PAYAM S PAHLAVAN MD
NPI 1467988386
Pathology - Anatomic Pathology & Clinical Pathology in Milwaukee, WI

Q: What is Payam Pahlavan's NPI number?

The NPI number for Payam Pahlavan is 1467988386. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Q: What is Payam Pahlavan's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Payam Pahlavan was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since May 11, 2017PECOS EnrolledAccepts Medicare Assignment

73.51/100

CMS Quality Rating

9200 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 805-6966(414) 805-6980 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 19, 2026, Sep 14, 2022, Mar 7, 2020 and 1 more (4 updates tracked since 2017).

On this page

About Payam S Pahlavan Md NPPES

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

PAYAM S PAHLAVAN MD (NPI 1467988386) is an individual anatomic pathology & clinical pathology provider in Milwaukee, Wisconsin, licensed in Wisconsin (86677) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Community Memorial Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1467988386

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NamePAYAM S PAHLAVANCredential: MD

Location Address9200 W WISCONSIN AVEMilwaukee, WI 53226-3522

Mailing Address9200 W Wisconsin AveMilwaukee, WI 53226-3522 · (414) 805-6966 · Fax (414) 805-6980

Phone(414) 805-6966

Fax(414) 805-6980

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateMay 11, 2017

Last NPPES UpdateJanuary 19, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2026

✔ NPI 1467988386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Licenses✔ Licensed in WI · 86677✔ Licensed in NC · 2019-00638✔ Licensed in IN · 01085854A

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

9200 W WISCONSIN AVE, Milwaukee, WI 53226

Open in Google Maps ↗

Other Identifiers 1

Medicaid1467988386WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Payam S Pahlavan 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 ID6709157670

PECOS Enrollment IDI20260114002529

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 13

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

656 services391 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

577 services121 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

219 services190 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

105 services93 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

73 services46 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

55 services49 patients

Microscopic genetic analysis of tumor, manual 88360

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

51 services24 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

46 services34 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

31 services19 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

28 services27 patients

Pathology examination of tissue using a microscope, limited examination 88300

A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.

20 services20 patients

Pathology examination of specimen during surgery, first tissue block 88331

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

18 services17 patients

Evaluation of fine needle aspirate 88172

Evaluation of fine needle aspirate is a diagnostic procedure where a thin needle is used to collect cells from a lump or mass. This sample is then examined under a microscope to determine the nature of the lump, whether it's benign (non-cancerous) or malignant (cancerous).

14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Community Memorial Hospital

Acute Care Hospitals · Menomonee Falls, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520103

LocationW180 N8085 Town Hall RdMenomonee Falls, WI 53051 · Waukesha County

Emergency services

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520177

Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

73.51/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.83

Improvement Activities

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.

TRACY BLAIR WANDTKE HERRMANN APNP, CNM

Advanced Practice Midwife

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-4777

DR. ZACHARY SMITH DO

Internal Medicine (Gastroenterology)

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 955-6830

DR. COLLEEN ANN CROWE M.D., M.P.H.

Emergency Medicine

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6469

ROBERTO MEJIAS APNP

Nurse Practitioner (Pediatrics)

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6600

MRS. ANNE E B LAKATOS APN-BC, APNP, RN

Nurse Practitioner (Adult Health)

9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6850

MRS. AMANDA M MANDERS APNP

Nurse Practitioner (Adult Health)

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6850

KATHLEEN A WATERHOUSE-SKIBICKI CRNA

Nurse Anesthetist, Certified Registered

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-5951

ANDREA L BEQUEST PA

Physician Assistant (Medical)

9200 W WISCONSIN AVE, INTERNAL MEDICINE
MILWAUKEE, WI 53226

Milwaukee County (414) 955-0350

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 Payam Pahlavan's NPI number?

The NPI number for Payam Pahlavan is 1467988386. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Payam Pahlavan located?

Payam Pahlavan practices at 9200 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 805-6966.

What is Payam Pahlavan's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Payam Pahlavan enrolled in Medicare?

Yes. Payam Pahlavan 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 Payam Pahlavan accept?

Health plans from CareSource list Payam Pahlavan 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.

Is Payam Pahlavan affiliated with any hospitals?

According to CMS data, Payam Pahlavan is affiliated with Community Memorial Hospital and Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Payam Pahlavan was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.