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DR. KEITH PAWLISH JR. O.D.
NPI 1417060070
Optometrist in Gastonia, NC

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
3916 E FRANKLIN BLVD STE 160B, GASTONIA, NC 28056(704) 565-0660(704) 824-2192 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Keith Pawlish Jr. O.d. NPPES

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

DR. KEITH PAWLISH JR. O.D. (NPI 1417060070) is an individual optometrist in Gastonia, North Carolina, licensed in North Carolina (2042) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Alabama Birmingham - School Of Optometry (2006).

NPPES Registry Identity

NPI1417060070
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KEITH PAWLISH JR.Credential: O.D.
Location Address3916 E FRANKLIN BLVD STE 160BGastonia, NC 28056-9220
Mailing Address3916 E Franklin Blvd Ste 160bGastonia, NC 28056-9220 · (910) 478-5286
Phone(704) 565-0660
Fax(704) 824-2192
Sole ProprietorYes
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 2006
Enumeration DateAugust 17, 2006
Last NPPES UpdateAugust 11, 2020
NPPES CertifiedAugust 11, 2020
✔ NPI 1417060070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NC · 2042
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3916 E FRANKLIN BLVD STE 160B, Gastonia, NC 28056
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Other Identifiers 1

Medicaid5915946NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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. Keith Pawlish Jr. O.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 ID3072653443
PECOS Enrollment IDI20091215000493
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
418 services414 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
366 services366 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28056 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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 Keith Pawlish's NPI number?

The NPI number for Keith Pawlish is 1417060070. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Keith Pawlish located?

Keith Pawlish practices at 3916 E Franklin Blvd Ste 160B, Gastonia, NC 28056. The listed phone number is (704) 565-0660.

What is Keith Pawlish's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Keith Pawlish enrolled in Medicare?

Yes. Keith Pawlish 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.

What insurance does Keith Pawlish accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 6 other insurers list Keith Pawlish as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keith Pawlish was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.