Individual provider Active NPI

Stephen Pavlock, MD

  • Diagnostic Radiology Physician
  • Midland, MI
National Provider Identifier
1124048160
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
SP057702 Issued in MI
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

Updated by the provider on Nov 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1124048160MedicaidMI
300E676040OtherMABLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH, NJ, CT4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20040308000206 MI Practitioner - Diagnostic Radiology 0941198469 Reassigns benefits to 8 organizations
I20230825001794 OH Practitioner - Diagnostic Radiology 0941198469 Reassigns benefits to 1 organization
I20250206001247 NJ Practitioner - Diagnostic Radiology 0941198469 Reassigns benefits to 1 organization
I20260424000207 CT Practitioner - Diagnostic Radiology 0941198469 Reassigns benefits to 1 organization

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
Nuvance Health Medical Practice PCGroup PAC ID 1658468442, 578 clinicians
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians
Imaging Associates of Michigan PLLCGroup PAC ID 9537434386, 148 clinicians
Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians

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 Hospital, Poughkeepsie, NY, CCN 330023
  • Uphs Marquette DLP Hospital Hospital, Marquette, MI, CCN 230054
  • Northern Dutchess Hospital Hospital, Rhinebeck, NY, CCN 330049
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
  • Putnam Hospital Center Hospital, Carmel, NY, CCN 330273

Merit-based Incentive Payment System (MIPS)

Final score
92.4 of 100Reported as group
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

LicenseStateTypeSpecialty
83257CTMDDiagnostic Radiology Physician
SP057702MIMDDiagnostic Radiology Physician
340654NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjbh Observation Associates LLC Diagnostic Radiology CurrentSince Jun 20, 2025 Accepting new patients
Saint Barnabas Outpatient Centers CurrentSince Oct 9, 2025 Accepting new patients
Midland Radiology Associates PC Diagnostic Radiology CurrentSince Jul 15, 1996 Accepting new patients
Nuvance Health Medical Practice PC CurrentSince Dec 1, 2025 Accepting new patients
Radiology Associates of Canton, Inc. Diagnostic Radiology CurrentSince Apr 10, 2024 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Current Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Hurley Medical Center Diagnostic Radiology CurrentSince Feb 1, 2023 Accepting new patients
Hurley Medical Center CurrentSince Feb 1, 2023 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince Dec 27, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Sep 1, 2023 Accepting new patients
Hurley Medical Center Current Accepting new patients
Valley Physician Services PC CurrentSince Jul 14, 2025 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.

View all 18

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.