Mark A Pavilack, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0101232985 Issued in VA

Practice address

3235 Academy Ave
Suite 200
Portsmouth, VA 23703-3200

Phone

(757) 483-0400

NPI assigned

Jul 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Specialty

Ophthalmology

Education

Vanderbilt University School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virginia Eye Consultants IncGroup PAC ID 6608860978, 57 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046

Merit-based Incentive Payment System (MIPS)

Final score

81.39 of 100Reported as group

Quality

77.12

Promoting interoperability

100

Improvement activities

40

Cost

60.85

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: mark.pavilackmd.p1@direct.vec.nextgenshare.com

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.

• Virginia Eye Consultants Inc

  dba Commonwealth Eye Care Associates

  • Ophthalmology Physician
  • Norfolk, VA
  • NPI 1992727820
  Medicare reassignment Care Compare group NPD
• Premier Ophthalmology, PLC

  • Ophthalmology Physician
  • Virginia Beach, VA
  • NPI 1568655389
  NPD (past) Authorized official
• Edol Optical Inc

  • Eyewear Supplier
  • Lancaster, PA
  • NPI 1912449489
  NPD (past)
• Jonathan Woolfson, MD, P.C.

  dba Woolfson Eye Institute, LLC

  • Ophthalmology Physician
  • Atlanta, GA
  • NPI 1255577300
  NPD (past)
• Jonathan Woolfson, MD, PC

  • Ophthalmology Physician
  • Atlanta, GA
  • NPI 1891935599
  NPD (past)

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

• Sentara Hospitals

  dba Sentara Leigh Hospital

  • General Acute Care Hospital
  • Norfolk, VA
  • NPI 1811957681
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1245238096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 ACADEMY AVE",
            "address_2": "SUITE 200",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033200",
            "telephone_number": "757-483-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 ACADEMY AVE",
            "address_2": "SUITE 200",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033200",
            "telephone_number": "757-483-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVILACK",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101232985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6309909",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245238096",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "247538",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Francis Paul, D.M.D.
• Joshua Paul, M.D.
• Kelly Suzanne Paul, AUDIOLOGIST
• Michael James Paulin, PHARMD
• Tanner Pavelka, NP
• Margaret Twitty Payne, LPC
• Maya Payne, M.D.
• Payton Family Love Home Healthcare LLC (Pflhhcllc)
• Peace of Mind Peer Support and Recovery LLC
• Peace of Mind Therapeutic Solutions (Peace of Mind Therapeutic Solutions, LLC)

• Ophthalmology Physician in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.

Verify at the official NPI Registry.