DR. CARL ROBERT PAVEL M.D.
NPI 1326067950
Internal Medicine - Critical Care Medicine in Geneva, IL

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
300 RANDALL RD, GENEVA, IL 60134(630) 933-4700(630) 933-4427 Get Directions Write a Review

NPPES record last updated: August 24, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2016, Aug 17, 2016, Jun 20, 2016 (3 updates tracked since 2016).

About Dr. Carl Robert Pavel M.d. NPPES

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

DR. CARL ROBERT PAVEL M.D. (NPI 1326067950) is an individual critical care medicine provider in Geneva, Illinois, licensed in Illinois (036140577) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Delnor Community Hospital, and is a graduate of Wisconsin College Of Physicians And Surgeons (2004).

NPPES Registry Identity

NPI1326067950
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. CARL ROBERT PAVELCredential: M.D.
Location Address300 RANDALL RDGeneva, IL 60134-4200
Mailing Address300 Randall RdGeneva, IL 60134-4200 · (630) 933-4700 · Fax (630) 933-4427
Fax(630) 933-4427
Sole ProprietorYes
Medical School CMSWisconsin College Of Physicians And SurgeonsGraduated 2004
Enumeration DateJuly 18, 2006
Last NPPES UpdateAugust 24, 20163 updates tracked since enumeration
NPI 1326067950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in IL · 036140577
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0101239540 (VA), 036140577 (IL)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 036140577 (IL)
300 RANDALL RD, Geneva, IL 60134

Other Identifiers 3

OtherF400305009IL · Medicare Ptan Individual
Other206147IL · Medicare Ptan Group
Medicaid036140577IL

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. Carl Robert Pavel 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 ID9133359615
PECOS Enrollment IDI20160623001941
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 13

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.

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.
123 services91 patients
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.
122 services100 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
95 services65 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.
69 services54 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
46 services46 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.
43 services28 patients

Hospital Affiliations CMS Care Compare 4

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

Northwestern Medicine Delnor Community Hospital

Acute Care Hospitals · Geneva, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140211
Location300 Randall RdGeneva, IL 60134 · Kane County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Northwestern Medicine Kishwaukee Hospital

Acute Care Hospitals · Dekalb, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140286
LocationOne Kish Hospital DriveDekalb, IL 60115 · De Kalb County
Emergency services Birthing friendly

Valley West Community Hospital

Critical Access Hospitals · Sandwich, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141340
Location1301 North Main StreetSandwich, IL 60548 · De Kalb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60134 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers12 claims68 services$1.93 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers17 claims17 services$16.72 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
4 suppliers22 claims22 services$4.94 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers53 claims53 services$76.91 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$28.72 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
6 suppliers21 claims3,540 services$0.10 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 20

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

Physician Assistant
300 RANDALL RD
GENEVA, IL 60134
Emergency Medicine
300 RANDALL RD
GENEVA, IL 60134
Nurse Practitioner (Adult Health)
300 RANDALL RD, WOUND CENTER
GENEVA, IL 60134
Hospitalist
300 RANDALL RD
GENEVA, IL 60134
Physical Therapist
300 RANDALL RD
GENEVA, IL 60134
Nurse Anesthetist, Certified Registered
300 RANDALL RD
GENEVA, IL 60134
Pathology (Anatomic Pathology & Clinical Pathology)
300 RANDALL RD
GENEVA, IL 60134
Hospitalist
300 RANDALL RD
GENEVA, IL 60134

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 Carl Pavel's NPI number?

The NPI number for Carl Pavel is 1326067950. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Carl Pavel located?

Carl Pavel practices at 300 Randall Rd, Geneva, IL 60134. The listed phone number is (630) 933-4700.

What is Carl Pavel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Carl Pavel enrolled in Medicare?

Yes. Carl Pavel 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 Carl Pavel affiliated with any hospitals?

According to CMS data, Carl Pavel is affiliated with Northwestern Medicine Delnor Community Hospital, Northwestern Medicine Central Dupage Hospital, Northwestern Medicine Kishwaukee Hospital and Valley West Community Hospital.

When was this NPI record last updated?

The NPPES record for Carl Pavel was last updated on August 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.