Marco Ayala, MD
Otolaryngology · Carlsbad
- 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.
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.
| Alignment Health BreathEasy (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Clarity (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes CalPlus (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Heart & Diabetes Choice (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Honor+ Plan (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health My Choice CalCare (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health smartHMO (HMO) | Alignment Health Plan | Listed | Oct 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 2021Lapsed
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 itOverall 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 itOverall 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.
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 259.01 (209.32 to 308.71) · 75 cases | Worse | Jul 2022 – Jun 2024 |
| Clostridium Difficile (C.Diff)Infections | 0.663 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.1 (0.12 to 2.09) · 819 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.05 (0.71 to 1.4) | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 2.1 · 25 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 8.3 · 66 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 13.2 · 79 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 10.5 · 352 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 16.9 · 304 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 10.9 · 553 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.3 · 4,027 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.21 (0.01 to 0.42) · 5,253 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.38 (0.18 to 0.58) · 5,259 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.31 (1.18 to 5.45) · 1,054 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.48 (0 to 3.12) · 311 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.31 (0.79 to 3.83) · 1,027 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 8.79 (1.06 to 16.51) · 323 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 4.35 (0.39 to 8.3) · 300 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.61 (0.15 to 3.08) · 200 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.98 (0.28 to 1.68) · 3,901 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 4.7 · 42 cases | None | Apr 2023 – Mar 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.567 | No different | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.665 | No different | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.428 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 0.446 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 13.3 · 291 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 21.7 · 1,022 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | -31.9 · 105 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | -20.4 · 420 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 3 · 296 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 18.6 · 814 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 4 (3 to 5.4) · 515 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 11 (9 to 13.4) · 515 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 6.4 · 33 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 11.7 · 44 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 19.6 · 237 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 12.9 (9.8 to 16.7) · 538 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 0.8 (0.6 to 1.1) · 449 cases | No different | Jan 2024 – Dec 2024 |
What patients said (518 patients answered, 25% of those asked)
| Cleanliness | 3 |
| Nurse communication | 3 |
| Doctor communication | 2 |
| Communication about medicines | 2 |
| Discharge information | 3 |
| Overall hospital rating | 2 |
| Quietness | 1 |
| Recommend hospital | 2 |
| Room was "always" clean | 62% |
| Nurses "always" communicated well | 77% |
| Doctors "always" communicated well | 72% |
| Staff "always" explained | 56% |
| Yes, staff "did" give patients this information | 87% |
| Yes, staff "did" give patients information about help after discharge | 84% |
| Doctors "always" explained things so they could understand | 67% |
| Doctors "always" listened carefully | 70% |
| Doctors "always" treated them with courtesy and respect | 80% |
| Patients who gave a rating of "9" or "10" (high) | 57% |
| Staff "always" explained new medications | 69% |
| Nurses "always" explained things so they could understand | 72% |
| Nurses "always" listened carefully | 74% |
| Nurses "always" treated them with courtesy and respect | 84% |
| "Always" quiet at night | 34% |
| "YES", patients would definitely recommend the hospital | 48% |
| Staff "always" explained possible side effects | 43% |
| Yes, staff "did" give patients information about possible symptoms | 90% |
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.
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.05 (0 to 2.15) · 46 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for heart failure patientsComplications and deaths | 10.1 · 41 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 12.9 · 117 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 10.7 · 41 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.9 · 543 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.21 (0 to 0.44) · 622 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.27 (0.05 to 0.48) · 618 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.57 (0 to 1.86) · 344 cases | No different | Jul 2022 – Jun 2024 |
| Clostridium Difficile (C.Diff)Infections | 0 | No different | Oct 2024 – Sep 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 21 · 151 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | -62.5 · 44 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | -20.3 · 135 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 18.3 · 294 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.1 (3.3 to 7.8) · 49 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 10.1 (7.1 to 14.2) · 49 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 18.5 · 71 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 12.5 (9.2 to 16.9) · 261 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1 (0.7 to 1.4) · 86 cases | No different | Jan 2024 – Dec 2024 |
What patients said (282 patients answered, 33% of those asked)
| Cleanliness | 4 |
| Nurse communication | 5 |
| Doctor communication | 2 |
| Communication about medicines | 3 |
| Discharge information | 4 |
| Overall hospital rating | 3 |
| Quietness | 3 |
| Recommend hospital | 3 |
| Room was "always" clean | 75% |
| Nurses "always" communicated well | 85% |
| Doctors "always" communicated well | 73% |
| Staff "always" explained | 63% |
| Yes, staff "did" give patients this information | 90% |
| Yes, staff "did" give patients information about help after discharge | 89% |
| Doctors "always" explained things so they could understand | 68% |
| Doctors "always" listened carefully | 70% |
| Doctors "always" treated them with courtesy and respect | 80% |
| Patients who gave a rating of "9" or "10" (high) | 68% |
| Staff "always" explained new medications | 79% |
| Nurses "always" explained things so they could understand | 83% |
| Nurses "always" listened carefully | 81% |
| Nurses "always" treated them with courtesy and respect | 91% |
| "Always" quiet at night | 53% |
| "YES", patients would definitely recommend the hospital | 64% |
| Staff "always" explained possible side effects | 47% |
| Yes, staff "did" give patients information about possible symptoms | 90% |
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.
| 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 endoscope | 19 | $2,043 | $93 |
| Diagnostic exam of nasal passages using an endoscope | 14 | $1,176 | $78 |
| Short return visit (20+ min) | 12 | $822 | $69 |
See all 6 services
| 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 endoscope | 19 | $2,043 | $93 |
| Diagnostic exam of nasal passages using an endoscope | 14 | $1,176 | $78 |
| Short return visit (20+ min) | 12 | $822 | $69 |
| Removal of impacted ear wax | 14 | $508 | $34 |
Procedures Medicare counted
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 | None |
Procedures year by year
| Procedure | 2022 | 2023 | 2024 |
|---|---|---|---|
| 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
| 2024 | 82 | 183 | 73 | 1.51 | $51,418 | $18,363 |
| 2023 | 26 | 30 | 76 | 1.62 | $6,372 | $1,851 |
| 2022 | 15 | 17 | 70 | 1.23 | $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
| 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.
| New patient visit (45+ min) | 62 | $5,306 |
| New patient visit (30+ min) | 15 | $847 |
| Return visit (30+ min) | 13 | $658 |
| 2024 | 90 | 3 | 21 | $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.
| Fluticasone Propionate | 26 | $302 | $8 |
| Doxycycline Hyclate | 17 | $215 | $12 |
Year by year
| 2024 | 98 | 62 | 0% (0) | None | $1,968 |
| 2023 | 18 | None | 0% (0) | 0% | $199 |
| 2022 | 17 | None | 0% (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
| 2025 | 2 | 12 | None | $1,334 |
| 2023 | 2 | 2 | None | $137 |
| 2021 | 1 | 7 | None | $327 |
| 2019 | 1 | 6 | None | $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.
| Stryker | Scopis Ent | $1,310 | 11 payments
|
| GlaxoSmithKline | Nucala | $24 | 1 payment
|
See all 12 published payments
| Stryker | Meals · 2025-11-24 | Clarifix | $26 |
| GlaxoSmithKline | Meals · 2025-10-17 | Nucala | $24 |
| Stryker | Travel · 2025-09-30 | Scopis Ent | $53 |
| Stryker | Travel · 2025-09-30 | Scopis Ent | $63 |
| Stryker | Meals · 2025-09-25 | Clarifix | $46 |
| Stryker | Meals · 2025-09-25 | Clarifix | $10 |
| Stryker | Travel · 2025-09-25 | Scopis Ent | $592 |
| Stryker | Meals · 2025-09-22 | Scopis Ent | $93 |
| Stryker | Travel · 2025-09-20 | Scopis Ent | $53 |
| Stryker | Meals · 2025-09-11 | Audion Et Dilation System | $5 |
| Stryker | Meals · 2025-09-10 | Xpress Loprofile | $29 |
| Stryker | Travel · 2025-07-30 | Scopis Ent | $340 |
See earlier years (2023, 2021, 2019)
2023: $137
| Stryker | Patient-Fitted Tmj Reconstructive Prosthesis System | $100 | 1 payment
|
| Neurent Medical | Neuromark Device | $37 | 1 payment
|
2021: $327
| Axogen | Avance Nerve Graft | $327 | 2 payments
|
2019: $1,725
| Inspire Medical Systems | Inspire Upper Airway Stimulation System | $1,725 | 2 payments
|
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