Active NPI
Stephen Pavlock, MD
- Diagnostic Radiology Physician
- Midland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- SP057702
- Practice address
- 2565 N Hummingbird Pass
Midland, MI 48642-7892 - Phone
- (989) 835-5413
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 83257 | CT | |
| Diagnostic Radiology Physician | 2085R0202X | SP057702 | MI | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 340654 | NY |
Addresses
Primary practice location
2565 N Hummingbird Pass
Midland, MI 48642-7892
Mailing address
2565 N Hummingbird Pass
Midland, MI 48642-7892
Phone (989) 835-5413
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124048160 | Medicaid | MI | |
| 300E676040 | Other | MA | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH, NJ, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Wayne State University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2565 N Hummingbird Pass
Midland, MI 48642-7892
Phone (845) 871-3403
420 E Hewitt Ave
Marquette, MI 49855-3714
Phone (713) 461-3573
850 W Baraga Ave
Marquette, MI 49855-4550
Phone (713) 461-3573
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (732) 369-5994
Hospital & facility affiliations
- Vassar Brothers Medical Center
- Uphs Marquette DLP Hospital
- Northern Dutchess Hospital
- Cooperman Barnabas Medical Center
- Putnam Hospital Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.4 of 100
- Quality
- 66.97
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83257 | CT | MD | Diagnostic Radiology Physician |
| SP057702 | MI | MD | Diagnostic Radiology Physician |
| 340654 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rwjbh Observation Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Saint Barnabas Outpatient Centers | Current | Accepting new patients | |
| Midland Radiology Associates PC | Diagnostic Radiology | Current | Accepting new patients |
| Nuvance Health Medical Practice PC | Current | Accepting new patients | |
| Radiology Associates of Canton, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| Columbus Radiology Corp | Diagnostic Radiology | Current | Accepting new patients |
| Hurley Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Hurley Medical Center | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown Specialty Care LLC | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Associates of Michigan PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| Hurley Medical Center | Current | Accepting new patients | |
| Valley Physician Services PC | Current | Accepting new patients | |
| Midland Radiology Associates PC | Diagnostic Radiology | Past | Accepting new patients |
| Mymichigan Medical Center Midland | Past | Accepting new patients |
Locations
1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000
515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201
850 W Baraga Ave
Marquette, MI 49855
Phone (906) 225-3595
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180
107 Royal Birkdale Dr
Ste A
Columbiana, OH 44408
Phone (330) 482-9350
471 E Broad St
Ste 1400
Columbus, OH 43215
Phone (614) 221-9241
410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905
832 S Main St
Orrville, OH 44667
Phone (330) 456-2695
1932 Niles Cortland Rd NE
Ste X
Warren, OH 44484
Phone (330) 306-5371
8423 Market St
Ste 207
Youngstown, OH 44512
Phone (330) 729-7901
Organizations & group practices 18
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Marquette, MI
- NPI 1164943007
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
Diagnostic Radiology
-
- Obstetrics & Gynecology Physician
- Flint, MI
- NPI 1982630844
-
- Diagnostic Radiology Physician
- Midland, MI
- NPI 1861419954
-
- Surgery Physician
- Youngstown, OH
- NPI 1649892225
-
- Diagnostic Radiology Physician
- Morristown, NJ
- NPI 1144858408
MI
-
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
-
- Plastic and Reconstructive Surgery Physician
- Flint, MI
- NPI 1689345761
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Marquette, MI
- NPI 1568727048
-
- General Acute Care Hospital
- Livingston, NJ
- NPI 1396857488
-
- General Acute Care Hospital
- Rhinebeck, NY
- NPI 1124072715
-
- General Acute Care Hospital
- Carmel, NY
- NPI 1972557379
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762819200000",
"number": "1124048160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2565 N HUMMINGBIRD PASS",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486427892",
"telephone_number": "989-835-5413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2565 N HUMMINGBIRD PASS",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486427892",
"telephone_number": "989-835-5413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVLOCK",
"first_name": "STEPHEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CT",
"license": "83257",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "SP057702",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "340654",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124048160",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "300E676040",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.