KATIE PAVLISKO (P.A.) – Medical Physician Assistant, NPI 1831224575
Medical Physician Assistant
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for KATIE PAVLISKO (P.A.)
8737 BEVERLY BLVD STE 303
WEST HOLLYWOOD, CA 900481839
Phone: (310) 659-6889
Fax: (310) 657-3841
Type: Mailing
8737 Beverly Blvd Ste 303
West Hollywood, CA 900481839
Phone: (310) 659-6889
Fax: (310) 657-3841
Type: Location
2250 BRIGHTON HENRIETTA TOWN LINE RD
ROCHESTER, NY 146232706
Phone: (585) 424-6770
Fax: (585) 424-6776
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $1,128.
Total Amount is formed as General ($1,128) + Research ($0) + Ownership ($0) = $1,128.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($313).
Total Amount
$1,128
General + Research + Ownership
Payments
28
Total payment records
General Amount
$1,128
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $313 |
| ABBVIE INC. | $313 |
| Janssen Biotech, Inc. | $290 |
| Dermavant Sciences, Inc. | $197 |
| Galderma Laboratories, L.P. | $15 |
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: 2017-11-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171122002256 | I | Physician Assistant | NY | TBD |
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.
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 90048)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| - | NY | |
| - | NY | |
| Physician Assistant | CT | |
| - | FL | |
| Internal Medicine | NY | |
| Vascular Surgery | NY | |
| - | NY | |
| Pathology, Internal Medicine | NY | |
| Nurse Practitioner | NY |
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