Individual provider Active NPI

Michael J Paveloff, MD

  • Ophthalmology Physician
  • Santa Barbara, CA
National Provider Identifier
1396756847
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G78490 Issued in CA
Practice address
1933 Cliff Drive
29
Santa Barbara, CA 93109
Phone
(805) 682-4459
NPI assigned
Aug 10, 2006
Last updated
Nov 14, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X G78490 CA
Ophthalmology Physician 207W00000X G78490 CA Primary
Plastic Surgery Physician 208200000X G78490 CA

Addresses

Primary practice location

1933 Cliff Drive
29
Santa Barbara, CA 93109

Mailing address

P O Box 9819
Bakersfield, CA 93389-9819
Phone (805) 682-4459

Other identifiers 1

IdentifierTypeStateIssuer
4557534OtherCAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20050324000861 CA Practitioner - Ophthalmology 0143275479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rush Medical College of Rush University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael Jay Paveloff MD IncGroup PAC ID 8224241955, 3 clinicians

Practice addresses (Care Compare)

1933 Cliff Dr
Suite 29
Santa Barbara, CA 93109-1589
Phone (805) 682-4459

Merit-based Incentive Payment System (MIPS)

Final score
91.82 of 100Reported as individual
Quality
99.17
Improvement activities
40
Cost
73.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
78490CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven D. Zelko, MD Inc. Ophthalmology CurrentSince Jul 2, 2023 Accepting new patients
Santa Barbara Cottage Hospital Past Accepting new patients

Locations

1933 Cliff Dr
Ste 29
Santa Barbara, CA 93109
Phone (805) 682-2618

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1396756847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 9819",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933899819",
            "telephone_number": "805-682-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 CLIFF DRIVE",
            "address_2": "29",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93109",
            "telephone_number": "805-682-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVELOFF",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "G78490",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G78490",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G78490",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4557534",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.