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Dr. Thomas James Avallone, MD
- Medicare services, 2024
- 3,058
- Medicare patients, 2024
- 703
- Part D claims, 2024
- 979
- Publications
- 1
- Clinical trials
- 1
- Practice address
- 4120 La Jolla Village Dr, La Jolla, CA 92037
- Practice phone
- Call (858) 657-0055
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
UCSD Ambulatory Surgery Center, LLC
La Jolla, California
Find Dr. Avallone's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Thomas James Avallone is an ophthalmologist in La Jolla, California
Dr. Avallone practices at UCSD Ambulatory Surgery Center, LLC in La Jolla, California.
Dr. Avallone's NPI, 1679865950, was assigned on May 5, 2011. Dr. Avallone graduated from LSU Health Shreveport School of Medicine in 2011. Dr. Avallone holds California license A147199.
- NPI
- 1679865950NPI Registry (opens in a new tab)
- Medicare PAC ID
- 2860760386
- NPI enumeration date
- May 5, 2011
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (858) 657-0055
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 41
- Medical school graduation
- 2011
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Thomas James Avallone practices at UCSD Ambulatory Surgery Center, LLC in La Jolla, California
Dr. Avallone's primary practice is UCSD Ambulatory Surgery Center, LLC, at 4120 La Jolla Village Dr, La Jolla, CA 92037 in San Diego County. The practice phone is (858) 657-0055.
- UCSD Ambulatory Surgery Center, LLC4120 La Jolla Village Dr, La Jolla, CA 92037 · San Diego CountyPhone(858) 657-0055
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Thomas James Avallone is affiliated with 3 sites of care and 1 medical group
Dr. Avallone's primary practice is UCSD Ambulatory Surgery Center, LLC in La Jolla, California. Dr. Avallone is also affiliated with Sharp Coronado Hospital. Dmand AI also links Dr. Avallone to 1 more group practice or clinic and 1 medical group, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Thomas James Avallone's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Avallone practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| UCSD Ambulatory Surgery Center, LLC | Available with a free account |
| +2 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Thomas James Avallone is one of 2,621 ophthalmologists in California
Ophthalmology is Dr. Avallone's primary specialty in the NPI Registry, under taxonomy code 207W00000X. Dr. Avallone is board certified in ophthalmology by the American Board of Ophthalmology. Dmand AI has Dr. Avallone's licenses on file in 2 states: California and Nebraska.
Specialties and state licenses
- Ophthalmology, CaliforniaPrimary
- Nebraska license
Clinical focus
Dmand AI lists age-related macular degeneration, cataract, cataract surgery with lens implant, cold sores or genital herpes, conjunctivitis, dry eye, eye infection or inflammation and eyelid inflammation among the conditions Dr. Avallone treats.
Ophthalmologists near Dr. Avallone
Counts of ophthalmologists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Thomas James Avallone billed Medicare for 3,058 services in 2024
CMS data shows 3,058 Medicare services from Dr. Avallone across 20 procedure codes in 2024, for 703 Medicare patients. Medicare paid $233,937 for them.
Dr. Avallone's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Tests and treatments
- 2023: 1,2152024: 1,75344%
- Office and hospital visits
- 2023: 7602024: 65813%
- Surgery
- 2023: 772024: 338339%
- Other services
- 2023: 02024: 200
- Imaging
- 2023: 1802024: 10939%
Where Dr. Avallone's Medicare services took place, 2024
- In an office2,89395%
- In a facility1655%
Dr. Avallone compared with the California median for ophthalmologists, 2024
- Dr. Avallone
- California median
- Medicare services
- 3,058vs 1,0792.8 times
- Medicare patients
- 703vs 42167% above
- Part D claims
- 881vs 61843% above
Medians across 2,568 ophthalmologists in California with Dmand AI profiles that report each measure.
Dr. Avallone's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
Need commercial claims for Dr. Avallone?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Avallone and other ophthalmologists in California.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Thomas James Avallone treated 703 Medicare patients in 2024, average age 79
CMS counts 703 Medicare patients who saw Dr. Avallone in 2024. The largest group is 75 to 84, with 300 patients. 69% of them have high cholesterol, and 65% have high blood pressure. Their average risk score is 1.03, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Avallone's median patient age at 77, with 57% women.
Dr. Avallone's Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Dr. Avallone's Medicare patients by sex, 2024
- Women42160%
- Men28240%
Chronic conditions among Dr. Avallone's Medicare patients, 2024
- High cholesterol69%
- High blood pressure65%
- Arthritis48%
- Ischemic heart disease26%
- Osteoporosis24%
- Atrial fibrillation23%
- Anxiety20%
- Diabetes20%
Share of Medicare patients with each condition. A patient can have several.
Dr. Avallone's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 77
Patient panel by sex, all payers
- Women57%
- Men42%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Thomas James Avallone wrote 979 Medicare Part D claims in 2024
In 2024, Dr. Avallone wrote 979 Medicare Part D claims for 321 patients. 64% of them were for generic drugs. CMS names the drug for 881 of them, across 20 drugs with 11 or more claims each, at $115,210 in total drug cost. In 2023, CMS named 2,219 claims across 29 drugs.
Dr. Avallone's Part D claims by kind of drug, 2024
- Generic625 claims64%
- Brand-name354 claims36%
Dr. Avallone's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 2,2192024: 88160%
Drugs named by CMS: 20 in 2024, 29 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Thomas James Avallone scored 99 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 99 out of 100 for Dr. Avallone for performance year 2024, reported as part of a group. Dr. Avallone accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 156 procedures of cataract surgery by Dr. Avallone, more than 80% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
Dr. Avallone's MIPS scores, performance year 2024
- 99of 100Final score
- 100of 100Quality
- 40of 100Improvement Activities
- 98of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Where Dr. Avallone ranks in Medicare procedure volume
- Cataract surgery
- 80th percentile156 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)
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Dr. Thomas James Avallone has 1 publication on record
Dmand AI links 1 paper to Dr. Avallone. Dr. Avallone's most frequent co-authors are Jeremy Mark Burnham, MD and Anne M. Hollister, MD.
Dr. Avallone's most frequent co-authors
Recent publications by Dr. Avallone
See who Dr. Avallone researches with
Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Avallone works with, so you can find a warm path to the right ophthalmologists.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Dr. Thomas James Avallone has worked on 1 clinical trial
Dmand AI links Dr. Avallone to 1 clinical trial. Conditions studied include Myopia and Refractive Errors.
Conditions in Dr. Avallone's trials
- Myopia
- Refractive Errors
Recent clinical trials with Dr. Avallone
Sources: Dmand AI Research Linkage; and ClinicalTrials.gov (National Library of Medicine)
Dr. Thomas James Avallone received $5,970 in industry payments from 2017 to 2025
CMS Open Payments shows 146 general payments to Dr. Avallone from 24 drug and device companies from 2017 to 2025. Food and beverage make up the largest share, 97% of the total. Alcon Laboratories Inc paid the most, $1,182.
General payments to Dr. Avallone by program year, 2017 to 2025
General payments to Dr. Avallone by kind, 2017 to 2025
- Food and beverage$5,77697%
- Education$1713%
- Entertainment$230%
Companies that paid Dr. Avallone the most, 2017 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Thomas James Avallone has 2 awards and honors on record
Dmand AI lists 2 awards for Dr. Avallone, most recently Chief Resident in 2015.
Awards and honors for Dr. Avallone
- 2015
- Chief Resident
- Department of Ophthalmology Research Award
Dr. Avallone's committees and leadership roles
- Informatics Steering Council Naval Medical Center San DiegoEye Care Champion
- 2018 to 2022
- Laser Use & Safety Committee Naval Medical Center San DiegoChairman
- 2018 to 2022
- Executive Committee of the Medical Staff (ECOMS) Operative & Invasive Procedures Subcommittee Naval Medical Center San DiegoMember
- 2014 to 2015
- Graduate Medical Education Committee (GMEC) Clinical Learning Environment Review (CLER) Supervision Subcommittee Naval Medical Center San DiegoMember
- 2014 to 2015
- House Staff Council Naval Medical Center San DiegoMember
- 2013 to 2015
Source: Dmand AI Professional Profile Data
Dr. Thomas James Avallone graduated from LSU Health Shreveport School of Medicine
Dr. Avallone graduated from LSU Health Shreveport School of Medicine in 2011. Dr. Avallone is a member of AAO, American Glaucoma Society and ASCRS.
- Medical school
- Board certified in ophthalmology
Source: Dmand AI Professional Profile Data
Dr. Thomas James Avallone accepts plans from 9 insurance carriers
Dr. Avallone is in network with 9 carriers, including Elevance, Aetna and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 8. Check the plan with the practice before a visit.
- Elevance
- Aetna
- Blue Cross Blue Shield of Michigan
- Humana
- Blue Cross Blue Shield of Massachusetts
- HCSC
- Molina
- Regence Health Plans
- +1 more carriersWith a free account
Plan types Dr. Avallone accepts, by number of carriers
- Medicare8
- PPO7
- HMO5
- POS3
- EPO2
Source: Dmand AI Insurance Network Data
Sources for Dr. Thomas James Avallone's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Publications, topics and co-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Clinical trials and co-investigators | Dmand AI Research LinkageClinicalTrials.gov (National Library of Medicine) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Awards and committee roles | Dmand AI Professional Profile Data |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Thomas James Avallone
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Thomas James Avallone's NPI number?
Dr. Thomas James Avallone's NPI number is 1679865950. It was assigned on May 5, 2011, and it is active in the NPI Registry.
What kind of doctor is Dr. Thomas James Avallone?
Dr. Thomas James Avallone is an ophthalmologist in La Jolla, California. The primary specialty in the NPI Registry is Ophthalmology Physician (taxonomy code 207W00000X).
Where does Dr. Thomas James Avallone practice?
Dr. Avallone practices at 4120 La Jolla Village Dr, La Jolla, CA 92037. Dr. Avallone's primary practice is UCSD Ambulatory Surgery Center, LLC in La Jolla, California. Dmand AI also links Dr. Avallone to 1 group practice or clinic and 1 medical group.
What is Dr. Thomas James Avallone's office phone number?
The practice phone on file for Dr. Avallone is (858) 657-0055.
What is Dr. Thomas James Avallone's medical license number?
Dr. Avallone holds California license A147199, one of the licenses on file in 2 states.
Which states has Dr. Thomas James Avallone been licensed in?
Dmand AI has state licenses on file for Dr. Avallone in California (2017 to 2026) and Nebraska (2012 to 2024).
Which hospitals is Dr. Thomas James Avallone affiliated with?
Dr. Avallone is affiliated with Sharp Coronado Hospital.
Does Dr. Thomas James Avallone accept Medicare?
Yes. CMS data shows Dr. Avallone billed Medicare for 3,058 services in 2024, and Dr. Avallone accepts Medicare assignment.
What is Dr. Thomas James Avallone's MIPS score?
Dr. Avallone's MIPS final score for performance year 2024 is 99 out of 100, reported as part of a group.
How many Medicare patients does Dr. Thomas James Avallone see?
CMS counts 703 Medicare patients who saw Dr. Avallone in 2024, with an average age of 79.
Show 9 more questionsShow fewer questions
Is Dr. Thomas James Avallone board certified?
Yes. Dr. Avallone is board certified in ophthalmology by the American Board of Ophthalmology.
What services does Dr. Thomas James Avallone bill to Medicare?
In 2024, Dr. Avallone's most billed Medicare services were eye exam or test (92014), eye exam or test (92012) and eye exam or test (92133).
Where did Dr. Thomas James Avallone go to medical school?
Dr. Avallone graduated from LSU Health Shreveport School of Medicine in 2011.
What drugs does Dr. Thomas James Avallone prescribe most?
In 2024 Medicare Part D data, Dr. Avallone's most prescribed drugs by claims were Latanoprost, Dorzolamide-Timolol and Brimonidine Tartrate.
Has Dr. Thomas James Avallone received payments from drug or device companies?
CMS Open Payments shows $5,970 in general payments to Dr. Avallone from 24 companies from 2017 to 2025. The largest total came from Alcon Laboratories Inc.
How long has Dr. Thomas James Avallone been practicing?
Dr. Avallone graduated from medical school in 2011, 15 years ago.
Does Dr. Thomas James Avallone do research?
Dmand AI links 1 publication to Dr. Avallone. Dr. Avallone has worked on 1 clinical trial.
Who does Dr. Thomas James Avallone publish with?
Dr. Avallone's most frequent co-authors are Jeremy Mark Burnham, MD (1 shared paper) and Anne M. Hollister, MD (1 shared paper).
What insurance does Dr. Thomas James Avallone accept?
Dr. Avallone is in network with 9 carriers, including Elevance, Aetna and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 8. Check the plan with the practice before a visit.
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