DR. LUCAS JOHN PAVLOVICH MD
NPI 1679553044
Orthopaedic Surgery in Elkins, WV

Q: What is Lucas Pavlovich's NPI number?

The NPI number for Lucas Pavlovich is 1679553044. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Q: What is Lucas Pavlovich's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Lucas Pavlovich was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 20, 2006PECOS EnrolledAccepts Medicare Assignment

801 GORMAN AVE, ELKINS, WV 26241(304) 636-3300 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 3, 2026, Oct 2, 2024, Apr 26, 2024 (3 updates tracked since 2024).

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About Dr. Lucas John Pavlovich Md NPPES

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

DR. LUCAS JOHN PAVLOVICH MD (NPI 1679553044) is an individual orthopaedic surgery provider in Elkins, West Virginia, licensed in West Virginia (18751) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with United Hospital Center, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679553044

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. LUCAS JOHN PAVLOVICHCredential: MD

Location Address801 GORMAN AVEElkins, WV 26241-3147

Mailing Address812 Gorman AveElkins, WV 26241-3181 · (304) 636-3300

Phone(304) 636-3300

Sole ProprietorNo

Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1989

Enumeration DateJanuary 20, 2006

Last NPPES UpdateAugust 3, 20263 updates tracked since enumeration

NPPES CertifiedAugust 3, 2026

✔ NPI 1679553044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in WV · 18751

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 18751 (WV)

801 GORMAN AVE, Elkins, WV 26241

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Secondary Practice Locations 2

Location 11322 Maplewood Ave Ste ARonceverte, WV 24970-8016 · Phone (304) 647-4411

Location 2812 Gorman AveElkins, WV 26241-3181 · Phone (304) 636-3300

Other Identifiers 4

Other1659391472Type Ii Npi

Medicaid0098428000WV

Other001722346WV · Bc/bs Number

Other5110270001WV · Medicare Dme

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, CareSource, UnitedHealthcare.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

Dr. Lucas John Pavlovich 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 ID3476689720

PECOS Enrollment IDI20100326000086

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.

Medicare Billing Reassignments

Medicare enrollment records show Lucas Pavlovich reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Davis Memorial Hospital

0.1 mi

General Acute Care Hospital

812 GORMAN AVE
Elkins, WV 26241

Reassigned Medicare billing, West Virginia enrollment
246 clinicians in this Medicare group

NPI 1619964806 (304) 636-3300

Camc Greenbrier Valley Medical Center Inc

86 mi

Cardiovascular Disease

1320 MAPLEWOOD AVE
Ronceverte, WV 24970

Reassigned Medicare billing, West Virginia enrollment
142 clinicians in this Medicare group

NPI 1588373872 (304) 647-6006

Memorial Hospital Of Sweetwater County

1,556 mi

Internal Medicine

1180 COLLEGE DRIVE
Rock Springs, WY 82901

Reassigned Medicare billing, Wyoming enrollment
Also billed through NPI 1558361949 (Wyoming)
176 clinicians in this Medicare group

NPI 1437312436 (307) 352-8125

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 8

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 low level od decision making, if using time, 20 minutes or more 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.

90 services59 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

48 services35 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

48 services36 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

40 services29 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

35 services23 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

27 services27 patients

Hospital Affiliations CMS Care Compare 3

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

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510006

Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County

Emergency services Birthing friendly

Davis Medical Center

Acute Care Hospitals · Elkins, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510030

Location812 Gorman AvenueElkins, WV 26241 · Randolph County

Emergency services Birthing friendly

St Joseph's Hospital Of Buckhannon, Inc

Critical Access Hospitals · Buckhannon, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511321

Location1 Amalia DriveBuckhannon, WV 26201 · Upshur County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26241 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$66.84 typical visit price

range $16.47 – $133.29

Typical copayment $16.71 (range $4.11 – $33.32)

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.

Reported Quality Measures

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.

98%4,194 patients4/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

98%121 patients4/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

99%792 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

63%1,877 patients3/55-star benchmark: 97%

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…

24%1,557 patients2/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 80% · 624 patients

Patients tobacco: 2% · 81 patients

42%624 patients2/55-star benchmark: 98%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

52%1,877 patients3/55-star benchmark: 100%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

2%1,877 patients

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 11

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

LAURA YAO LU MD

Orthopaedic Surgery