ANDREW PAVLINA
NPI 1629456587
Radiology - Diagnostic Radiology in Anderson, SC

Active since May 12, 2015PECOS EnrolledAccepts Medicare Assignment
91.66/100
CMS Quality Rating
211 S MAIN ST, ANDERSON, SC 29624(864) 226-0511 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 11, 2021, Sep 18, 2020, Jun 5, 2020 and 1 more (4 updates tracked since 2016).

About Andrew Pavlina NPPES

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

ANDREW PAVLINA (NPI 1629456587) is an individual diagnostic radiology provider in Anderson, South Carolina, licensed in South Carolina (85794) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Cannon Memorial Hospital, and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1629456587
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameANDREW PAVLINA
Location Address211 S MAIN STAnderson, SC 29624-1620
Mailing Address211 S Main StAnderson, SC 29624-1620
Sole ProprietorYes
Medical School CMSIndiana University School Of MedicineGraduated 2015
Enumeration DateMay 12, 2015
Last NPPES UpdateJune 11, 20214 updates tracked since enumeration
NPPES CertifiedJune 11, 2021
NPI 1629456587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in SC · 85794
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
211 S MAIN ST, Anderson, SC 29624

Secondary Practice Location 1

Location 11 Medical Center BlvdWinston Salem, NC 27157-2364 · Phone (336) 716-2011

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

Andrew Pavlina 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 ID4880988740
PECOS Enrollment IDI20210909002042
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 54

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
817 services705 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
376 services342 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
370 services361 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
191 services175 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
120 services113 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
120 services114 patients

Hospital Affiliations CMS Care Compare 4

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

Cannon Memorial Hospital

Acute Care Hospitals · Pickens, SC
OwnershipVoluntary non-profit - Private
CMS Certification Number420011
Location123 W G Acker DrivePickens, SC 29671 · Pickens County
Emergency services

St Francis-Downtown

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420023
LocationOne St Francis DrGreenville, SC 29601 · Greenville County
Emergency services Birthing friendly

Anmed Health

Acute Care Hospitals · Anderson, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420027
Location800 N Fant StAnderson, SC 29621 · Anderson County
Emergency services Birthing friendly

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420078
Location701 Grove RoadGreenville, SC 29605 · Greenville County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29624 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

91.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.33
Improvement Activities40

Other Providers at the Same Location NPPES

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

Radiology (Diagnostic Radiology)
211 S MAIN ST
ANDERSON, SC 29624

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 Andrew Pavlina's NPI number?

The NPI number for Andrew Pavlina is 1629456587. It was assigned to this individual provider in the NPPES registry on May 12, 2015.

Where is Andrew Pavlina located?

Andrew Pavlina practices at 211 S Main St, Anderson, SC 29624. The listed phone number is (864) 226-0511.

What is Andrew Pavlina's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Andrew Pavlina enrolled in Medicare?

Yes. Andrew Pavlina 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 Andrew Pavlina accept?

Health plans from BlueCross BlueShield of South Carolina list Andrew Pavlina 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 Andrew Pavlina affiliated with any hospitals?

According to CMS data, Andrew Pavlina is affiliated with Cannon Memorial Hospital, St Francis-Downtown, Anmed Health and Prisma Health Greenville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Pavlina was last updated on June 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.