Thomas James Avallone, M.D.
Individual provider Active NPI Ophthalmology Physician · Coronado, CA
NPI 1679865950 · NPPES record last updated Sep 28, 2023
Key facts
- NPI
- 1679865950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- A147199 (CA)
- Practice address
- 1317 Ynez Place
Coronado, CA 92118 - Phone
- (619) 435-8800
- Fax
- (888) 635-8108
- NPI assigned
- May 5, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- Louisiana State University School of Medicine in Shreveport, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Island Eye Specialists Apc
Practice addresses (Care Compare)
1317 Ynez PL
Suite a
Coronado, CA 92118-3909
Phone (619) 435-8800
Hospital & facility affiliations
- Sharp Coronado Hospital and Hlthcr Ctr
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.15 of 100
- Quality
- 76.08
- Promoting interoperability
- 72
- Improvement activities
- 40
- Cost
- 75.13
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.3 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 97.68
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 134 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170623002078 | CA | Practitioner - Ophthalmology | 2860760386 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A147199 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Island Eye Specialists, Apc | Single Specialty | Current |
Accepting new patients |
| Scripps Health | Single Specialty | Past | Accepting new patients |
| Sharp Memorial Hospital | Past | Accepting new patients | |
| The Regents of the University of California | Past | Accepting new patients | |
| Scripps Health | Single Specialty | Past | Accepting new patients |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients |
Locations
1317 Ynez Pl
Ste A
Coronado, CA 92118
Phone (619) 435-8800
Interoperability endpoints
- tavallone@ies.intellechartdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Glaucoma Specialist (Ophthalmology) Physician | 207WX0009X | A147199 | CA | |
| Ophthalmology Physician |
207W00000X | A147199 | CA | Yes |
Addresses
Primary practice location
1317 Ynez Place
Coronado, CA 92118
Mailing address
671 B Ave
Coronado, CA 92218
Other practice location 1
700 W El Norte Pkwy
Escondido, CA 92026-3923
Phone (800) 765-2737
Other practice location 2
34800 Bob Wilson Dr
San Diego, CA 92134-7065
Phone (619) 532-6719
Other practice location 3
3939 3rd Ave
San Diego, CA 92103-3002
Phone (800) 765-2737
Other practice location 4
1317 Ynez Pl Ste A
Coronado, CA 92118-3909
Phone (619) 435-8800
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tavallone@ies.intellechartdirect.net |
Other providers in Coronado, CA
- Arctic Circle Occupational Therapy
- Lantz E Arnell
- Asha Devereaux, MD, MPH a Professional Corporation
- Angela Ataya
- Neha Athale
- Ann-Marie Avanni
- Robert Charles Avery
- Avesta Corporation
- Ayouty Dental Corporation
- Baehr Medical Corporation
All providers in Coronado, CA · Ophthalmology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.