1. Home
  2. Directory
  3. Texas
  4. Richardson
  5. Dentist
  6. NPI Profile

MIRO A PAVELKA DDS, MSD
NPI 1154447415
Dentist - Oral and Maxillofacial Surgery in Richardson, TX

Active since March 21, 2007PECOS Enrolled
400 S COTTONWOOD DR, SUITE B, RICHARDSON, TX 75080(972) 231-6661(972) 231-3161 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miro A Pavelka Dds, Msd NPPES

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

MIRO A PAVELKA DDS, MSD (NPI 1154447415) is an individual oral and maxillofacial surgery provider in Richardson, Texas, licensed in Texas (D11521) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154447415
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameMIRO A PAVELKACredential: DDS, MSD
Location Address400 S COTTONWOOD DR, SUITE BRichardson, TX 75080-5708
Mailing Address400 S Cottonwood Dr, Suite BRichardson, TX 75080-5708 · (972) 231-6661 · Fax (972) 231-3161
Phone(972) 231-6661
Fax(972) 231-3161
Sole ProprietorNo
Enumeration DateMarch 21, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1154447415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TX · D11521
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
400 S COTTONWOOD DR, Richardson, TX 75080
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINT15203TX
Medicare ID-Type UnspecifiedD11521TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miro A Pavelka Dds, Msd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 75080 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

Other Providers at the Same Location NPPES 3

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

DR. ROBERT JASON PAVELKA D.D.S., M.D.
Dentist (Oral and Maxillofacial Surgery)
400 S COTTONWOOD DR, SUITE B
RICHARDSON, TX 75080
Dallas County (972) 231-6661
RICHARDSON ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, INC.
Dentist (Oral and Maxillofacial Surgery)
400 S COTTONWOOD DR, SUITE B
RICHARDSON, TX 75080
Dallas County (972) 231-6661
J.C. BOLEY, D.D.S., M.S., INC.
Dentist (Orthodontics and Dentofacial Orthopedics)
400 S COTTONWOOD DR
RICHARDSON, TX 75080
Dallas County (972) 231-4896

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 Miro Pavelka's NPI number?

The NPI number for Miro Pavelka is 1154447415. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Miro Pavelka located?

Miro Pavelka practices at 400 S Cottonwood Dr Suite B, Richardson, TX 75080. The listed phone number is (972) 231-6661.

What is Miro Pavelka's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Miro Pavelka enrolled in Medicare?

Yes. Miro Pavelka is registered in the Medicare PECOS enrollment system.

What insurance does Miro Pavelka accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Miro Pavelka 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.

When was this NPI record last updated?

The NPPES record for Miro Pavelka was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.