PAVEL MUDRENKO PA-C
NPI 1487402251
Physician Assistant in Sacramento, CA

Active since May 08, 2024PECOS EnrolledAccepts Medicare Assignment
7500 HOSPITAL DR, SACRAMENTO, CA 95823(916) 423-3000 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 1, 2024, May 8, 2024 (2 updates tracked since 2024).

About Pavel Mudrenko Pa-c NPPES

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

PAVEL MUDRENKO PA-C (NPI 1487402251) is an individual physician assistant in Sacramento, California, licensed in California (64607) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1487402251
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePAVEL MUDRENKOCredential: PA-C
Location Address7500 HOSPITAL DRSacramento, CA 95823-5403
Mailing Address7500 Hospital DrSacramento, CA 95823-5403
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMay 8, 2024
Last NPPES UpdateAugust 1, 20242 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
NPI 1487402251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 64607
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

7500 HOSPITAL DR, Sacramento, CA 95823

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

Pavel Mudrenko Pa-c 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 ID6305384835
PECOS Enrollment IDI20240815002007
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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
54 services54 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
34 services34 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95823 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

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.

Emergency Medicine
7500 HOSPITAL DR
SACRAMENTO, CA 95823
Obstetrics & Gynecology
7500 HOSPITAL DR
SACRAMENTO, CA 95823
Pharmacist
7500 HOSPITAL DR
SACRAMENTO, CA 95823
Physician Assistant
7500 HOSPITAL DR
SACRAMENTO, CA 95823
Clinic/Center (Multi-Specialty)
7500 HOSPITAL DR
SACRAMENTO, CA 95823
Pharmacist
7500 HOSPITAL DR
SACRAMENTO, CA 95823
Emergency Medicine
7500 HOSPITAL DR
SACRAMENTO, CA 95823
Family Medicine
7500 HOSPITAL DR
SACRAMENTO, CA 95823

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 Mudrenko's NPI number?

The NPI number for Pavel Mudrenko is 1487402251. It was assigned to this individual provider in the NPPES registry on May 8, 2024.

Where is Pavel Mudrenko located?

Pavel Mudrenko practices at 7500 Hospital Dr, Sacramento, CA 95823. The listed phone number is (916) 423-3000.

What is Pavel Mudrenko's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Pavel Mudrenko enrolled in Medicare?

Yes. Pavel Mudrenko 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.

When was this NPI record last updated?

The NPPES record for Pavel Mudrenko was last updated on August 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.