DR. EDWARD K PAVILLARD D.O.
NPI 1548222979
Surgery - Vascular Surgery in Limerick, PA

Active since April 03, 2006PECOS EnrolledAccepts Medicare Assignment
78.36/100
CMS Quality Rating
420 W LINFIELD TRAPPE RD, STE 3200, LIMERICK, PA 19468(610) 495-2550(610) 495-2588 Get Directions Write a Review

NPPES record last updated: July 6, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Edward K Pavillard D.o. NPPES

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

DR. EDWARD K PAVILLARD D.O. (NPI 1548222979) is an individual vascular surgery provider in Limerick, Pennsylvania, licensed in Pennsylvania (OS010760L) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (1999).

NPPES Registry Identity

NPI1548222979
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. EDWARD K PAVILLARDCredential: D.O.
Location Address420 W LINFIELD TRAPPE RD, STE 3200Limerick, PA 19468-4278
Mailing Address420 W Linfield Trappe Rd, Ste 3200Limerick, PA 19468-4278 · (610) 495-2550 · Fax (610) 495-2588
Fax(610) 495-2588
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1999
Enumeration DateApril 3, 2006
Last NPPES UpdateJuly 6, 2010
NPI 1548222979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in PA · OS010760L
Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

420 W LINFIELD TRAPPE RD, Limerick, PA 19468

Other Identifiers 2

Medicare ID-Type Unspecified096348PA
Medicare UPINI46357

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

Dr. Edward K Pavillard D.o. 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 ID5799705646
PECOS Enrollment IDI20051207000014
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 26

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
175 services136 patients
Initial hospital inpatient care per day, typically 50 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
111 services104 patients
Ultrasound evaluation of blood vessel with review by radiologist, initial vessel 37252
This procedure involves using ultrasound, a safe imaging technique, to examine your blood vessels. The images are then reviewed by a radiologist, a doctor specialized in medical imaging. The process helps identify any abnormalities in your initial vessel.
98 services81 patients
Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
80 services48 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
58 services53 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
52 services42 patients

Hospital Affiliations CMS Care Compare 3

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390127
Location140 Nutt RoadPhoenixville, PA 19460 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19468 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

78.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.13
Promoting Interoperability98
Improvement Activities40
Cost48.42

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
23%26 patients1/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
0%1,361 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
0%838 patients1/55-star benchmark: 97%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
7%58 patients1/55-star benchmark: 89%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

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

Plastic Surgery
420 W LINFIELD TRAPPE RD, STE 3300
LIMERICK, PA 19468
Internal Medicine (Gastroenterology)
420 W LINFIELD TRAPPE RD, SUITE 100
LIMERICK, PA 19468
Durable Medical Equipment & Medical Supplies
420 W LINFIELD TRAPPE RD, BLDG B STE 102
LIMERICK, PA 19468
Clinic/Center (Radiology)
420 W LINFIELD TRAPPE RD
LIMERICK, PA 19468
Nurse Practitioner (Family)
420 W LINFIELD TRAPPE RD, SUITE 100
LIMERICK, PA 19468
Nurse Practitioner (Adult Health)
420 W LINFIELD TRAPPE RD, SUITE 100
LIMERICK, PA 19468
Surgery (Vascular Surgery)
420 W LINFIELD TRAPPE RD, SUITE 3200
LIMERICK, PA 19468
Pain Medicine (Interventional Pain Medicine)
420 W LINFIELD TRAPPE RD
LIMERICK, PA 19468

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548222979, enumerated as an "individual" on April 03, 2006.

The provider is located at 420 W LINFIELD TRAPPE RD STE 3200 LIMERICK, PA 19468 and the phone number is (610) 495-2550.

Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter. Please consult your insurance carrier or call the provider to verify.

Edward Pavillard is affiliated with: READING HOSPITAL, POTTSTOWN HOSPITAL and PHOENIXVILLE HOSPITAL.