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JOZEF WILLIAM PAVNICA MD
NPI 1326571449
Surgery in Kennewick, WA

Active since April 05, 2017PECOS EnrolledAccepts Medicare Assignment
3730 PLAZA WAY FL 5, KENNEWICK, WA 99338(509) 221-6550(509) 221-6511 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 28, 2022, Jun 9, 2022 (2 updates tracked since 2022).

About Jozef William Pavnica Md NPPES

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

JOZEF WILLIAM PAVNICA MD (NPI 1326571449) is an individual surgery provider in Kennewick, Washington, licensed in Washington (61314680) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Deaconess Medical Center, and is a graduate of University Of Alabama School Of Medicine (2017).

NPPES Registry Identity

NPI1326571449
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJOZEF WILLIAM PAVNICACredential: MD
Location Address3730 PLAZA WAY FL 5Kennewick, WA 99338-2718
Mailing Address3730 Plaza Way Fl 5Kennewick, WA 99338-2718 · (509) 221-6550 · Fax (506) 221-6511
Phone(509) 221-6550
Fax(509) 221-6511
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2017
Enumeration DateApril 5, 2017
Last NPPES UpdateNovember 28, 20222 updates tracked since enumeration
NPPES CertifiedNovember 28, 2022
✔ NPI 1326571449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in WA · 61314680✔ Licensed in AL · 37455
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3730 PLAZA WAY FL 5, Kennewick, WA 99338
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

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

Jozef William Pavnica 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 ID2264709831
PECOS Enrollment IDI20220817001397
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 7

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 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.
68 services31 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
55 services50 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.
36 services36 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.
34 services27 patients
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.
21 services19 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Deaconess Medical Center

Acute Care Hospitals · Spokane, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500044
LocationW 800 Fifth AvenueSpokane, WA 99210 · Spokane County
Emergency services Birthing friendly

Trios Health

Acute Care Hospitals · Kennewick, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500053
Location900 South Auburn StreetKennewick, WA 99336 · Benton County
Emergency services Birthing friendly

Multicare Valley Hospital

Acute Care Hospitals · Spokane, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500119
Location12606 East Mission AvenueSpokane, WA 99216 · Spokane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99338 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

Other Providers at the Same Location NPPES 3

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

JOSHUA DAHL SPENDLOVE M.D.
Urology
3730 PLAZA WAY FL 5
KENNEWICK, WA 99338
Benton County (506) 221-6550
JILLIAN LEE THAYER MD
Surgery
3730 PLAZA WAY FL 5
KENNEWICK, WA 99338
Benton County (267) 441-4583
THU HA NGUYEN MD
Surgery
3730 PLAZA WAY FL 5
KENNEWICK, WA 99338
Benton County (509) 221-6550

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 Jozef Pavnica's NPI number?

The NPI number for Jozef Pavnica is 1326571449. It was assigned to this individual provider in the NPPES registry on April 5, 2017.

Where is Jozef Pavnica located?

Jozef Pavnica practices at 3730 Plaza Way Fl 5, Kennewick, WA 99338. The listed phone number is (509) 221-6550.

What is Jozef Pavnica's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jozef Pavnica enrolled in Medicare?

Yes. Jozef Pavnica 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.

What insurance does Jozef Pavnica accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Jozef Pavnica as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jozef Pavnica affiliated with any hospitals?

According to CMS data, Jozef Pavnica is affiliated with Deaconess Medical Center, Trios Health and Multicare Valley Hospital.

When was this NPI record last updated?

The NPPES record for Jozef Pavnica was last updated on November 28, 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.