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PAVEL VOLKOV MD
NPI 1245556315
Internal Medicine in Fresno, CA

Active since April 14, 2010PECOS EnrolledAccepts Medicare Assignment
85.78/100
CMS Quality Rating
6327 N FRESNO ST, STE# 104, FRESNO, CA 93710(559) 431-4020(559) 431-4589 Get Directions Write a Review

NPPES record last updated: May 21, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pavel Volkov Md NPPES

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

PAVEL VOLKOV MD (NPI 1245556315) is an individual internal medicine provider in Fresno, California, licensed in California (A11927) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1245556315
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePAVEL VOLKOVCredential: MD
Location Address6327 N FRESNO ST, STE# 104Fresno, CA 93710-5236
Mailing Address6327 N Fresno St, Ste# 104Fresno, CA 93710-5236 · (559) 431-4020 · Fax (559) 431-4589
Phone(559) 431-4020
Fax(559) 431-4589
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateApril 14, 2010
Last NPPES UpdateMay 21, 2012
✔ NPI 1245556315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A11927
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6327 N FRESNO ST, Fresno, CA 93710
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Other Identifiers 1

Medicare PINEK680ACA

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

Pavel Volkov 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 ID2365634698
PECOS Enrollment IDI20101005001116
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
215 services109 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
24 services21 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
22 services19 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
22 services13 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
20 services19 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93710 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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.

85.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.3
Promoting Interoperability100
Improvement Activities40
Cost61.3

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
88%218 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$783.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

DR. ROYDON GLEN FREDRICK STEINKE M.D.
Obstetrics & Gynecology
6327 N FRESNO ST, SUITE 101
FRESNO, CA 93710
Fresno County (559) 435-5278
ANOUSH ANN KHODAVERDIAN M.D.
Pediatrics
6327 N FRESNO ST, SUITE 108
FRESNO, CA 93710
Fresno County (559) 440-0110
DR. ROBERT F CROOKS M.D.
Internal Medicine (Critical Care Medicine)
6327 N FRESNO ST, SUITE 104
FRESNO, CA 93710
Fresno County (559) 431-4020
DR. JOHN A ROPER M.D.
Hospitalist
6327 N FRESNO ST, SUITE 104
FRESNO, CA 93710
Fresno County (559) 431-4020
CHARLES J GAVIN MD INC.
Specialist
6327 N FRESNO ST, SUITE 101
FRESNO, CA 93710
Fresno County (559) 435-5263
DR. PAUL J GOEBEL M.D.
Internal Medicine (Critical Care Medicine)
6327 N FRESNO ST, SUITE 104
FRESNO, CA 93710
Fresno County (559) 431-4020

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 Pavel Volkov's NPI number?

The NPI number for Pavel Volkov is 1245556315. It was assigned to this individual provider in the NPPES registry on April 14, 2010.

Where is Pavel Volkov located?

Pavel Volkov practices at 6327 N Fresno St Ste# 104, Fresno, CA 93710. The listed phone number is (559) 431-4020.

What is Pavel Volkov's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pavel Volkov enrolled in Medicare?

Yes. Pavel Volkov 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.

When was this NPI record last updated?

The NPPES record for Pavel Volkov was last updated on May 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.