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MR. ALEX R PAVON M.D.
NPI 1700819208
Internal Medicine in New York, NY

Active since July 08, 2006PECOS EnrolledAccepts Medicare Assignment
77.11/100
CMS Quality Rating
534 W 135TH ST, NEW YORK, NY 10031(212) 491-2300(212) 491-2323 Get Directions Write a Review

NPPES record last updated: December 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Alex R Pavon M.d. NPPES

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

MR. ALEX R PAVON M.D. (NPI 1700819208) is an individual internal medicine provider in New York, New York, licensed in New York (199925-1) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1700819208
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. ALEX R PAVONCredential: M.D.
Location Address534 W 135TH STNew York, NY 10031-8601
Mailing Address81 Erie StDumont, NJ 07628-3403 · (201) 384-6306
Phone(212) 491-2300
Fax(212) 491-2323
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJuly 8, 2006
Last NPPES UpdateDecember 30, 2015
✔ NPI 1700819208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NY · 199925-1✔ Licensed in NJ · 25MA07135200
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
534 W 135TH ST, New York, NY 10031
Open in Google Maps ↗

Other Identifiers 8

Medicare UPING21738NY
Medicaid01663583NY
Medicare PIN046891NY
Other8224329NJ · Ghi
Other3K3007NJ · Healthnet
Other01000776801Americhoice
Medicaid0078191NJ
Medicare PIN092881U2ZNJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Mr. Alex R Pavon 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.

PECOS PAC ID3072562107
PECOS Enrollment IDI20050804000724, I20221109001489
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 12

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
3,811 services519 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
454 services386 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
421 services165 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
209 services182 patients
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.
79 services39 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
53 services46 patients

Hospital Affiliations CMS Care Compare

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

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10031 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
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.

77.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality64.57
Improvement Activities40
Cost37.62

Reported Quality Measures

Documentation of Current Medications in the Medical Record
75%4,488 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%753 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
58%449 patients3/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 32% · 900 patients
Patients screened: 34% · 900 patients
19%31 patients1/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 771 patients
Patients totalRate: 0% · 771 patients
0%771 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers31 claims70 services$6.54 avg. paid by Medicare
Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
1 supplier15 claims1,600 services$0.09 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier15 claims484 services$7.08 avg. paid by Medicare
Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6203
DME-Medical/Surgical Supplies · category DA023N
1 supplier48 claims1,472 services$3.15 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222
DME-Medical/Surgical Supplies · category DA023N
1 supplier23 claims566 services$1.92 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
2 suppliers20 claims2,398 services$0.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

PAMELA VALDEZ LMSW
Social Worker
534 W 135TH ST
NEW YORK, NY 10031
New York County (212) 491-2300
CYNTHIA ARREOLA LMSW
Social Worker (Clinical)
534 W 135TH ST
NEW YORK, NY 10031
New York County (212) 491-2326
JOELY F FERNANDEZ
Nurse Practitioner (Family)
534 W 135TH ST
NEW YORK, NY 10031
New York County (212) 491-9300
DR. ATHINA VASSILAKIS MD
Internal Medicine
534 W 135TH ST
NEW YORK, NY 10031
New York County (866) 463-2778
KIM K CARAWAY CNM
Nurse Practitioner (Obstetrics & Gynecology)
534 W 135TH ST, CHARLES B RANGEL COMMUNITY CENTER -DEPT OB/GYN
NEW YORK, NY 10031
New York County (212) 491-2300
DR. MARY KATHLEEN KEOWN M.D.
Pediatrics
534 W 135TH ST
NEW YORK, NY 10031
New York County (212) 491-2300
DR. CHANELLE MONIQUE DIAZ MD, MPH
Internal Medicine
534 W 135TH ST
NEW YORK, NY 10031
New York County (212) 491-2300
QI SUN MD
Psychiatry & Neurology (Psychiatry)
534 W 135TH ST
NEW YORK, NY 10031
New York County (646) 689-3983

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 Alex Pavon's NPI number?

The NPI number for Alex Pavon is 1700819208. It was assigned to this individual provider in the NPPES registry on July 8, 2006.

Where is Alex Pavon located?

Alex Pavon practices at 534 W 135th St, New York, NY 10031. The listed phone number is (212) 491-2300.

What is Alex Pavon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Alex Pavon enrolled in Medicare?

Yes. Alex Pavon 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 Alex Pavon accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Alex Pavon 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 Alex Pavon affiliated with any hospitals?

According to CMS data, Alex Pavon is affiliated with Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Alex Pavon was last updated on December 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.