Dr. Michael Anthony Avallone, MD
- Medicare services, 2024
- 13,628
- Medicare patients, 2024
- 1,560
- Part D claims, 2024
- 2,693
- Publications
- 5
- MIPS score, 2024
- 99
- Practice address
- 225 Prado Rd, San Luis Obispo, CA 93401
- Practice phone
- Call (805) 786-2500
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Urology Associates of the Central Coast
San Luis Obispo, California
Find Dr. Avallone's professional email, personal email and mobile number
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Dr. Michael Anthony Avallone is a urologist in San Luis Obispo, California
Dr. Avallone practices at Urology Associates of the Central Coast in San Luis Obispo, California.
Dr. Avallone's NPI, 1013273036, was assigned on April 3, 2012. Dr. Avallone graduated from University of Miami, Miller School of Medicine in 2012. Dr. Avallone's Colorado license number on file is DR.0058294.
- NPI
- 1013273036NPI Registry (opens in a new tab)
- Medicare PAC ID
- 8527387042
- NPI enumeration date
- April 3, 2012
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (805) 786-2500
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 40
- Medical school graduation
- 2012
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Michael Anthony Avallone practices at Urology Associates of the Central Coast in San Luis Obispo, California
Dr. Avallone's primary practice is Urology Associates of the Central Coast, at 225 Prado Rd, San Luis Obispo, CA 93401 in San Luis Obispo County. The practice phone is (805) 786-2500.
- Urology Associates of the Central Coast225 Prado Rd, San Luis Obispo, CA 93401 · San Luis Obispo CountyPhone(805) 786-2500
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Michael Anthony Avallone is affiliated with 7 sites of care and 1 medical group
Dr. Avallone's primary practice is Urology Associates of the Central Coast in San Luis Obispo, California. Dr. Avallone is also affiliated with Dignity Health - French Hospital Medical Center. The medical group on file is Urology Associates of the Central Coast. Dmand AI also links Dr. Avallone to 3 more hospitals and 2 home health agencies, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Michael Anthony Avallone's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Avallone practices, 6 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Urology Associates of the Central Coast | Available with a free account |
| +6 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Michael Anthony Avallone is one of 1,395 urologists in California
Urology is Dr. Avallone's primary specialty in the NPI Registry, under taxonomy code 208800000X. Dr. Avallone is board certified in urology by the American Board of Urology. Dmand AI has Dr. Avallone's licenses on file in 3 states: Colorado, California and Wisconsin.
Specialties and state licenses
- Urology, ColoradoPrimary
- California license
- Wisconsin license
Clinical focus
Dmand AI lists bladder disease, enlarged prostate, enlarged prostate transurethral surgery (TURP), erectile dysfunction, kidney cysts, kidney removal surgery, kidney stone disease and pelvic prolapse among the conditions Dr. Avallone treats.
Urologists near Dr. Avallone
Counts of urologists 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. Michael Anthony Avallone billed Medicare for 13,628 services in 2024
CMS data shows 13,628 Medicare services from Dr. Avallone across 37 procedure codes in 2024, for 1,560 Medicare patients. Medicare paid $504,345 for them.
Dr. Avallone's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Drugs given in the office
- 2023: 7,6232024: 7,0468%
- Office and hospital visits
- 2023: 2,8872024: 2,8242%
- Surgery
- 2023: 1,5612024: 1,4895%
- Lab and pathology
- 2023: 1,1462024: 1,0974%
- Other services
- 2023: 512024: 8901645%
- Tests and treatments
- 2023: 1752024: 1609%
- Imaging
- 2023: 1052024: 12216%
Where Dr. Avallone's Medicare services took place, 2024
- In an office13,46599%
- In a facility1631%
Dr. Avallone compared with the California median for urologists, 2024
- Dr. Avallone
- California median
- Medicare services
- 13,628vs 1,05013.0 times
- Medicare patients
- 1,560vs 3464.5 times
- Part D claims
- 2,587vs 6424.0 times
Medians across 1,310 urologists 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.
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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Avallone and other urologists in California.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Michael Anthony Avallone treated 1,560 Medicare patients in 2024, average age 75
CMS counts 1,560 Medicare patients who saw Dr. Avallone in 2024. The largest group is 65 to 74, with 653 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 31% are also on Medicaid. Their average risk score is 1.40, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Avallone's median patient age at 69, with 29% women.
Dr. Avallone's Medicare patients by age, 2024
Dr. Avallone's Medicare patients by sex, 2024
- Women49031%
- Men1,07069%
Chronic conditions among Dr. Avallone's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis46%
- Diabetes35%
- Chronic kidney disease29%
- Cancer25%
- Ischemic heart disease24%
- Mood disorders24%
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 69
Patient panel by sex, all payers
- Women29%
- Men71%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Michael Anthony Avallone wrote 2,693 Medicare Part D claims in 2024
In 2024, Dr. Avallone wrote 2,693 Medicare Part D claims for 752 patients. 85% of them were for generic drugs. CMS names the drug for 2,587 of them, across 29 drugs with 11 or more claims each, at $1,711,744 in total drug cost. In 2023, CMS named 2,515 claims across 25 drugs.
Dr. Avallone's Part D claims by kind of drug, 2024
- Generic2,278 claims85%
- Brand-name and other415 claims15%
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.
Drug classes CMS tracks in Dr. Avallone's Part D claims, 2024
- Opioids2%67 of 2,693 claims
- Antibiotics10%273 of 2,693 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 2,5152024: 2,5873%
Drugs named by CMS: 29 in 2024, 25 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. Michael Anthony 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 lists Dr. Avallone as offering telehealth. CMS counts 11 procedures of prostate resection by Dr. Avallone, more than 60% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Dr. Avallone's MIPS scores, performance year 2024
- 99of 100Final score
- 99of 100Promoting Interoperability
- 40of 100Improvement Activities
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
- Prostate resection
- 60th percentile11 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Removal of tissue: 1 to 10 procedures (CMS shows small counts as a range)
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. Michael Anthony Avallone has 5 publications on record
Dmand AI links 5 papers to Dr. Avallone, published from 2015 to 2019. The most frequent topics are Urologic Surgical Procedures. Dr. Avallone's most frequent co-authors are Carley M. Davis, MD, Michael L. Guralnick, MD and Brian J. Flynn, MD.
Dr. Avallone's papers by year, 2015 to 2019
Topics Dr. Avallone writes about most
- Urologic Surgical Procedures
Dr. Avallone's most frequent co-authors
- Carley M. Davis, MD2 shared papers
- Michael L. Guralnick, MD2 shared papers
- Brian J. Flynn, MD1 shared paper
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 urologists.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Dr. Michael Anthony Avallone received $8,891 in industry payments from 2016 to 2025
CMS Open Payments shows 281 general payments to Dr. Avallone from 52 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 78% of the total. Boston Scientific Corporation paid the most, $1,474.
General payments to Dr. Avallone by program year, 2016 to 2025
General payments to Dr. Avallone by kind, 2016 to 2025
- Food and beverage$6,89978%
- Travel and lodging$1,50117%
- Education$4916%
Companies that paid Dr. Avallone the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Michael Anthony Avallone graduated from University of Miami, Miller School of Medicine
Dr. Avallone graduated from University of Miami, Miller School of Medicine in 2012.
- Medical school
- Board certified in urology
Source: Dmand AI Professional Profile Data
Dr. Michael Anthony Avallone accepts plans from 15 insurance carriers
Dr. Avallone is in network with 15 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.
- Aetna
- Elevance
- Blue Cross Blue Shield of Michigan
- United Healthcare
- HCSC
- Blue Cross Blue Shield of Massachusetts
- Regence Health Plans
- Alliant Health Plans
- +7 more carriersWith a free account
Plan types Dr. Avallone accepts, by number of carriers
- PPO9
- Medicare8
- HMO6
- POS5
- EPO4
- Medicaid1
Source: Dmand AI Insurance Network Data
Sources for Dr. Michael Anthony 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 DataDmand AI Org Hierarchy 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 |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| 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. Michael Anthony 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. Michael Anthony Avallone's NPI number?
Dr. Michael Anthony Avallone's NPI number is 1013273036. It was assigned on April 3, 2012, and it is active in the NPI Registry.
What kind of doctor is Dr. Michael Anthony Avallone?
Dr. Michael Anthony Avallone is a urologist in San Luis Obispo, California. The primary specialty in the NPI Registry is Urology Physician (taxonomy code 208800000X).
Where does Dr. Michael Anthony Avallone practice?
Dr. Avallone practices at 225 Prado Rd, San Luis Obispo, CA 93401. Dr. Avallone's primary practice is Urology Associates of the Central Coast in San Luis Obispo, California. Dmand AI also links Dr. Avallone to 3 hospitals and 2 home health agencies.
What is Dr. Michael Anthony Avallone's office phone number?
The practice phone on file for Dr. Avallone is (805) 786-2500.
What is Dr. Michael Anthony Avallone's medical license number?
Dr. Avallone's Colorado license number on file is DR.0058294, one of the licenses on file in 3 states.
Which states has Dr. Michael Anthony Avallone been licensed in?
Dmand AI has state licenses on file for Dr. Avallone in Colorado (2017 to 2019), California (2018 to 2026) and Wisconsin (2013 to 2017).
Which hospitals is Dr. Michael Anthony Avallone affiliated with?
Dr. Avallone is affiliated with Dignity Health - French Hospital Medical Center. Dmand AI links Dr. Avallone to 3 more hospitals.
What medical group is Dr. Michael Anthony Avallone part of?
Dr. Avallone is linked to Urology Associates of the Central Coast.
Does Dr. Michael Anthony Avallone accept Medicare?
Yes. CMS data shows Dr. Avallone billed Medicare for 13,628 services in 2024, and Dr. Avallone accepts Medicare assignment.
Does Dr. Michael Anthony Avallone offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Dr. Avallone as offering telehealth services.
Show 11 more questionsShow fewer questions
What is Dr. Michael Anthony 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. Michael Anthony Avallone see?
CMS counts 1,560 Medicare patients who saw Dr. Avallone in 2024, with an average age of 75.
Is Dr. Michael Anthony Avallone board certified?
Yes. Dr. Avallone is board certified in urology by the American Board of Urology.
What services does Dr. Michael Anthony Avallone bill to Medicare?
In 2024, Dr. Avallone's most billed Medicare services were injected or infused drug (J0897), injected or infused drug (J0585) and office visit, established patient (99214).
Where did Dr. Michael Anthony Avallone go to medical school?
Dr. Avallone graduated from University of Miami, Miller School of Medicine in 2012.
What drugs does Dr. Michael Anthony Avallone prescribe most?
In 2024 Medicare Part D data, Dr. Avallone's most prescribed drugs by claims were Tamsulosin HCl, Finasteride and Gemtesa.
Has Dr. Michael Anthony Avallone received payments from drug or device companies?
CMS Open Payments shows $8,891 in general payments to Dr. Avallone from 52 companies from 2016 to 2025. The largest total came from Boston Scientific Corporation.
How long has Dr. Michael Anthony Avallone been practicing?
Dr. Avallone graduated from medical school in 2012, 14 years ago.
Does Dr. Michael Anthony Avallone do research?
Dmand AI links 5 publications to Dr. Avallone, published from 2015 to 2019.
Who does Dr. Michael Anthony Avallone publish with?
Dr. Avallone's most frequent co-authors are Carley M. Davis, MD (2 shared papers), Michael L. Guralnick, MD (2 shared papers) and Brian J. Flynn, MD (1 shared paper).
What insurance does Dr. Michael Anthony Avallone accept?
Dr. Avallone is in network with 15 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.
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