DR. ETHAN PAVLOVSKY DO
NPI 1407505233
General Practice in Plano, TX
NPI Status: Active since March 20, 2022
Contact Information
3901 W 15TH ST
PLANO, TX
ZIP 75075
Phone: (972) 396-4075
- Individual
- Male
- General Practice
- PECOS Enrolled
About ETHAN PAVLOVSKY
This page provides the complete NPI Profile along with additional information for Ethan Pavlovsky, a primary care provider established in Plano, Texas with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1407505233 assigned on March 2022. The practitioner's primary taxonomy code is 208D00000X with license number W4177 (TX). The provider is registered as an individual and his NPI record was last updated March 2026.
- NPI
- 1407505233
- Provider Name
- DR. ETHAN PAVLOVSKY DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3901 W 15TH ST PLANO, TX 75075
- Location Phone
- (972) 396-4075
- Mailing Address
- 3901 W 15TH ST PLANO, TX 75075
- Mailing Phone
- (972) 396-4075
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-20-2022
- Last Update Date
- 03-08-2026
- Code Navigator
A primary care provider (PCP) like Ethan Pavlovsky sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- W4177
- License State
- TX
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Medicare Participation & PECOS Enrollment Status
Ethan Pavlovsky 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
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
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1407505233, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 47 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PLANO, TX 75075
PLANO, TX 75075
PLANO, TX 75075
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407505233, enumerated as an "individual" on March 20, 2022.
The provider is located at 3901 W 15TH ST PLANO, TX 75075 and the phone number is (972) 396-4075.
General Practice with taxonomy code 208D00000X.
