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DR. JILL KATHLEEN PAVLISCAK M.D.
NPI 1144258765
Family Medicine in Half Moon Bay, CA

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
575 KELLY ST, HALF MOON BAY, CA 94019(650) 560-0216(560) 295-0397 Get Directions Write a Review

NPPES record last updated: June 13, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jill Kathleen Pavliscak M.d. NPPES

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

DR. JILL KATHLEEN PAVLISCAK M.D. (NPI 1144258765) is an individual family medicine provider in Half Moon Bay, California, licensed in California (A104908) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Oregon Health Sciences University School Of Medicine (2001).

NPPES Registry Identity

NPI1144258765
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JILL KATHLEEN PAVLISCAKCredential: M.D.
Location Address575 KELLY STHalf Moon Bay, CA 94019-1719
Mailing Address575 Kelly StHalf Moon Bay, CA 94019-1719 · (650) 560-0216 · Fax (650) 295-0397
Phone(650) 560-0216
Fax(560) 295-0397
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2001
Enumeration DateJune 30, 2006
Last NPPES UpdateJune 13, 2012
✔ NPI 1144258765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A104908
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

575 KELLY ST, Half Moon Bay, CA 94019
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Other Identifiers 3

Medicare UPINI21331NM
Medicaid3459501NM
Medicare ID-Type Unspecified8HC739NM

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. Jill Kathleen Pavliscak 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 ID8325003171
PECOS Enrollment IDI20091110000367
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 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 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.
139 services95 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
102 services62 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
81 services81 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
36 services33 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services14 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94019 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 4

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

DR. DANIEL EUGENE MCMILLAN M.D.
Family Medicine
575 KELLY ST
HALF MOON BAY, CA 94019
San Mateo County (650) 560-0216
DR. VANESSA MARIE OPPENLANDER MD
Family Medicine
575 KELLY ST
HALF MOON BAY, CA 94019
San Mateo County (650) 560-0216
PURISIMA FAMILY MEDICINE, INC.
Family Medicine
575 KELLY ST
HALF MOON BAY, CA 94019
San Mateo County (650) 288-0508
JULIANNE MICHELLE ZIMLICH P.A.-C
Physician Assistant
575 KELLY ST
HALF MOON BAY, CA 94019
San Mateo County (650) 560-0216

Frequently Asked Questions

What is Jill Pavliscak's NPI number?

The NPI number assigned to this healthcare provider is 1144258765, enumerated as an "individual" on June 30, 2006.

Where is the provider located?

The provider is located at 575 KELLY ST HALF MOON BAY, CA 94019 and the phone number is (650) 560-0216.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.

What insurance does Jill Pavliscak accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.