JOSEPH PAVLAK – Medical Physician Assistant, NPI 1235890328

JOSEPH PAVLAK is a healthcare provider. based in Berea, Ohio. specializing in PHYSICIAN ASSISTANT. The NPI Number for JOSEPH PAVLAK is 1235890328

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH PAVLAK
NPI
1235890328
Phone
Not provided
Address
275 EASTLAND RD
Enumeration Date
1 January 2022
Last Update Date
13 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3303753043
Graduation Year
2023 (3 years ago)
PAC ID
6103286299
Group Practice PAC ID
3971497066
Professional Enrollment ID
I20230720003849
Address ID
OH443041619AK525XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:4State licenses:0Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for JOSEPH PAVLAK

  • 275 EASTLAND RD

    BEREA, OH 440172005

    Phone:

    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: 2023-07-20

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
I20230720003849IPhysician AssistantOHTBD

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
99285Emergency department visit with high level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 44017)

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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: 3971497066View full group profile
NameSpecialtyState
Diagnostic RadiologyOH
-OH
Diagnostic RadiologyOH
Diagnostic RadiologyOH
-OH
-OH
Diagnostic RadiologyOH
-OH
Diagnostic Radiology, Nuclear MedicineOH
Diagnostic Radiology, Interventional Radiology, Interventional RadiologyOH

Reviews

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Frequently asked questions

Can I use this page to confirm JOSEPH PAVLAK's NPI?
Yes. JOSEPH PAVLAK is listed with NPI 1235890328 in the public NPI dataset.
Does CMS list JOSEPH PAVLAK as active?
Yes — JOSEPH PAVLAK is active in the NPI listing used on this page.
What is JOSEPH PAVLAK's primary classification?
Medical Physician Assistant is the headline specialty for JOSEPH PAVLAK here. Clinical services aligned with this taxonomy classification.
Where should I expect JOSEPH PAVLAK on a map?
Expect Berea, Ohio as a primary anchor for JOSEPH PAVLAK unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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