DR. GEORGE PAVLOU M.D.
NPI 1023014909
Internal Medicine - Gastroenterology in Woodland Park, NJ

Q: What is George Pavlou's NPI number?

The NPI number for George Pavlou is 1023014909. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Q: What is George Pavlou's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for George Pavlou was last updated on August 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 24, 2005PECOS EnrolledAccepts Medicare Assignment

99.15/100

CMS Quality Rating

205 BROWERTOWN RD STE 201, WOODLAND PARK, NJ 07424(973) 812-8120(973) 812-8144 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 9, 2023, Apr 27, 2018 (2 updates tracked since 2018).

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About Dr. George Pavlou M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GEORGE PAVLOU M.D. (NPI 1023014909) is an individual gastroenterology provider in Woodland Park, New Jersey, licensed in New Jersey (25MA05427500) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1023014909

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. GEORGE PAVLOUCredential: M.D.

Location Address205 BROWERTOWN RD STE 201Woodland Park, NJ 07424-2610

Mailing Address1130 Mcbride Ave Fl 3Woodland Park, NJ 07424-3806 · (973) 812-1400 · Fax (973) 812-1404

Phone(973) 812-8120

Fax(973) 812-8144

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateJune 24, 2005

Last NPPES UpdateAugust 9, 20232 updates tracked since enumeration

NPPES CertifiedAugust 9, 2023

✔ NPI 1023014909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in NJ · 25MA05427500

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

205 BROWERTOWN RD STE 201, Woodland Park, NJ 07424

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Secondary Practice Locations 4

Location 1764 Main St Ste 303Paterson, NJ 07503-2640 · Phone (973) 812-8120 · Fax (973) 812-8144

Location 2468 Parish Dr Ste 6Wayne, NJ 07470-4671 · Phone (973) 988-2100 · Fax (973) 952-6248

Location 388 Park StMontclair, NJ 07042-5915 · Phone (973) 233-9559 · Fax (973) 253-9660

Location 49 Post Rd Ste M7Oakland, NJ 07436-1615 · Phone (973) 812-8120 · Fax (973) 812-8144

Other Identifiers 11

Other0415017NJ · Ghi Ppo

Medicaid5395305NJ

Other0507703000NJ · Amerihealth

Other830AM1NJ · Empire Bc/bs

Other830AM2NJ · Empire Bc/bs

OtherP3929711NJ · Oxford

Other110076087NJ · Railroad Medicare

Other4298741NJ · Aetna Ppo

Other3K8624NJ · Healthnet

Other1945337NJ · Aetna Hmo

Other439953NJ · Wellcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. George Pavlou M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749285872

PECOS Enrollment IDI20070813000475

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

425 services37 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

289 services211 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

254 services37 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

238 services141 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

157 services157 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

100 services100 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

75 services74 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

64 services64 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

29 services29 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

23 services23 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

20 services20 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

19 services17 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

16 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number310019

Location703 Main StPaterson, NJ 07503 · Passaic County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07424 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.15/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Promoting Interoperability

Improvement Activities

Reported Quality Measures

e-Prescribing

99%817 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

91%583 patients4/55-star benchmark: 100%

Support Electronic Referral Loops By Sending Health Information

96%110 patients4/55-star benchmark: 97%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419

DME-Orthotic Devices · category DF010N

1 supplier11 claims660 services$1.51 avg. paid by Medicare

Ostomy pouch, closed; for use on barrier with flange (2 piece), each A5054

DME-Orthotic Devices · category DF010N

1 supplier11 claims660 services$1.61 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is George Pavlou's NPI number?

The NPI number for George Pavlou is 1023014909. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Where is George Pavlou located?

George Pavlou practices at 205 Browertown Rd Ste 201, Woodland Park, NJ 07424. The listed phone number is (973) 812-8120.

What is George Pavlou's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is George Pavlou enrolled in Medicare?

Yes. George Pavlou is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does George Pavlou accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list George Pavlou as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is George Pavlou affiliated with any hospitals?

According to CMS data, George Pavlou is affiliated with St Joseph's University Medical Center Inc.

When was this NPI record last updated?

The NPPES record for George Pavlou was last updated on August 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.