DR. MARCO PAVESI (M.D.) – Pulmonary Disease Physician, NPI 1457379554

DR. MARCO PAVESI (M.D.) is a healthcare provider. based in Fremont, California. specializing in Pulmonary Disease Physician. They hold the professional credentials M.D.. They hold a License No. C42767 (CA). The NPI Number for DR. MARCO PAVESI (M.D.) is 1457379554

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARCO PAVESI (M.D.)
NPI
1457379554
Phone
(510) 793-3722
Address
2557 MOWRY AVE
Enumeration Date
17 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5107971111
Graduation Year
1977 (49 years ago)
PAC ID
3678555430
Group Practice PAC ID
2860488822
Professional Enrollment ID
I20080514000846
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MARCO PAVESI (M.D.)

  • 2557 Mowry Avenue, Mowry Avenue, Fremont, Alameda County, California, 94536, United States

    SUITE 12

    FREMONT, CA 945381603

    Phone: (510) 793-3722

    Fax: (510) 793-8783

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-05-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080514000846IPulmonary DiseaseCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94538)

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Provider's Procedures

DR. MARCO PAVESI (M.D.) performs procedures in Pulmonary Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASECA94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration1514

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860488822View full group profile
NameSpecialtyState
N E U R O L O G YCA
Cardiovascular Disease (Cardiology)CA
Cardiovascular Disease (Cardiology), Internal MedicineCA
-CA
Cardiovascular Disease (Cardiology)CA
Internal Medicine, Cardiovascular Disease (Cardiology)CA
Cardiovascular Disease (Cardiology), Internal MedicineCA
Cardiovascular Disease (Cardiology)CA
Pulmonary Disease, Internal MedicineCA
Cardiovascular Disease (Cardiology), Internal MedicineCA

Reviews

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Frequently asked questions

How is DR. MARCO PAVESI (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. MARCO PAVESI (M.D.) with NPI 1457379554.
Can I rely on DR. MARCO PAVESI (M.D.) being an active provider?
As of the registry snapshot, DR. MARCO PAVESI (M.D.) is marked active.
What is DR. MARCO PAVESI (M.D.)'s specialty?
The listing groups DR. MARCO PAVESI (M.D.) with Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Does DR. MARCO PAVESI (M.D.) list a practice location?
Patients near Fremont, California may find DR. MARCO PAVESI (M.D.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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