LEIGH PAVLIK PA-C
NPI 1184015497
Physician Assistant - Surgical in Mesa, AZ
NPI Status: Active since February 09, 2015
Contact Information
4320 E. PRESIDIO STREET
#101
MESA, AZ
ZIP 85215
Phone: (480) 706-9430
Fax: (480) 378-2273
- Individual
- Female
- Years of Experience 12
- Physician Assistant
- Surgical
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About LEIGH PAVLIK
This page provides the complete NPI Profile along with additional information for Leigh Pavlik, a provider established in Mesa, Arizona with a medical specialization in Physician Assistant, focusing in surgical and more than 12 years of experience. The healthcare provider is registered in the NPI registry with number 1184015497 assigned on February 2015. The practitioner's primary taxonomy code is 363AS0400X with license number 5984 (AZ). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1184015497
- Provider Name
- LEIGH PAVLIK PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4320 E. PRESIDIO STREET #101 MESA, AZ 85215
- Location Phone
- (480) 706-9430
- Location Fax
- (480) 378-2273
- Mailing Address
- 5155 E. EAGLE DRIVE #20730 MESA, AZ 85277
- Mailing Phone
- (480) 706-9430
- Mailing Fax
- (480) 378-2273
- Medical School Name
- OTHER
- Graduation Year
- 2014
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-09-2015
- Last Update Date
- 04-07-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 5984
- License State
- AZ
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 5984 (AZ) |
| 2 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | (AZ) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AZ Blue AdvanceHealth Bronze Focus (4 Free PCP Visits) - HMO
- AZ Blue AdvanceHealth Bronze Neighborhood (4 Free PCP Visits) - HMO
- AZ Blue AdvanceHealth Gold Focus (4 Free PCP Visits) - HMO
- AZ Blue AdvanceHealth Gold Neighborhood (4 Free PCP Visits) - HMO
- AZ Blue AdvanceHealth Silver Focus (4 Free PCP Visits) - HMO
- AZ Blue AdvanceHealth Silver Neighborhood (4 Free PCP Visits) - HMO
- AZ Blue EverydayHealth Gold Focus (1 Free PCP Visit) - HMO
- AZ Blue EverydayHealth Gold Neighborhood (1 Free PCP Visit) - HMO
- AZ Blue EverydayHealth Silver Focus (1 Free PCP Visit) - HMO
- AZ Blue EverydayHealth Silver Neighborhood (1 Free PCP Visit) - HMO
- AZ Blue Portfolio Bronze HSA Focus - HMO
- AZ Blue Portfolio Bronze HSA Neighborhood - HMO
- AZ Blue StandardHealth Bronze Focus - HMO
- AZ Blue StandardHealth Bronze Neighborhood - HMO
- AZ Blue StandardHealth Gold Focus - HMO
- AZ Blue StandardHealth Gold Neighborhood - HMO
- AZ Blue StandardHealth Silver Focus - HMO
- AZ Blue StandardHealth Silver Neighborhood - HMO
- Bronze Classic Standard - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Bronze Simple - HMO
- Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
- Bronze Simple Chronic Care CKM - HMO
- Buena Salud Bronce Simple Para Diabetes - HMO
- Gold Classic - HMO
- Gold Classic Standard - HMO
- Gold Simple - HMO
- Gold Simple Diabetes - HMO
- Silver Classic Standard - HMO
- Silver Elite Saver Plus - HMO
- Silver Simple Chronic Care CKM - HMO
- Silver Simple Diabetes - HMO
- Silver Simple PCP Saver - HMO
- Silver Simple Specialist Saver with COPD - HMO
- Silver Simple Women's Health with Menopause Benefits - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| Z185849 | MEDICARE PIN (08) | AZ | |
| 109236 | MEDICAID (05) | AZ |
Medicare Participation & PECOS Enrollment Status
Leigh Pavlik is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Leigh Pavlik is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 4880999648
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20160217000282
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Creation of sling around urethra in female to control leakage
Insertion of artificial material for pelvic floor defect
Repair of bulging of rectum and bladder into vaginal wall
Repair of herniated rectum into vaginal wall
Repair of pelvic ligaments through vagina
Surgical repair of vaginal defect using an endoscope
This procedure involves creating a supportive loop around a tube in your lower body that carries liquid waste. This helps manage any unwanted leakage, providing you with better control and comfort.
This service was performed 22 times for 22 patientsThis procedure involves placing a synthetic material in the lower abdomen area to rectify a structural issue. It helps in proper functioning of the body's support system. You may experience improved comfort and stability post-procedure.
This service was performed 11 times for 11 patientsThis procedure involves correcting a condition where the rectum and bladder bulge into the vaginal wall, causing discomfort. The operation helps to restore these organs to their normal position, improving comfort and functionality.
This service was performed 23 times for 23 patientsThis procedure involves correcting a physical condition where part of the rectum bulges into the vaginal area. It's done by repositioning the rectum and strengthening the tissue between the two areas to prevent recurrence.
This service was performed 14 times for 14 patientsThis procedure involves mending the supportive tissues in your lower body region, accessed via the birth canal. It helps enhance stability and alleviate discomfort. The process is performed under anesthesia, ensuring a pain-free experience.
This service was performed 17 times for 17 patientsThis procedure involves the use of a special instrument, an endoscope, to help fix an issue within your body. It's a minimally invasive method, meaning less discomfort and quicker recovery compared to traditional surgery.
This service was performed 17 times for 17 patientsReviews for LEIGH PAVLIK PA-C
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1184015497, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
MESA, AZ 85215
MESA, AZ 85215
MESA, AZ 85215
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184015497, enumerated as an "individual" on February 09, 2015.
The provider is located at 4320 E. PRESIDIO STREET #101 MESA, AZ 85215 and the phone number is (480) 706-9430.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona, Oscar Health. Please consult your insurance carrier or call the provider to verify.