DREY ANTHONY PAVLOV M.D.
NPI 1366869307
Internal Medicine in Tacoma, WA
About Drey Anthony Pavlov M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DREY ANTHONY PAVLOV M.D. (NPI 1366869307) is an individual internal medicine provider in Tacoma, Washington, licensed in Washington (MD60751108) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Multicare Good Samaritan Hospital, and maintains a secondary practice location in Jefferson.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Drey Anthony Pavlov 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.
Medicare Billing Reassignments
2Medicare enrollment records show Drey Pavlov reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tacoma, WA 98405
- Reassigned Medicare billing, Washington enrollment
- 4,383 clinicians in this Medicare group
Auburn, WA 98001
- Reassigned Medicare billing, Washington enrollment
- 915 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Multicare Good Samaritan Hospital
Acute Care Hospitals · Puyallup, WATacoma General Allenmore Hospital
Acute Care Hospitals · Tacoma, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
TACOMA, WA 98405
TACOMA, WA 98405
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 Drey Pavlov's NPI number?
The NPI number for Drey Pavlov is 1366869307. It was assigned to this individual provider in the NPPES registry on March 27, 2014.
Where is Drey Pavlov located?
Drey Pavlov practices at 315 Martin Luther King Jr Way, Tacoma, WA 98405. The listed phone number is (949) 302-2102.
What is Drey Pavlov's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Drey Pavlov enrolled in Medicare?
Yes. Drey Pavlov 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.
Which organizations bill Medicare for Drey Pavlov's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Drey Pavlov reassigns Medicare benefits to 2 organizations: Multicare Health System (Tacoma, WA) and South Sound Inpatient Physicians PLLC (Auburn, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Drey Pavlov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Drey Pavlov affiliated with any hospitals?
According to CMS data, Drey Pavlov is affiliated with Multicare Good Samaritan Hospital and Tacoma General Allenmore Hospital.
When was this NPI record last updated?
The NPPES record for Drey Pavlov was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Drey Anthony Pavlov, M.D. · NPI 1366869307
Internal Medicine physician in Tacoma, Washington. Individual provider, active in the CMS NPPES registry since March 27, 2014.
## Identity
- **NPI:** 1366869307 (Entity type: Individual)
- **Enumerated:** March 27, 2014
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD60751108 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 315 MARTIN LUTHER KING JR WAY, Tacoma, WA 98405-4234
- **Phone:** (949) 302-2102
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Multicare Health System (NPI 1023101235, Tacoma, WA); South Sound Inpatient Physicians PLLC (NPI 1215104443, Auburn, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1366869307) · Data from the CMS NPPES public registry.