MS. PATRICIA MARGARET PAVLAK APN
NPI 1427393388
Nurse Practitioner - Adult Health in Middletown, NJ

Active since December 04, 2012PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
140 TINDALL ROAD, MIDDLETOWN, NJ 07748(732) 671-0860(732) 670-6467 Get Directions Write a Review

NPPES record last updated: November 25, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ms. Patricia Margaret Pavlak Apn NPPES

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

MS. PATRICIA MARGARET PAVLAK APN (NPI 1427393388) is an individual adult health provider in Middletown, New Jersey, licensed in New York (F306290-1) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1427393388
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. PATRICIA MARGARET PAVLAKCredential: APN
Location Address140 TINDALL ROADMiddletown, NJ 07748
Mailing AddressPo Box 8519Red Bank, NJ 07701 · (732) 460-9840 · Fax (732) 460-9848
Fax(732) 670-6467
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 4, 2012
Last NPPES UpdateNovember 25, 2014
✔ NPI 1427393388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in NY · F306290-1✔ Licensed in NJ · 26NJ00406400
140 TINDALL ROAD, Middletown, NJ 07748

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

Ms. Patricia Margaret Pavlak Apn 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 ID840437000
PECOS Enrollment IDI20140929000559
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 Reassignments

2

Medicare enrollment records show Patricia Pavlak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 689 clinicians in this Medicare group
Hematology
525 EAST 68TH STREET, 2 NORTH
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 30 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 3

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services33 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
21 services21 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07748 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

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.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers35 claims76 services$4.68 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers13 claims16 services$0.84 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers48 claims48 services$198.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Patricia Pavlak's NPI number?

The NPI number for Patricia Pavlak is 1427393388. It was assigned to this individual provider in the NPPES registry on December 4, 2012.

Where is Patricia Pavlak located?

Patricia Pavlak practices at 140 Tindall Road, Middletown, NJ 07748. The listed phone number is (732) 671-0860.

What is Patricia Pavlak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Patricia Pavlak enrolled in Medicare?

Yes. Patricia Pavlak 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 Patricia Pavlak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Pavlak reassigns Medicare benefits to 2 organizations: Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ) and The Rogosin Institute, Inc (New York, NY). 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 Patricia Pavlak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Patricia Pavlak affiliated with any hospitals?

According to CMS data, Patricia Pavlak is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Patricia Pavlak was last updated on November 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.