DR. PAVEL S. BLAGOV PH.D.
NPI 1346515541
Psychologist - Clinical in Walla Walla, WA

Q: What is Pavel Blagov's NPI number?

The NPI number for Pavel Blagov is 1346515541. It was assigned to this individual provider in the NPPES registry on March 20, 2012.

Q: What is Pavel Blagov's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Pavel Blagov was last updated on September 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 20, 2012PECOS EnrolledAccepts Medicare Assignment

409 E SUMACH ST, STE 3, WALLA WALLA, WA 99362(509) 876-1793(877) 991-1631 Get Directions Write a Review

NPPES record last updated: September 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Pavel S. Blagov Ph.d. NPPES

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

DR. PAVEL S. BLAGOV PH.D. (NPI 1346515541) is an individual clinical provider in Walla Walla, Washington, licensed in Washington (PY60236271) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1346515541

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. PAVEL S. BLAGOVCredential: PH.D.

Location Address409 E SUMACH ST, STE 3Walla Walla, WA 99362-1202

Mailing Address885 Hedine RdWalla Walla, WA 99362-8716 · (509) 876-1793 · Fax (877) 991-1631

Phone(509) 876-1793

Fax(877) 991-1631

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateMarch 20, 2012

Last NPPES UpdateSeptember 22, 2018

✔ NPI 1346515541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in WA · PY60236271

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

409 E SUMACH ST, Walla Walla, WA 99362

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, 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

Dr. Pavel S. Blagov Ph.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 ID7911154356

PECOS Enrollment IDI20120820001184

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99362 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

$172.80 typical visit price

range $57.27 – $172.80

Typical copayment $43.20 (range $14.31 – $43.20)

Most-billed visit code 99205

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

Other Providers at the Same Location NPPES 7

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

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