MARK A PAVILACK MD
NPI 1245238096
Ophthalmology in Portsmouth, VA

Q: What is Mark Pavilack's NPI number?

The NPI number for Mark Pavilack is 1245238096. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Q: What is Mark Pavilack's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Pavilack was last updated on April 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 13, 2005PECOS EnrolledAccepts Medicare Assignment

77.43/100

CMS Quality Rating

3235 ACADEMY AVE, SUITE 200, PORTSMOUTH, VA 23703(757) 483-0400 Get Directions Write a Review

NPPES record last updated: April 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mark A Pavilack Md NPPES

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

MARK A PAVILACK MD (NPI 1245238096) is an individual ophthalmology provider in Portsmouth, Virginia, licensed in Virginia (0101232985) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Sentara Leigh Hospital, and is a graduate of Vanderbilt University School Of Medicine (1987).

NPPES Registry Identity

NPI1245238096

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameMARK A PAVILACKCredential: MD

Location Address3235 ACADEMY AVE, SUITE 200Portsmouth, VA 23703-3200

Mailing Address3235 Academy Ave, Suite 200Portsmouth, VA 23703-3200 · (757) 483-0400

Phone(757) 483-0400

Sole ProprietorNo

Medical School CMSVanderbilt University School Of MedicineGraduated 1987

Enumeration DateJuly 13, 2005

Last NPPES UpdateApril 30, 2013

✔ NPI 1245238096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in VA · 0101232985

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

3235 ACADEMY AVE, Portsmouth, VA 23703

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Other Identifiers 6

Medicare PINP00406022VA

Medicaid1245238096VA

Other247538VA · Anthem

Medicare UPINE87025

Medicaid6309909VA

Medicare PIN012700T74VA

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

Mark A Pavilack Md 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 ID8820194137

PECOS Enrollment IDI20070503000124

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 25

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

995 services661 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

963 services945 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

467 services300 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

396 services218 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

359 services347 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

353 services332 patients

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.

348 services320 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

286 services280 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

280 services277 patients

Imaging of front third of eye 92132

Imaging of the front third of the eye, also known as anterior segment imaging, captures detailed images of the eye's front part. This includes the iris, cornea, and lens. It's a non-invasive procedure that helps diagnose and monitor eye conditions.

221 services161 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

211 services211 patients

Microfluid analysis of tears 83861

Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.

166 services79 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

102 services67 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

76 services63 patients

Removal of recurring cataract in lens capsule using a laser 66821

71 services49 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

65 services41 patients

Imaging of front third of eye using a special microscope 92286

This procedure involves capturing detailed images of the front part of your eye using a specialized microscope. It helps in identifying any eye abnormalities or issues, improving the accuracy of diagnosis and treatment planning.

58 services58 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

55 services55 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

55 services55 patients

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

50 services47 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

26 services24 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

26 services25 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

23 services23 patients

Transplantation of outer layer of corneal tissue 65756

The transplantation of the outer layer of corneal tissue is a procedure to replace damaged or diseased corneal tissue with healthy tissue from a donor. This can improve vision and alleviate pain or discomfort.

20 services16 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.

16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490046

Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23703 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.43/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

75.24

Promoting Interoperability

100

Improvement Activities

Cost

49.54

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020

Other-Vision, Hearing, and Speech Services · category OC000N

2 suppliers11 claims11 services$48.52 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 20

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

FLORDELIZA ABLAO-CHANTHAVICHITH N.P.

Nurse Practitioner

3235 ACADEMY AVE, SUITE 305
PORTSMOUTH, VA 23703

Portsmouth City (757) 686-9300

DR. JEFFREY STEPHEN WOLF M.D.

Colon & Rectal Surgery

3235 ACADEMY AVE, SUITE 200
PORTSMOUTH, VA 23703

Portsmouth City (757) 484-9653

MARY ALISON MERCER OD

Optometrist

3235 ACADEMY AVE, SUITE 200
PORTSMOUTH, VA 23703

Portsmouth City (757) 483-0400

DR. MARTIN PAUL HARPEN MD

Internal Medicine (Nephrology)

3235 ACADEMY AVE, STE 301
PORTSMOUTH, VA 23703

Portsmouth City (757) 484-9400

ROGER W NEWSOM MD

Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)

3235 ACADEMY AVE, SUITE 200
PORTSMOUTH, VA 23703

Portsmouth City (757) 483-0400

JOHN T EDMONDS MD

Ophthalmology

3235 ACADEMY AVE, SUITE 200
PORTSMOUTH, VA 23703

Portsmouth City (757) 483-0400

KRUNAL MANUBHAI PATEL MD

Internal Medicine (Nephrology)

3235 ACADEMY AVE, SUITE 301
PORTSMOUTH, VA 23703

Portsmouth City (757) 484-9400

CARDIOVASCULAR SPECIALISTS, INC.

Internal Medicine (Cardiovascular Disease)

3235 ACADEMY AVE, SUITE 201
PORTSMOUTH, VA 23703

Portsmouth City (757) 483-6420

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 Mark Pavilack's NPI number?

The NPI number for Mark Pavilack is 1245238096. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Mark Pavilack located?

Mark Pavilack practices at 3235 Academy Ave Suite 200, Portsmouth, VA 23703. The listed phone number is (757) 483-0400.

What is Mark Pavilack's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Mark Pavilack enrolled in Medicare?

Yes. Mark Pavilack 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.

Is Mark Pavilack affiliated with any hospitals?

According to CMS data, Mark Pavilack is affiliated with Sentara Leigh Hospital.

When was this NPI record last updated?

The NPPES record for Mark Pavilack was last updated on April 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.