Dr. Thomas James Avallone, MD

  • La Jolla, CA
  • Ophthalmologist
NPI1679865950PAC ID2860760386
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
Social profiles

Primary practice

UCSD Ambulatory Surgery Center, LLC

La Jolla, California

See all 4 affiliations

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.

View contacts for free

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 and contact details
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, LLC
    4120 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.

See all 4 affiliations for Dr. Avallone

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.

EHR by site
SiteEHR vendor and product
UCSD Ambulatory Surgery Center, LLCAvailable with a free account
+2 more sites and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

See the EHR and IT leaders at every site where Dr. Avallone practices

Dmand AI maps EHR vendors, IT decision makers and buying committees across each health system and 6.2K+ hospitals, with verified contacts in the same login.

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, CaliforniaPrimaryLicense A147199 · 2017 to 2026 · taxonomy 207W00000X
  • Nebraska license2012 to 2024

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.

Medicare services, 20243,058
Medicare patients703
Paid by Medicare$233,937
Procedure codes20

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.

See all procedures by Dr. Avallone

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.

Book a meeting

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.

Medicare patients, 2024703
Average age79
Average risk score1.03

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

  1. High cholesterol69%
  2. High blood pressure65%
  3. Arthritis48%
  4. Ischemic heart disease26%
  5. Osteoporosis24%
  6. Atrial fibrillation23%
  7. Anxiety20%
  8. 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.

Part D claims, 2024979
Drugs named by CMS20
Total drug cost$115,210
Part D patients321

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.

See all prescribing by Dr. Avallone

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)

For MedTech and pharma teams

Find ophthalmologists like Dr. Avallone by procedure volume and prescribing

Filter 7.4M+ HCPs by Medicare procedures, Part D drugs and Open Payments history, then reach them with verified contacts in one login.

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.

Papers1

Dr. Avallone's most frequent co-authors

Recent publications by Dr. Avallone

See all 1 publications and co-authors

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.

How network discovery works

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

$6Kin total
  • 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.

See all payments to Dr. Avallone

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

  1. 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.

  1. Medical schoolLSU Health Shreveport School of Medicine
  2. Board certified in ophthalmologyAmerican Board of 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.

Plan types Dr. Avallone accepts, by number of carriers

  1. Medicare8
  2. PPO7
  3. HMO5
  4. POS3
  5. EPO2

Source: Dmand AI Insurance Network Data

Sources for Dr. Thomas James Avallone's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare 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 percentilesDoctors 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-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Clinical trials and co-investigatorsDmand AI Research LinkageClinicalTrials.gov (National Library of Medicine) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Awards and committee rolesDmand AI Professional Profile Data
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand 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.

Selling to ophthalmology practices?

See ophthalmologists in California by site of care and group

Find the practices, groups and hospitals they work with, and the right people to contact at each.

  • 30 days free
  • Self-serve
  • No credit card

Cookie settings

Turn each category on or off. Your choice is kept for 12 months and you can change it here at any time.

Necessary

Always on. Sign-in, security, downloads you asked for, your cookie choice, and the page that led to a signup.

View cookies (6)
  • dm_consentDmand AI. Your cookie choices and whether your browser sent a Global Privacy Control signal. 12 months.
  • dm_ft, dm_ltDmand AI. The first and the latest page you arrived on, with the date, so a signup is credited to the page that worked. 90 days, 30 days.
  • dm_fs, dm_lsDmand AI. The first and the latest source of a visit (a search engine, a campaign or the site that linked here). 90 days, 30 days.
  • dm_dl, dm_dl_okDmand AI. After you give an email address for a download, lets you download files without being asked again. 30 days.
  • Session and CSRF cookiesDmand AI (app.dmand.ai). Sign-in and form protection in the application. Session.
  • __cf_bm, cf_clearanceCloudflare. Tells people from automated traffic and keeps the site available. 30 minutes; cf_clearance while a security check is valid.

Analytics

On unless you turn it off. How pages are used, in aggregate, and recordings of how pages are used.

View cookies (6)
  • Google Tag ManagerGoogle. Loads the analytics and marketing tags that are on. Sets no cookie of its own and does not load when both categories are off. n/a.
  • _ga, _ga_<container-id>Google Analytics 4. Visits and page views in aggregate on dmand.ai. 2 years.
  • _clck, _clskMicrosoft Clarity. Recordings and heatmaps of how pages are used, with form fields masked. 1 year, 1 day.
  • CLID, MUID, ANONCHK, MR, SMMicrosoft (clarity.ms). Set by Microsoft when Clarity loads, to recognize a browser across sites that use Clarity. Up to 1 year.
  • None (cookieless)Ahrefs Analytics. Page views in aggregate. n/a.
  • ph_<project>_posthogPostHog. Product usage, errors and performance in app.dmand.ai, used to fix bugs and improve features. 365 days.

Marketing

On unless you turn it off, and always off when your browser sends a Global Privacy Control signal. A visitor identification service tells our sales team which companies and people visit.

View cookies (6)
  • _reb2buid, _reb2butkRB2B. Recognizes a returning browser for visitor identification. 360 days, 1 year.
  • _reb2bgeoRB2B. The location used to decide whether a visit can be identified. 20 days.
  • _reb2brefRB2B. The page or site that referred the visit. 15 days.
  • _reb2bfxf, _reb2btd, _reb2bliRB2B. Links the visit to an identified business profile. 1 month.
  • _reb2bresolveRB2B. Holds a match while it is being resolved. 2 days.
  • _reb2sessionID, _reb2bloadedRB2B. The current visit, and a guard against loading the script twice. 30 minutes, 1 second.

Functional

On unless you turn it off. Remembers choices such as a collapsed section.

View cookies (none today)