in 2024.
- 2020: 26
- 2021: 18
- 2022: 13
- 2023: 142
- 2024: 190
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Part D drug cost
Part D drug cost went from $138 in 2020 to $2,555 in 2024.
- 2020: $138
- 2021: $75
- 2022: $73
- 2023: $1,203
- 2024: $2,555
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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99 | 99 | $200.79 | $73.78 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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46 | 45 | $287.00 | $98.42 |
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U0002
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc
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33 | 32 | $103.00 | $49.06 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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29 | 29 | $258.45 | $95.89 |
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81002
Urinalysis, manual test
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22 | 22 | $9.00 | $3.41 |
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87502
Detection test by nucleic acid for multiple types influenza virus
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19 | 19 | $192.00 | $89.99 |
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87880
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
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17 | 17 | $49.00 | $16.20 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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15 | 15 | $397.40 | $135.76 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Prednisone | Prednisone | 36 | 181 | $66.82 | 36 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 25 | 211 | $155.32 | 24 |
| Fluticasone Propionate | Fluticasone Propionate | 24 | 720 | $179.94 | 24 |
| Methylprednisolone | Methylprednisolone | 18 | 108 | $54.87 | 18 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 18 | 368 | $56.83 | 18 |
| Cephalexin | Cephalexin | 16 | 116 | $55.95 | 16 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 14 | 236 | $268.87 | 14 |
| Doxycycline Hyclate | Doxycycline Hyclate | 13 | 84 | $64.28 | 13 |
| Paxlovid | Nirmatrelvir/Ritonavir | 13 | 65 | $1,461.56 | 13 |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 12 | 90 | $190.77 | 12 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-03-16NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20170426000176
IL
7719264944
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Endeavor Health Medical Group
6701 Us Hwy 34, Oswego, IL 605439129
Phone: 6306464255
Elmhurst Memorial Hospital
140 -183 Addison, Elmhurst, IL 60126
Phone: 3312211000
Elmhurst Memorial Hospital
155 E Brush Hill Rd, Elmhurst, IL 601265658
Phone: 6307588000
Endeavor Health Medical Group
932 Lake St, Oak Park, IL 603011204
Phone: 3312211700
Elmhurst Memorial Hospital
130 S Main St, Lombard, IL 601482670
Endeavor Health Medical Group
2650 Ridge Ave, Evanston, IL 602011700
Endeavor Health Medical Group
932 Lake St, Oak Park, IL 603011204
Phone: 6305273645
Endeavor Health Medical Group
8 Salt Creek Ln, Hinsdale, IL 605212903
Elmhurst Memorial Hospital
303 W Lake St, Addison, IL 601012565
Phone: 3312214300
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Emergency Medicine
Doctor of Medicine (M.D.)
Nurse Anesthetist, Certified Registered
APNCRNA
Hospitalist
Doctor of Osteopathic Medicine (D.O.)
Hospitalist
Doctor of Medicine (M.D.)
Hospitalist
Doctor of Medicine (M.D.)
Radiology - Diagnostic Radiology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 155 E BRUSH HILL RD, ELMHURST, IL 601265658 (Tel: 7737502003)
NPI status registered as active in NPPES database
Registered at 520 S MAPLE AVE, OAK PARK, IL 603041022 (Tel: 7086605995)
Registered at 520 S MAPLE AVE, OAK PARK, IL 603041022
Recorded as DAVID AVINA, P.A.
Physician Assistant (license number reported to NPPES: IL 085006076)
NPI status registered as active in NPPES database
Registered at 5501 OLD YORK RD, PHILADELPHIA, PA 191413018 (Tel: 2154563834)
Registered at 5501 OLD YORK RD, PHILADELPHIA, PA 191413018
Recorded as DAVID AVINA, P.A.
Student in an Organized Health Care Education/Training Program (license number reported to NPPES: PA TMA053022)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Elmhurst
- Libby Jobe, PA-C
- Meredith Brackett
- Joey Sabatini, PA-C
- Abbey Graves, PA-C
- Sienna Kotch, PA-C
- Yunah Lee, PA-C
Mailing Address
520 S Maple Ave
Oak Park, IL 603041022