RICHARD M PAVELOCK MD
NPI 1487739579
Psychiatry & Neurology - Addiction Medicine in Statesville, NC

Active since October 26, 2006PECOS EnrolledAccepts Medicare Assignment
2632 FINES CREEK DR, STATESVILLE, NC 28625(704) 838-0516(704) 838-0565 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard M Pavelock Md NPPES

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

RICHARD M PAVELOCK MD (NPI 1487739579) is an individual addiction medicine provider in Statesville, North Carolina, licensed in North Carolina (39460) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1487739579
Entity TypeIndividualMale
Primary Taxonomy2084A0401X
Provider Legal NameRICHARD M PAVELOCKCredential: MD
Location Address2632 FINES CREEK DRStatesville, NC 28625-4441
Mailing Address2632 Fines Creek DrStatesville, NC 28625-4441 · (704) 838-0516 · Fax (704) 838-0565
Fax(704) 838-0565
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateOctober 26, 2006
Last NPPES UpdateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
NPI 1487739579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084A0401X
License Licensed in NC · 39460
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Also ListedSpecialistTaxonomy 174400000X
Also ListedFamily MedicineTaxonomy 207Q00000X · License 39460 (NC)
Also ListedInternal MedicineTaxonomy 207R00000X · License 39460 (NC)
Also ListedPsychiatry & Neurology · Neurodevelopmental DisabilitiesTaxonomy 2084P0005X · License 39460 (NC)
2632 FINES CREEK DR, Statesville, NC 28625

Other Identifiers 3

OtherP00219696NC · Railroad Medicare
Medicaid8966248NC
Other66248NC · Bcbs Of Nc

Accepted 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

Richard M Pavelock 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 ID8628050820
PECOS Enrollment IDI20100323000478
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28625 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
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
3 suppliers31 claims961 services$3.44 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
3 suppliers30 claims14,390 services$0.42 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 3

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

Psychiatry & Neurology (Addiction Medicine)
2632 FINES CREEK DR
STATESVILLE, NC 28625
General Practice
2632 FINES CREEK DR
STATESVILLE, NC 28625
Nurse Practitioner (Family)
2632 FINES CREEK DR
STATESVILLE, NC 28625

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 Richard Pavelock's NPI number?

The NPI number for Richard Pavelock is 1487739579. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Richard Pavelock located?

Richard Pavelock practices at 2632 Fines Creek Dr, Statesville, NC 28625. The listed phone number is (704) 838-0516.

What is Richard Pavelock's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Is Richard Pavelock enrolled in Medicare?

Yes. Richard Pavelock 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 Richard Pavelock accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare list Richard Pavelock 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 Richard Pavelock was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.