DR. JOHN PAVLOV M.D.
NPI 1124179791
Family Medicine in Pascagoula, MS
About Dr. John Pavlov M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN PAVLOV M.D. (NPI 1124179791) is an individual family medicine provider in Pascagoula, Mississippi, licensed in Mississippi (11764) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital At Gulfport, and is a graduate of University Of Mississippi School Of Medicine (1987).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. John Pavlov 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.
Medicare Billing Reassignments
3Medicare enrollment records show John Pavlov reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pascagoula, MS 39581
- Reassigned Medicare billing, Mississippi enrollment
- 450 clinicians in this Medicare group
Pascagoula, MS 39581
- Reassigned Medicare billing, Mississippi enrollment
- 54 clinicians in this Medicare group
Gulfport, MS 39503
- Reassigned Medicare billing, Mississippi enrollment
- 298 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hospital At Gulfport
Acute Care Hospitals · Gulfport, MSSinging River Health System
Acute Care Hospitals · Pascagoula, MSSinging River Gulfport
Acute Care Hospitals · Gulfport, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39581 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Pavlov's NPI number?
The NPI number for John Pavlov is 1124179791. It was assigned to this individual provider in the NPPES registry on January 12, 2007.
Where is John Pavlov located?
John Pavlov practices at 2819 Denny Ave, Pascagoula, MS 39581. The listed phone number is (228) 762-3466.
What is John Pavlov's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Pavlov enrolled in Medicare?
Yes. John Pavlov 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.
Which organizations bill Medicare for John Pavlov's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Pavlov reassigns Medicare benefits to 3 organizations: Singing River Health System (Pascagoula, MS), Emergency Room Group Ltd (Pascagoula, MS) and Singing River Gulfport (Gulfport, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Pavlov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Pavlov accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list John Pavlov 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 John Pavlov affiliated with any hospitals?
According to CMS data, John Pavlov is affiliated with Memorial Hospital At Gulfport, Singing River Health System and Singing River Gulfport.
When was this NPI record last updated?
The NPPES record for John Pavlov was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. John Pavlov, M.D. · NPI 1124179791
Family Medicine physician in Pascagoula, Mississippi. Individual provider, active in the CMS NPPES registry since January 12, 2007.
## Identity
- **NPI:** 1124179791 (Entity type: Individual)
- **Enumerated:** January 12, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 11764 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2819 DENNY AVE, Pascagoula, MS 39581-5301
- **Phone:** (228) 762-3466 · **Fax:** (228) 762-6349
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Singing River Health System (NPI 1124136593, Pascagoula, MS); Emergency Room Group Ltd (NPI 1093112039, Pascagoula, MS); Singing River Gulfport (NPI 1861010159, Gulfport, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Mississippi School Of Medicine, class of 1987
## Record status
- **NPPES last updated:** December 22, 2021
- **Other identifiers:** Medicaid 00012527 (MS); Other 646000515; Other 646000515; and 2 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1124179791) · Data from the CMS NPPES public registry.