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DR. LUCIO A. PAVONE M.D.
NPI 1790966844
Surgery - Plastic and Reconstructive Surgery in Naperville, IL

Active since November 16, 2007PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
120 SPALDING DR STE 207, NAPERVILLE, IL 60540(630) 646-6020(630) 646-6006 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Lucio A. Pavone M.d. NPPES

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

DR. LUCIO A. PAVONE M.D. (NPI 1790966844) is an individual plastic and reconstructive surgery provider in Naperville, Illinois, licensed in Illinois (036123223) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and is a graduate of Albany Medical College Of Union University (2000).

NPPES Registry Identity

NPI1790966844
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. LUCIO A. PAVONECredential: M.D.
Location Address120 SPALDING DR STE 207Naperville, IL 60540-6520
Mailing Address120 Spalding Dr Ste 207Naperville, IL 60540-6520 · (630) 646-6020 · Fax (630) 646-6006
Phone(630) 646-6020
Fax(630) 646-6006
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2000
Enumeration DateNovember 16, 2007
Last NPPES UpdateMarch 15, 2021
NPPES CertifiedMarch 15, 2021
✔ NPI 1790966844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Licenses✔ Licensed in IL · 036123223✔ Licensed in CA · A98219
Definition

A surgeon who specializes in plastic and reconstructive surgery.

120 SPALDING DR STE 207, Naperville, IL 60540
Open in Google Maps ↗

Accepted Insurance

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

Dr. Lucio A. Pavone 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 ID547452708
PECOS Enrollment IDI20101006000287
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 4

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, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
52 services44 patients
New patient office or other outpatient visit, 30-44 minutes 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.
29 services29 patients
Melanoma (skin cancer) excision NAN03
Melanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.
0 services1 patient
Mastectomy NAN04
A mastectomy is a surgical procedure that involves the removal of all or part of the breast tissue. This is often done to treat or prevent conditions related to abnormal cell growth. There are different types, ranging from removing only the breast tissue to also removing nearby structures. The approach depends on individual health circumstances.
0 services36 patients

Hospital Affiliations CMS Care Compare 2

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

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number140200
Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County
Emergency services Birthing friendly

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · Du Page County
Emergency services Birthing friendly

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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
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.

MS. MICHELLE PURCELL PHYSICIAN ASSISTANT
Physician Assistant (Medical)
120 SPALDING DR STE 207
NAPERVILLE, IL 60540
Dupage County (630) 646-6020

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 Lucio Pavone's NPI number?

The NPI number for Lucio Pavone is 1790966844. It was assigned to this individual provider in the NPPES registry on November 16, 2007.

Where is Lucio Pavone located?

Lucio Pavone practices at 120 Spalding Dr Ste 207, Naperville, IL 60540. The listed phone number is (630) 646-6020.

What is Lucio Pavone's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Lucio Pavone enrolled in Medicare?

Yes. Lucio Pavone 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 Lucio Pavone accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Lucio Pavone 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 Lucio Pavone affiliated with any hospitals?

According to CMS data, Lucio Pavone is affiliated with Elmhurst Memorial Hospital and Edward Hospital.

When was this NPI record last updated?

The NPPES record for Lucio Pavone was last updated on March 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.