Individual provider Active NPI

Raymond Pavlovich Jr., MD

  • Specialist
  • North Easton, MA
National Provider Identifier
1598749327
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
223428 Issued in MA
Practice address
15 Roche Bros Way
North Easton, MA 02356
Phone
(781) 344-3535
Fax
(508) 535-0192
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 223428 MA Primary
Orthopaedic Surgery Physician 207X00000X 223428 MA

Addresses

Primary practice location

15 Roche Bros Way
North Easton, MA 02356

Mailing address

PO Box 30
Stoughton, MA 02070-0030
Phone (781) 344-3535

Other identifiers 1

IdentifierTypeStateIssuer
2101271MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050608000621 MA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 6002859279 Reassigns benefits to 2 organizations
I20240118000080 RI Practitioner - Orthopedic Surgery 6002859279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
George Washington University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Care Physician Network, LLCGroup PAC ID 7214185511, 36 clinicians

Practice addresses (Care Compare)

10 Reservoir St
Mansfield, MA 02048-3104
Phone (401) 457-1500

15 Roche Bros Way
North Easton, MA 02356-1000
Phone (781) 344-3535

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Care Physician Network LLC Orthopaedic Surgery CurrentSince Nov 1, 2013 Accepting new patients
Orthopedic Care Physician Network, LLC Orthopaedic Surgery CurrentSince Nov 1, 2013 Accepting new patients
University Orthopedics, Inc. Orthopaedic Surgery CurrentSince Jan 1, 2024 Accepting new patients
University Orthopedics, Inc. Orthopaedic Surgery CurrentSince Dec 6, 2023 Accepting new patients
University Orthopedics, Inc. Orthopaedic Surgery CurrentSince Dec 6, 2023 Accepting new patients
Orthopedic Care Surgery Center, LLC PastSince Apr 2, 2007 Accepting new patients

Locations

10 Reservoir St
Ste 101
Mansfield, MA 02048
Phone (508) 618-7111

15 Roche Brothers Way
Ste 200
North Easton, MA 02356
Phone (401) 490-1939

15 Roche Brothers Way
North Easton, MA 02356
Phone (781) 545-9273

2 Dudley St
Ste 200
Providence, RI 02905
Phone (401) 457-1504

Networks

  • goperspecta network organization-21861

Interoperability endpoints

  • Direct secure messaging: raymond.pavlovich.1@13709.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JGDFCA

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1598749327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020700030",
            "telephone_number": "781-344-3535",
            "fax_number": "508-535-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ROCHE BROS WAY",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "02356",
            "telephone_number": "781-344-3535",
            "fax_number": "508-535-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLOVICH",
        "first_name": "RAYMOND",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "223428",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "223428",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2101271",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Easton, MA

Sources for this page

Verify at the official NPI Registry.