ALEX P. PAVIDAPHA (M.D) – Vascular & Interventional Radiology Physician, NPI 1053799585
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
188 INTERVENTIONAL RADIOLOGY in MA
Provider Addresses for ALEX P. PAVIDAPHA (M.D)
55 LAKE AVE N
WORCESTER, MA 016550002
Phone: (508) 334-1000
Type: Mailing
55 Lake Ave N
Worcester, MA 016550002
Phone: (508) 334-3850
Type: Location
19500 Sandridge Way Ste 300
Leesburg, VA 201763690
Phone: (703) 783-5355
Type: Location
224-D CORNWALL STREET, NW, SUITE 403
LEESBURG, VA 201762704
Phone: (703) 737-6010
Fax: (703) 443-8643
Type: Mailing
1801 ROBERT FULTON DRIVE, SUITE 510
RESTON, VA 201915481
Phone: (703) 783-5355
Type: Location
PO BOX 415348
BOSTON, MA 022415348
Phone: (800) 225-8885
Fax: (508) 334-1977
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $6,000.
Total Amount is formed as General ($6,000) + Research ($0) + Ownership ($0) = $6,000.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Merit Medical Systems Inc ($3,800).
Total Amount
$6,000
General + Research + Ownership
Payments
21
Total payment records
General Amount
$6,000
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merit Medical Systems Inc | $3,800 |
| ASAHI INTECC USA, INC. | $1,382 |
| Terumo Medical Corporation | $303 |
| Siemens Medical Solutions USA, Inc. | $168 |
| Philips North America LLC | $134 |
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: 2022-02-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20220211001177 | I | Interventional Radiology | DC | TBD |
| I20220217001960 | I | Interventional Radiology | VA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 29,960 | 276 | $0 |
| 75774 | Review by radiologist of additional artery image | 1,392 | 225 | $0 |
| 36248 | Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond | 1,344 | 247 | $0 |
| 99153 | Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes | 798 | 270 | $0 |
| J0690 | Injection, cefazolin sodium, 500 mg | 487 | 257 | $0 |
Insurance plans in this area (ZIP 01655)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Gastroenterology | VA | |
| Internal Medicine, Gastroenterology | PA | |
| - | VA | |
| G A S T R O E N T E R O L O G Y | VA | |
| Nurse Practitioner | SC | |
| Nurse Practitioner | VA | |
| Interventional Radiology | DC | |
| Nurse Practitioner | VA | |
| G A S T R O E N T E R O L O G Y | VA | |
| G A S T R O E N T E R O L O G Y | VA |
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