DR. ALBERT GORDON PAVALONIS D.O.
NPI 1326302563
Surgery - Vascular Surgery in Lynchburg, VA

Active since July 03, 2012PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
2410 ATHERHOLT RD, LYNCHBURG, VA 24501(434) 200-5299(434) 200-2386 Get Directions Write a Review

NPPES record last updated: November 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Albert Gordon Pavalonis D.o. NPPES

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

DR. ALBERT GORDON PAVALONIS D.O. (NPI 1326302563) is an individual vascular surgery provider in Lynchburg, Virginia, licensed in Virginia (0102205543) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Sentara Halifax Regional Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1326302563
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. ALBERT GORDON PAVALONISCredential: D.O.
Location Address2410 ATHERHOLT RDLynchburg, VA 24501-2148
Mailing Address1735 Calais TrailPowhatan, VA 23139-4523 · (540) 588-0521
Fax(434) 200-2386
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 3, 2012
Last NPPES UpdateNovember 9, 2022
NPPES CertifiedNovember 9, 2022
NPI 1326302563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in VA · 0102205543
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
2410 ATHERHOLT RD, Lynchburg, VA 24501

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. Albert Gordon Pavalonis D.o. 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 ID7911809603
PECOS Enrollment IDI20190806000411
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 11

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.

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.
119 services119 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.
110 services95 patients
Review by radiologist of both arms or legs arteries image 75716
This procedure involves a radiologist examining images of your arm or leg arteries. These images help identify any blockages or abnormalities in the blood vessels that could affect circulation. It's a vital step in diagnosing conditions related to blood flow.
48 services48 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
37 services33 patients
Balloon dilation of artery of leg 37224
Balloon dilation of the leg artery is a procedure to improve blood flow. A tiny balloon is inserted into a narrowed artery, then inflated to widen the artery. This helps increase blood circulation to the leg. It's usually done under local anesthesia.
18 services18 patients
Insertion of stent in arteries of leg 37226
A stent insertion in the leg arteries is a procedure to improve blood flow. A tiny mesh tube called a stent is placed in your artery to keep it open. This helps prevent blockages, alleviating pain and aiding in better mobility.
17 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Sentara Halifax Regional Hospital

Acute Care Hospitals · South Boston, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490013
Location2204 Wilborn AvenueSouth Boston, VA 24592 · Halifax County
Emergency services

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490021
Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg City County
Emergency services Birthing friendly

Centra Bedford Memorial Hospital

Acute Care Hospitals · Bedford, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490088
Location1613 Oakwood StreetBedford, VA 24523 · Bedford County
Emergency services

Centra Southside Community Hospital, Inc

Acute Care Hospitals · Farmville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490090
Location800 Oak StreetFarmville, VA 23901 · Prince Edward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24501 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.44
Promoting Interoperability94
Improvement Activities40

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.

Internal Medicine (Cardiovascular Disease)
2410 ATHERHOLT RD
LYNCHBURG, VA 24501
Internal Medicine (Cardiovascular Disease)
2410 ATHERHOLT RD
LYNCHBURG, VA 24501
Nurse Practitioner (Family)
2410 ATHERHOLT RD
LYNCHBURG, VA 24501
Internal Medicine (Cardiovascular Disease)
2410 ATHERHOLT RD
LYNCHBURG, VA 24501
Family Medicine
2410 ATHERHOLT RD
LYNCHBURG, VA 24501
Internal Medicine (Interventional Cardiology)
2410 ATHERHOLT RD
LYNCHBURG, VA 24501
Internal Medicine (Cardiovascular Disease)
2410 ATHERHOLT RD
LYNCHBURG, VA 24501
Physician Assistant (Medical)
2410 ATHERHOLT RD
LYNCHBURG, VA 24501

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 Albert Pavalonis's NPI number?

The NPI number for Albert Pavalonis is 1326302563. It was assigned to this individual provider in the NPPES registry on July 3, 2012.

Where is Albert Pavalonis located?

Albert Pavalonis practices at 2410 Atherholt Rd, Lynchburg, VA 24501. The listed phone number is (434) 200-5299.

What is Albert Pavalonis's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Albert Pavalonis enrolled in Medicare?

Yes. Albert Pavalonis 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 Albert Pavalonis affiliated with any hospitals?

According to CMS data, Albert Pavalonis is affiliated with Sentara Halifax Regional Hospital, Centra Health - Lynchburg Gen Hospital, Centra Bedford Memorial Hospital and Centra Southside Community Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Albert Pavalonis was last updated on November 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.