MICHAEL R PAVLICA (MD) – Ophthalmology Physician, NPI 1699735613
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,144 OPHTHALMOLOGY in PA
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Provider Addresses for MICHAEL R PAVLICA (MD)
LG Health Physicians Plastic & Cosmetic Surgery, 2110, Harrisburg Pike, McGovernsville, Rohrerstown, Lancaster County, Pennsylvania, 17601, United States
SUITE 215
LANCASTER, PA 17601
Phone: (717) 299-9232
Fax: (717) 299-6532
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)
CMS reports 50 Open Payments records for all available years, with a total value of $1,222.
Total Amount is formed as General ($1,222) + Research ($0) + Ownership ($0) = $1,222.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Apellis Pharmaceuticals, Inc. ($227).
Total Amount
$1,222
General + Research + Ownership
Payments
50
Total payment records
General Amount
$1,222
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Apellis Pharmaceuticals, Inc. | $227 |
| Regeneron Healthcare Solutions, Inc. | $194 |
| ABBVIE INC. | $187 |
| Alcon Vision LLC | $172 |
| Sun Pharmaceutical Industries Inc. | $54 |
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: 2010-03-16
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 |
|---|---|---|---|---|
| I20100316000545 | I | Ophthalmology | PA | 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 |
|---|---|---|---|---|
| 92134 | Imaging of retina | 1,128 | 444 | $0 |
| 92012 | Established patient problem focused exam of visual system | 922 | 562 | $0 |
| 67028 | Injection of drug into eye | 739 | 112 | $0 |
| 92014 | Established patient complete exam of visual system | 635 | 600 | $0 |
| J7999 | Compounded drug, not otherwise classified | 615 | 106 | $0 |
Insurance plans in this area (ZIP 17601)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | PA | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 829 | 436 |
| OPHTHALMOLOGY | PA | 92083 | Measurement of field of vision during daylight conditions | 169 | 159 |
| OPHTHALMOLOGY | PA | 92134 | Diagnostic imaging of retina | 1018 | 361 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | PA | |
| O P H T H A L M O L O G Y | PA | |
| O P T O M E T R Y | PA |
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