ANDREY PAVLOV (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1174818520

ANDREY PAVLOV (MD) is a healthcare provider. based in Longmeadow, Massachusetts. specializing in CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials MD. They hold a License No. 56833 (CT). The NPI Number for ANDREY PAVLOV (MD) is 1174818520

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
ANDREY PAVLOV (MD)
NPI
1174818520
Phone
Not provided
Address
167 DWIGHT RD
Enumeration Date
14 June 2011
Last Update Date
13 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4135342546
Graduation Year
2011 (15 years ago)
PAC ID
7214200328
Group Practice PAC ID
2163419383
Professional Enrollment ID
I20170919003043
Address ID
MA010402223HO575XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:14State licenses:2Digital endpointsOther names

782 CRITICAL CARE (INTENSIVISTS) in MA

Provider Addresses for ANDREY PAVLOV (MD)

  • 167 DWIGHT RD

    SUITE 210

    LONGMEADOW, MA 01106

    Phone:

    Type: Mailing

  • 271 CAREW ST

    SPRINGFIELD, MA 011042377

    Phone: (413) 748-9000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $434.

Total Amount is formed as General ($434) + Research ($0) + Ownership ($0) = $434.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($163).

Total Amount

$434

General + Research + Ownership

Payments

15

Total payment records

General Amount

$434

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-07-21

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170919003043IPulmonary DiseaseMATBD
I20250721000574ICritical Care (Intensivists)CTTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes197118$0
99291Critical care, first 30-74 minutes18553$0
94060Test to measure expiratory airflow and volume changes before and after medication administration8585$0
94729Test to examine how well the lungs exchange gases8282$0
94727Test to determine lung volumes using gas dilution or washout8080$0
View full utilization report →

Insurance plans in this area (ZIP 01106)

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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: 2163419383View full group profile
NameSpecialtyState
Diagnostic RadiologyMA
Diagnostic RadiologyMA
N E U R O L O G YMA
A N E S T H E S I O L O G YMA
General SurgeryMA
Diagnostic RadiologyOR
Hospitalist, Internal MedicineNY
Physician AssistantMA
Hospitalist, Family PracticeIL
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

How do payers reference ANDREY PAVLOV (MD)?
For ANDREY PAVLOV (MD), use NPI 1174818520 as the unique 10-digit identifier.
Active or inactive — what applies to ANDREY PAVLOV (MD)?
You should see ANDREY PAVLOV (MD) as active in CMS-hosted NPPES data.
What kind of doctor is ANDREY PAVLOV (MD)?
ANDREY PAVLOV (MD) is associated with Critical Care Medicine (Internal Medicine) Physician in the directory — Clinical services aligned with this taxonomy classification.
Is ANDREY PAVLOV (MD) located near Longmeadow?
ANDREY PAVLOV (MD) currently maps to Longmeadow, Massachusetts in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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