KAYLA PAVAO NP
NPI 1336692870
Nurse Practitioner in Brockton, MA
NPI Status: Active since August 02, 2016
Contact Information
1342 BELMONT ST
BROCKTON, MA
ZIP 02301
Phone: (508) 973-7041
- Individual
- Female
- Years of Experience 10
- Nurse Practitioner
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About KAYLA PAVAO
This page provides the complete NPI Profile along with additional information for Kayla Pavao, a provider established in Brockton, Massachusetts with a medical specialization in Nurse Practitioner and more than 10 years of experience. The healthcare provider is registered in the NPI registry with number 1336692870 assigned on August 2016. The practitioner's primary taxonomy code is 363L00000X with license number RN2286207 (MA). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1336692870
- Provider Name
- KAYLA PAVAO NP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1342 BELMONT ST BROCKTON, MA 02301
- Location Phone
- (508) 973-7041
- Mailing Address
- 1342 BELMONT ST BROCKTON, MA 02301
- Mailing Phone
- (508) 973-7041
- Medical School Name
- OTHER
- Graduation Year
- 2016
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-02-2016
- Last Update Date
- 02-08-2019
- Code Navigator
A nurse practitioner (NP) like Kayla Pavao is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- RN2286207
- License State
- MA
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | APRN01989 (RI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| MR1050296N | OTHER (01) | MA | MASS CONTROLLED SUBSTANCE REGISTRATION |
| RN2286207 | OTHER (01) | MA | CERTIFIED NURSE PRACTITIONER |
Medicare Participation & PECOS Enrollment Status
Kayla Pavao is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Kayla Pavao is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9133409709
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20161219000220
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Emergency department visit for problem of moderate severity
Follow-up observation care per day, typically 15 minutes
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 58 times for 58 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 31 times for 31 patientsAn emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
This service was performed 20 times for 20 patientsFollow-up observation care is a daily check-up service where your health is monitored for about 15 minutes. This routine observation helps track your recovery progress or any changes in your condition. It's a crucial part of ensuring your health and well-being.
This service was performed 14 times for 11 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.67 for a new patient copayment and $25.87 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02301 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.7
- Minimum New Patient Price $58.86
- Maximum New Patient Price $177.36
- Average New Patient Copayment $22.67
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.48
- Minimum Established Patient Price $19.11
- Maximum Established Patient Price $144.84
- Average Established Patient Copayment $25.87
- Minimum Established Patient Copayment $4.77
- Maximum Established Patient Copayment $36.21
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Implementation of improvements that contribute to more timely communication of test results | Yes | N/A |
| Timely communication of test results defined as timely identification of abnormal test results with timely follow-up. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. | Yes | N/A |
| Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. | ||
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kayla Pavao is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| SOUTHCOAST HOSPITALS GROUP | 363 HIGHLAND AVENUE FALL RIVER, MA 02720 | (508) 679-3131 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 6 | 9 | 2 | 8 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 12 | 9 | 4 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 1 + 2 + 9 + 4 + 8 + 1 + 4 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1336692870 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
PAULA GASPARONI PT
Physical Therapist
1342 BELMONT ST
SUITE 102
BROCKTON, MA
ZIP 02301
MS. GERALDINE LOUISE DUNN LMHC
Counselor
(Mental Health)
1342 BELMONT ST
BROCKTON, MA
ZIP 02301
MRS. ELIZABETH MARIE MCMULLEN M.ED., LMHC
Counselor
(Mental Health)
1342 BELMONT ST
SUITE 103
BROCKTON, MA
ZIP 02301
DR. STEPHEN GERALD RUDIN ED.D.
Psychologist
(Clinical)
1342 BELMONT ST
SUITE 204
BROCKTON, MA
ZIP 02301
AUBREY LIEBERMAN MD
Psychiatry & Neurology
(Neurology)
1342 BELMONT ST
SUITE 105
BROCKTON, MA
ZIP 02301
MR. JUNE LOUISE CHIN LICSW
Social Worker
(Clinical)
1342 BELMONT ST
SUITE 103
BROCKTON, MA
ZIP 02301
DR. KAREN HETZEL PHD, APRN, BC
Clinical Nurse Specialist
(Psychiatric/Mental Health, Child & Adolescent)
1342 BELMONT ST
SUITE 101
BROCKTON, MA
ZIP 02301
DR. LYUDMILA RAKITA MD
Psychiatry & Neurology
(Psychiatry)
1342 BELMONT ST
SUITE 103
BROCKTON, MA
ZIP 02301
LYUDMILA RAKITA M.D.,P.C.
Psychiatry & Neurology
(Psychiatry)
1342 BELMONT ST
SUITE 103
BROCKTON, MA
ZIP 02301
AMY GOFFREDO LLC
Social Worker
(Clinical)
1342 BELMONT ST
SUITE 103
BROCKTON, MA
ZIP 02301
MAUREEN E. DIMILLA LMHC
Counselor
(Mental Health)
1342 BELMONT ST
BROCKTON, MA
ZIP 02301
MEYER PHYSICAL THERAPY
Physical Therapist
1342 BELMONT ST
STE 102
BROCKTON, MA
ZIP 02301
AMERICAN PROSTHETICS INC
Prosthetic/Orthotic Supplier
1342 BELMONT ST
SUITE 102
BROCKTON, MA
ZIP 02301
AUBREY LIEBERMAN MD PC
Psychiatry & Neurology
(Neurology)
1342 BELMONT ST
SUITE 105
BROCKTON, MA
ZIP 02301
JENNIFER LYNN ULICNY CRNA
Nurse Anesthetist, Certified Registered
1342 BELMONT ST
BROCKTON, MA
ZIP 02301
DR. DAVID MARK KAGLE M.D.
Anesthesiology
1342 BELMONT ST
BROCKTON, MA
ZIP 02301
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336692870, enumerated as an "individual" on August 02, 2016.
The provider is located at 1342 BELMONT ST BROCKTON, MA 02301 and the phone number is (508) 973-7041.
Nurse Practitioner with taxonomy code 363L00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
Kayla Pavao is affiliated with: SOUTHCOAST HOSPITALS GROUP.
