DR. MARY L PAVLICA (DO) – Family Medicine Physician, NPI 1477642130
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. MARY L PAVLICA (DO)
Alliance, Box Butte County, Nebraska, 69301, United States
ALLIANCE, OH 446010718
Phone:
Type: Mailing
PO BOX 80690
CANTON, OH 447080690
Phone: (330) 363-7444
Fax: (330) 363-7770
Type: Mailing
240, East State Street, Mount Union, Alliance, Stark County, Ohio, 44601, United States
ALLIANCE, OH 446014369
Phone: (330) 596-6560
Fax: (330) 596-6575
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 95 Open Payments records for all available years, with a total value of $1,718.
Total Amount is formed as General ($1,718) + Research ($0) + Ownership ($0) = $1,718.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($379).
Total Amount
$1,718
General + Research + Ownership
Payments
95
Total payment records
General Amount
$1,718
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-12-22
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 |
|---|---|---|---|---|
| I20101222000104 | I | Family Practice | OH | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 187 | 108 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 72 | 46 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 19 | 14 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 16 | 16 | $0 |
| G0008 | Administration of influenza virus vaccine | 14 | 14 | $0 |
Insurance plans in this area (ZIP 44601)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Qualified Audiologist | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| Family Practice | OH | |
| - | OH | |
| - | OH | |
| - | FL | |
| Physician Assistant | OH |
Reviews
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