STEPHAN PAVLOS M.D.
NPI 1619952439
Internal Medicine - Cardiovascular Disease in Salisbury, MD
About Stephan Pavlos M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHAN PAVLOS M.D. (NPI 1619952439) is an individual cardiovascular disease provider in Salisbury, Maryland, licensed in Maryland (D41721) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Lower Keys Medical Center, and is a graduate of University Of Maryland School Of Medicine (1986).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stephan Pavlos M.d. 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.
Medicare Billing Reassignments
4Medicare enrollment records show Stephan Pavlos reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salisbury, MD 21801
- Reassigned Medicare billing, Maryland enrollment
- 531 clinicians in this Medicare group
Salisbury, MD 21801
- Reassigned Medicare billing, Maryland enrollment
- 169 clinicians in this Medicare group
Berlin, MD 21811
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: Tidalhealth Atlantic Inc
- 125 clinicians in this Medicare group
Key West, FL 33040
- Reassigned Medicare billing, Florida enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 25
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lower Keys Medical Center
Acute Care Hospitals · Key West, FLFishermen's Community Hospital
Critical Access Hospitals · Marathon, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SALISBURY, MD 21804
SALISBURY, MD 21804
SALISBURY, MD 21804
SALISBURY, MD 21804
SALISBURY, MD 21804
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 Stephan Pavlos's NPI number?
The NPI number for Stephan Pavlos is 1619952439. It was assigned to this individual provider in the NPPES registry on December 14, 2005.
Where is Stephan Pavlos located?
Stephan Pavlos practices at 400 Eastern Shore Dr, Salisbury, MD 21804. The listed phone number is (410) 749-8906.
What is Stephan Pavlos's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Stephan Pavlos enrolled in Medicare?
Yes. Stephan Pavlos 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.
Which organizations bill Medicare for Stephan Pavlos's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephan Pavlos reassigns Medicare benefits to 4 organizations: Tidalhealth Specialty Care, LLC (Salisbury, MD), Tidalhealth Peninsula Regional, Inc. (Salisbury, MD), Atlantic General Hospital Corporation (Berlin, MD) and Cardiology Of The Florida Keys, LLC (Key West, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephan Pavlos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stephan Pavlos accept?
Health plans from AmeriHealth Caritas Next and Florida Blue (BlueCross BlueShield FL) list Stephan Pavlos 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 Stephan Pavlos affiliated with any hospitals?
According to CMS data, Stephan Pavlos is affiliated with Lower Keys Medical Center and Fishermen's Community Hospital.
When was this NPI record last updated?
The NPPES record for Stephan Pavlos was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.