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MR. PAVEL ODINTSOV APN
NPI 1073893178
Nurse Practitioner - Primary Care in New City, NY

Active since August 19, 2011PECOS EnrolledAccepts Medicare Assignment
182 S MAIN ST STE 106, NEW CITY, NY 10956(845) 358-4000(201) 529-5913 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Pavel Odintsov Apn NPPES

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

MR. PAVEL ODINTSOV APN (NPI 1073893178) is an individual primary care provider in New City, New York, licensed in New York (306748) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (2011).

NPPES Registry Identity

NPI1073893178
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameMR. PAVEL ODINTSOVCredential: APN
Location Address182 S MAIN ST STE 106New City, NY 10956-3318
Mailing Address20 Grand St, 3rd FlWarwick, NY 10990-1035 · (845) 987-3906 · Fax (845) 987-5979
Phone(845) 358-4000
Fax(201) 529-5913
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2011
Enumeration DateAugust 19, 2011
Last NPPES UpdateAugust 6, 2024
NPPES CertifiedAugust 6, 2024
✔ NPI 1073893178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NY · 306748
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 306748 (NY), 26NJ00337800 (NJ)
182 S MAIN ST STE 106, New City, NY 10956
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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. Pavel Odintsov Apn 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 ID1557509775
PECOS Enrollment IDI20170207000327
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10956 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES

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

PAVEL ODINTSOV NP IN ADULT HEALTH PLLC
Nurse Practitioner (Adult Health)
182 S MAIN ST STE 106
NEW CITY, NY 10956
Rockland County (845) 358-4000

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 Pavel Odintsov's NPI number?

The NPI number for Pavel Odintsov is 1073893178. It was assigned to this individual provider in the NPPES registry on August 19, 2011.

Where is Pavel Odintsov located?

Pavel Odintsov practices at 182 S Main St Ste 106, New City, NY 10956. The listed phone number is (845) 358-4000.

What is Pavel Odintsov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Pavel Odintsov enrolled in Medicare?

Yes. Pavel Odintsov 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.

When was this NPI record last updated?

The NPPES record for Pavel Odintsov was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.