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PAVEL VACLAV PETRIK MD
NPI 1417044868
Surgery - Trauma Surgery in Lancaster, CA

Active since October 06, 2006PECOS EnrolledAccepts Medicare Assignment
44725 10TH ST W STE 120, LANCASTER, CA 93534(661) 522-3256(661) 948-2006 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pavel Vaclav Petrik Md NPPES

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

PAVEL VACLAV PETRIK MD (NPI 1417044868) is an individual trauma surgery provider in Lancaster, California, licensed in California (G74861) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (1991).

NPPES Registry Identity

NPI1417044868
Entity TypeIndividualMale
Primary Taxonomy2086S0127X
Provider Legal NamePAVEL VACLAV PETRIKCredential: MD
Location Address44725 10TH ST W STE 120Lancaster, CA 93534-3051
Mailing AddressPo Box 8700Lancaster, CA 93539-8700 · (661) 522-3256 · Fax (661) 948-2006
Phone(661) 522-3256
Fax(661) 948-2006
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1991
Enumeration DateOctober 6, 2006
Last NPPES UpdateDecember 9, 2021
NPPES CertifiedDecember 9, 2021
✔ NPI 1417044868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License✔ Licensed in CA · G74861
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X · License G74861 (CA)
44725 10TH ST W STE 120, Lancaster, CA 93534
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Other Identifiers 1

MedicaidGR0091800CA

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

Pavel Vaclav Petrik 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 ID4789610247
PECOS Enrollment IDI20120214000337
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.

Medicare Billing Reassignment

Medicare enrollment records show Pavel Petrik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pavel V Petrik Medical Corporation
Same address
Thoracic Surgery (Cardiothoracic Vascular Surgery)
44725 10TH ST W STE 120
Lancaster, CA 93534
  • Reassigned Medicare billing, California enrollment
NPI 1598247991 (661) 522-3256

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 8

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 moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
92 services47 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
55 services54 patients
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.
43 services28 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.
40 services38 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
18 services11 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
17 services17 patients

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$27.98 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$10.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

PAVEL V PETRIK MEDICAL CORPORATION
Thoracic Surgery (Cardiothoracic Vascular Surgery)
44725 10TH ST W STE 120
LANCASTER, CA 93534
Los Angeles County (661) 522-3256

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 Pavel Petrik's NPI number?

The NPI number for Pavel Petrik is 1417044868. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Pavel Petrik located?

Pavel Petrik practices at 44725 10th St W Ste 120, Lancaster, CA 93534. The listed phone number is (661) 522-3256.

What is Pavel Petrik's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Pavel Petrik enrolled in Medicare?

Yes. Pavel Petrik 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 organization bills Medicare for Pavel Petrik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pavel Petrik reassigns Medicare benefits to Pavel V Petrik Medical Corporation (Lancaster, CA). The 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 Pavel Petrik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pavel Petrik was last updated on December 9, 2021. 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.