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ROMEO ANTON PAVLIC MD
NPI 1508815036
Internal Medicine - Cardiovascular Disease in Spokane, WA

Active since May 10, 2006PECOS Enrolled
6.06/100
CMS Quality Rating
140 S ARTHUR ST STE 408, SPOKANE, WA 99202(509) 557-7776(509) 838-9683 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 12, 2021, Feb 29, 2020 (2 updates tracked since 2020).

About Romeo Anton Pavlic Md NPPES

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

ROMEO ANTON PAVLIC MD (NPI 1508815036) is an individual cardiovascular disease provider in Spokane, Washington, licensed in Washington (00018454) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp., and is a graduate of Other (1975).

NPPES Registry Identity

NPI1508815036
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameROMEO ANTON PAVLICCredential: MD
Location Address140 S ARTHUR ST STE 408Spokane, WA 99202-2220
Mailing AddressPo Box 637Spokane, WA 99210-0637 · (509) 557-7776 · Fax (509) 838-9683
Phone(509) 557-7776
Fax(509) 838-9683
Sole ProprietorNo
Medical School CMSOtherGraduated 1975
Enumeration DateMay 10, 2006
Last NPPES UpdateJuly 12, 20212 updates tracked since enumeration
NPPES CertifiedJuly 12, 2021
✔ NPI 1508815036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in WA · 00018454✔ Licensed in ID · M4759
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
140 S ARTHUR ST STE 408, Spokane, WA 99202
Open in Google Maps ↗

Other Identifiers 2

Medicaid1788009WA
Medicaid003876300ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Romeo Anton Pavlic Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991605552
PECOS Enrollment IDI20040518000413
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 9

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
605 services281 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015
An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.
147 services146 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
70 services61 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
67 services67 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
58 services58 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
57 services51 patients

Hospital Affiliations CMS Care Compare 4

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

Prov Sacred Hrt Med Ctr & Childs Hosp.

Acute Care Hospitals · Spokane, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500054
Location101 West 8th AvenueSpokane, WA 99204 · Spokane County
Emergency services Birthing friendly

Providence St Joseph Hospital

Critical Access Hospitals · Chewelah, WA
OwnershipVoluntary non-profit - Church
CMS Certification Number501309
Location500 East WebsterChewelah, WA 99109 · Stevens County
Emergency services

Ferry County Memorial Hospital

Critical Access Hospitals · Republic, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501322
Location36 Klondike RoadRepublic, WA 99166 · Ferry County
Emergency services

Providence Mount Carmel Hospital

Critical Access Hospitals · Colville, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number501326
Location982 East ColumbiaColville, WA 99114 · Stevens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99202 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

6.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost20.22

Referred Medical Equipment & Supplies CMS DME claims 13

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers16 claims16 services$41.40 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers26 claims26 services$99.96 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers21 claims41 services$37.75 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers11 claims12 services$59.55 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers25 claims26 services$20.14 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers14 claims14 services$16.99 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 Romeo Pavlic's NPI number?

The NPI number for Romeo Pavlic is 1508815036. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Romeo Pavlic located?

Romeo Pavlic practices at 140 S Arthur St Ste 408, Spokane, WA 99202. The listed phone number is (509) 557-7776.

What is Romeo Pavlic's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Romeo Pavlic enrolled in Medicare?

Yes. Romeo Pavlic is registered in the Medicare PECOS enrollment system.

What insurance does Romeo Pavlic accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Romeo Pavlic 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 Romeo Pavlic affiliated with any hospitals?

According to CMS data, Romeo Pavlic is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp., Providence St Joseph Hospital, Ferry County Memorial Hospital and Providence Mount Carmel Hospital.

When was this NPI record last updated?

The NPPES record for Romeo Pavlic was last updated on July 12, 2021. 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.