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Marco Ayala, MD

Otolaryngology · Carlsbad

NPI 1023089992

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
9
1 carrier
Offices
3
Since medical school
23 years
Graduated 2003

Offices

3 locations · Ritvik Mehta MD Apc · First Choice Physician Partners · Upmc Altoona Regional Health Services, Inc.

Looking this up.

Hospitals listed: Upmc Altoona · Upmc Bedford Memorial. That is not proof they admit you there this week.

Plans that list them

9 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Ayala’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Alignment Health BreathEasy (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Clarity (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)Alignment Health PlanListedOct 3, 2026
Alignment Health Heart & Diabetes Care (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Heart & Diabetes Choice (HMO C-SNP)Alignment Health PlanListedSep 28, 2026
Alignment Health Honor+ Plan (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health My Choice CalCare (HMO)Alignment Health PlanListedOct 3, 2026
Alignment Health smartHMO (HMO)Alignment Health PlanListedOct 3, 2026

State licence records

1 licence

  • Virginia 0101236847Physician · since 2004 · expires 2026-11-30Told the state board they are board certified.
    Current ActiveNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

School, training and certification

3 placements

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

  • Otolaryngologycertified 2011 · ran out 2021
    Lapsed

Education

  • Uniformed Services University Of The Health Sciences F. Edward H�bert School Of Medicine - Bethesda MD2003

Residency and fellowship

  • University of Kansas Medical Center, Head and Neck Oncology and Microvascular ReconstruKansas City, Kansas · 2016
  • Naval Medical Center San Diego, Otolaryngology-Head & Neck SurgerySan Diego, CA · 2010
  • Naval Medical Center San Diego, SurgerySan Diego, CA · 2004

Hospitals they work in

2 hospitals

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Upmc AltoonaAltoona, PAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of UPMC, which runs 34 hospitals in 3 statesPatients rate it 2 of 5 · 48% would definitely recommend it
    Overall rating: 3 of 5 starsWorse than the national rate — Death rate among surgical inpatients with serious treatable complications: 259.01 (209.32 to 308.71) · 75 cases, Jul 2022 – Jun 2024Better than the national rate — Clostridium Difficile (C.Diff): 0.663, Oct 2024 – Sep 2025
  • Upmc Bedford MemorialEverett, PAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of UPMC, which runs 34 hospitals in 3 statesPatients rate it 3 of 5 · 64% would definitely recommend it
    Overall rating: 4 of 5 starsNo measure marked better or worse than the national rate
See every measure and the patient survey for Upmc Altoona

Behind the star rating — Deaths: 0 better, 7 the same, 1 worse of 8 measures. Safety: 3 better, 4 the same, 0 worse of 7 measures. Readmissions: 1 better, 9 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Upmc Altoona
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths259.01 (209.32 to 308.71) · 75 casesWorseJul 2022 – Jun 2024
Clostridium Difficile (C.Diff)Infections0.663BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.1 (0.12 to 2.09) · 819 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.05 (0.71 to 1.4)No differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.1 · 25 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths8.3 · 66 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths13.2 · 79 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.5 · 352 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths16.9 · 304 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.9 · 553 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.3 · 4,027 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.21 (0.01 to 0.42) · 5,253 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.38 (0.18 to 0.58) · 5,259 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.31 (1.18 to 5.45) · 1,054 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.48 (0 to 3.12) · 311 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.31 (0.79 to 3.83) · 1,027 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.79 (1.06 to 16.51) · 323 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.35 (0.39 to 8.3) · 300 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.61 (0.15 to 3.08) · 200 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.98 (0.28 to 1.68) · 3,901 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.7 · 42 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.567No differentOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.665No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.428No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.446No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13.3 · 291 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits21.7 · 1,022 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-31.9 · 105 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-20.4 · 420 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits3 · 296 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.6 · 814 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits4 (3 to 5.4) · 515 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits11 (9 to 13.4) · 515 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits6.4 · 33 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.7 · 44 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.6 · 237 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.9 (9.8 to 16.7) · 538 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.8 (0.6 to 1.1) · 449 casesNo differentJan 2024 – Dec 2024

What patients said (518 patients answered, 25% of those asked)

Patient survey stars by topic at Upmc Altoona
Cleanliness3
Nurse communication3
Doctor communication2
Communication about medicines2
Discharge information3
Overall hospital rating2
Quietness1
Recommend hospital2
Share of patients giving the best answer at Upmc Altoona
Room was "always" clean62%
Nurses "always" communicated well77%
Doctors "always" communicated well72%
Staff "always" explained56%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge84%
Doctors "always" explained things so they could understand67%
Doctors "always" listened carefully70%
Doctors "always" treated them with courtesy and respect80%
Patients who gave a rating of "9" or "10" (high)57%
Staff "always" explained new medications69%
Nurses "always" explained things so they could understand72%
Nurses "always" listened carefully74%
Nurses "always" treated them with courtesy and respect84%
"Always" quiet at night34%
"YES", patients would definitely recommend the hospital48%
Staff "always" explained possible side effects43%
Yes, staff "did" give patients information about possible symptoms90%
See every measure and the patient survey for Upmc Bedford Memorial

Behind the star rating — Deaths: 0 better, 3 the same, 0 worse of 3 measures. Safety: 0 better, 1 the same, 0 worse of 1 measures. Readmissions: 1 better, 7 the same, 0 worse of 8 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Upmc Bedford Memorial
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.05 (0 to 2.15) · 46 casesNo differentJul 2022 – Jun 2024
Death rate for heart failure patientsComplications and deaths10.1 · 41 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths12.9 · 117 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.7 · 41 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.9 · 543 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.21 (0 to 0.44) · 622 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.27 (0.05 to 0.48) · 618 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.57 (0 to 1.86) · 344 casesNo differentJul 2022 – Jun 2024
Clostridium Difficile (C.Diff)Infections0No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits21 · 151 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-62.5 · 44 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-20.3 · 135 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.3 · 294 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.1 (3.3 to 7.8) · 49 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.1 (7.1 to 14.2) · 49 casesNo differentJan 2024 – Dec 2024
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits18.5 · 71 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.5 (9.2 to 16.9) · 261 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 86 casesNo differentJan 2024 – Dec 2024

What patients said (282 patients answered, 33% of those asked)

Patient survey stars by topic at Upmc Bedford Memorial
Cleanliness4
Nurse communication5
Doctor communication2
Communication about medicines3
Discharge information4
Overall hospital rating3
Quietness3
Recommend hospital3
Share of patients giving the best answer at Upmc Bedford Memorial
Room was "always" clean75%
Nurses "always" communicated well85%
Doctors "always" communicated well73%
Staff "always" explained63%
Yes, staff "did" give patients this information90%
Yes, staff "did" give patients information about help after discharge89%
Doctors "always" explained things so they could understand68%
Doctors "always" listened carefully70%
Doctors "always" treated them with courtesy and respect80%
Patients who gave a rating of "9" or "10" (high)68%
Staff "always" explained new medications79%
Nurses "always" explained things so they could understand83%
Nurses "always" listened carefully81%
Nurses "always" treated them with courtesy and respect91%
"Always" quiet at night53%
"YES", patients would definitely recommend the hospital64%
Staff "always" explained possible side effects47%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$18,363

Medicare paid this office $18,363 for 82 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
New patient visit (45+ min)42$5,182$123
Return visit (30+ min)28$3,678$97
Diagnostic exam of voice box using a flexible endoscope19$2,043$93
Diagnostic exam of nasal passages using an endoscope14$1,176$78
Short return visit (20+ min)12$822$69
See all 6 services
Every Original Medicare service billed
New patient visit (45+ min)42$5,182$123
Return visit (30+ min)28$3,678$97
Diagnostic exam of voice box using a flexible endoscope19$2,043$93
Diagnostic exam of nasal passages using an endoscope14$1,176$78
Short return visit (20+ min)12$822$69
Removal of impacted ear wax14$508$34

Procedures Medicare counted

Procedure volume Medicare published
Upper gastrointestinal (GI) endoscopy for acid reflux1-10None

Procedures year by year

Procedures billed to Original Medicare by year
Procedure202220232024
Diagnostic exam of voice box using a flexible endoscope––22
Diagnostic exam of nasal passages using an endoscope––15
Removal of impacted ear wax––15

Times billed to Original Medicare each year. A blank year means fewer than 11 people had it, or none: Medicare does not publish smaller counts. Medicare Advantage patients are not included.

Who their Medicare patients are

82 Original Medicare patients in 2024. Average age 73 · Women 60% · Health risk score 1.51. Above the middle of the specialty; the typical otolaryngology clinician is at 1.19.

Conditions among them: High blood pressure 70% · Coronary heart disease 32% · Chronic kidney disease 28% · Atrial fibrillation 28% · Diabetes 22% · COPD 22% · Depression 22% · Heart failure 20% · Cancer 17%.

The office billed $51,418, Medicare allowed $23,305 and paid $18,363; for 183 services of 21 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
202482183731.51$51,418$18,363
20232630761.62$6,372$1,851
20221517701.23$3,990$1,427

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 1 service

Original Medicare services billed in 2023
Short return visit (20+ min)11$412$37

Medicaid work

$6,812 in 2024

Medicaid paid $6,812 for 90 billed services this clinician did in 2024, up to 21 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
New patient visit (45+ min)62$5,306
New patient visit (30+ min)15$847
Return visit (30+ min)13$658
Medicaid work by year
202490321$6,812

Drugs they prescribed that Part D paid

$1,968

Pharmacies billed $1,968 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 98) in 2024. At or below the middle of the specialty; the typical otolaryngology clinician is at 4%.

97 generic and fewer than 11 brand-name prescriptions · $1,968 in drug cost · 26 antibiotic prescriptions to 24 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Fluticasone Propionate26$302$8
Doxycycline Hyclate17$215$12

Year by year

Part D prescribing by year
202498620% (0)None$1,968
202318None0% (0)0%$199
202217None0% (0)0%$348

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

Money from drug and device companies

$1,334 in 2025

Industry payments by year
2025212None$1,334
202322None$137
202117None$327
201916None$1,725

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
StrykerScopis Ent$1,310
11 payments
  • Meals for Clarifix · 2025-11-24 · $26
  • Travel for Scopis Ent · 2025-09-30 · $53
  • Travel for Scopis Ent · 2025-09-30 · $63
  • Meals for Clarifix · 2025-09-25 · $46
  • Meals for Clarifix · 2025-09-25 · $10
  • Travel for Scopis Ent · 2025-09-25 · $592
  • Meals for Scopis Ent · 2025-09-22 · $93
  • Travel for Scopis Ent · 2025-09-20 · $53
  • Meals for Audion Et Dilation System · 2025-09-11 · $5
  • Meals for Xpress Loprofile · 2025-09-10 · $29
  • Travel for Scopis Ent · 2025-07-30 · $340
GlaxoSmithKlineNucala$24
1 payment
  • Meals for Nucala · 2025-10-17 · $24
See all 12 published payments
Every published payment
StrykerMeals · 2025-11-24Clarifix$26
GlaxoSmithKlineMeals · 2025-10-17Nucala$24
StrykerTravel · 2025-09-30Scopis Ent$53
StrykerTravel · 2025-09-30Scopis Ent$63
StrykerMeals · 2025-09-25Clarifix$46
StrykerMeals · 2025-09-25Clarifix$10
StrykerTravel · 2025-09-25Scopis Ent$592
StrykerMeals · 2025-09-22Scopis Ent$93
StrykerTravel · 2025-09-20Scopis Ent$53
StrykerMeals · 2025-09-11Audion Et Dilation System$5
StrykerMeals · 2025-09-10Xpress Loprofile$29
StrykerTravel · 2025-07-30Scopis Ent$340
See earlier years (2023, 2021, 2019)

2023: $137

Payments by company in 2023
StrykerPatient-Fitted Tmj Reconstructive Prosthesis System$100
1 payment
  • Meals for Patient-Fitted Tmj Reconstructive Prosthesis System · 2023-08-04 · $100
Neurent MedicalNeuromark Device$37
1 payment
  • Meals for Neuromark Device · 2023-08-04 · $37

2021: $327

Payments by company in 2021
AxogenAvance Nerve Graft$327
2 payments
  • Meals for Avance Nerve Graft · 2021-10-17 · $83
  • Meals for Avance Nerve Graft · 2021-10-16 · $244

2019: $1,725

Payments by company in 2019
Inspire Medical SystemsInspire Upper Airway Stimulation System$1,725
2 payments
  • Meals for Inspire Upper Airway Stimulation System · 2019-04-23 · $314
  • Travel for Inspire Upper Airway Stimulation System · 2019-03-04 · $1,411

Professional record

NPI
1023089992
Licence
VA 0101236847Virginia 0101236847: Current Active
Group
Ritvik Mehta MD Apc · First Choice Physician Partners · Upmc Altoona Regional Health Services, Inc.
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Otolaryngology (207Y00000X)
Mailing address
2390 Faraday Ave, Carlsbad, CA, 92008
NPI first listed
2006-01-30
NPI last updated
2025-12-18
NPI record certified
2025-12-18

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 577 Third Ave, Chula Vista, CA, 91910 · 39755 Date St Ste 105, Murrieta, CA, 92563 · 15644 Pomerado Rd Ste 400, Poway, CA, 92064 · 5405 Oberlin Dr Fl 2, San Diego, CA, 92121