Robert Pavelock, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

174776 Issued in NY

Practice address

116 Business Park Drive
1St Floor
Utica, NY 13502-6313

Phone

(315) 624-7000

Fax

(315) 793-1129

NPI assigned

Nov 18, 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 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Gastroenterology

Education

State University of New York at Stony Brook, School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MVHS IncGroup PAC ID 2769380252, 330 clinicians

Digestive Disease Medicine of Central New York LLPGroup PAC ID 1254351141, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wynn Hospital Hospital, Utica, NY, CCN 330044
• Oneida Health Hospital Hospital, Oneida, NY, CCN 330115

Merit-based Incentive Payment System (MIPS)

Final score

25.21 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

84.02

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• MVHS Inc

  • Family Medicine Physician
  • Utica, NY
  • NPI 1770690737
  Medicare reassignment Care Compare group NPD
• Digestive Disease Medicine of Central New York, LLP

  • Medical Specialty Clinic/Center
  • Utica, NY
  • NPI 1083785372
  Medicare reassignment Care Compare group
• MVHS Inc

  • Community/Retail Pharmacy
  • Utica, NY
  • NPI 1306573753
  NPD

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

• MVHS Inc

  • General Acute Care Hospital
  • Utica, NY
  • NPI 1205877172
  Care Compare affiliation
• Oneida Health Systems, Inc

  • General Acute Care Hospital
  • Oneida, NY
  • NPI 1962408203
  Care Compare affiliation

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1891777413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BUSINESS PARK DRIVE",
            "address_2": "1ST FLOOR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026313",
            "telephone_number": "315-624-7000",
            "fax_number": "315-793-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 BUSINESS PARK DRIVE",
            "address_2": "1ST FLOOR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026313",
            "telephone_number": "315-624-7000",
            "fax_number": "315-793-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVELOCK",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "174776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01240284",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul F Palumbo
• Paul H Baumgarten DPM
• Todd Adam Pauley, MSW, LCSW
• Dolly Paulino
• Jack Paute Urdiales
• Melissa J Pavlicek
• Jeannette Pavlus, LMSW
• Jenna Pawloski, FNP-C
• Jeffrey Allan Peck, D.D.S
• Faith Nicole Peckham

• Gastroenterology Physician in Utica, NY
• Providers in Utica, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.