MR. LORENZO ANGELO PAVOLONI PA-C
NPI 1043830896
Physician Assistant in Coon Rapids, MN

Active since April 22, 2020PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433(763) 236-6000 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 19, 2022, Aug 17, 2022, Apr 22, 2020 (3 updates tracked since 2020).

About Mr. Lorenzo Angelo Pavoloni Pa-c NPPES

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

MR. LORENZO ANGELO PAVOLONI PA-C (NPI 1043830896) is an individual physician assistant in Coon Rapids, Minnesota, licensed in Minnesota (14056) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1043830896
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. LORENZO ANGELO PAVOLONICredential: PA-C
Location Address4050 COON RAPIDS BLVD NWCoon Rapids, MN 55433-2522
Mailing Address1970 Bohland AveSaint Paul, MN 55116-1909
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 22, 2020
Last NPPES UpdateOctober 19, 20223 updates tracked since enumeration
NPPES CertifiedOctober 19, 2022
NPI 1043830896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 14056
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4050 COON RAPIDS BLVD NW, Coon Rapids, MN 55433

Accepted 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

Mr. Lorenzo Angelo Pavoloni Pa-c 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 ID6305228180
PECOS Enrollment IDI20220727001669
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 2

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.

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.
39 services24 patients
Treatment of broken neck of thigh bone with bone implant 27245
This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240115
Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55433 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Physical Therapist
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Physician Assistant
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Internal Medicine
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Physician Assistant
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Hospitalist
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Internal Medicine
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Psychologist (Clinical)
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433

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 Lorenzo Pavoloni's NPI number?

The NPI number for Lorenzo Pavoloni is 1043830896. It was assigned to this individual provider in the NPPES registry on April 22, 2020.

Where is Lorenzo Pavoloni located?

Lorenzo Pavoloni practices at 4050 Coon Rapids Blvd NW, Coon Rapids, MN 55433. The listed phone number is (763) 236-6000.

What is Lorenzo Pavoloni's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lorenzo Pavoloni enrolled in Medicare?

Yes. Lorenzo Pavoloni 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 Lorenzo Pavoloni accept?

Health plans from HealthPartners and Medica list Lorenzo Pavoloni 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 Lorenzo Pavoloni affiliated with any hospitals?

According to CMS data, Lorenzo Pavoloni is affiliated with Abbott Northwestern Hospital and Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Lorenzo Pavoloni was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.