JOEL L PELAVIN M.D.,P.C.
NPI 1881654655
Ophthalmology in Saint Clair Shores, MI

Active since March 25, 2006PECOS EnrolledAccepts Medicare Assignment
92.07/100
CMS Quality Rating
29750 HARPER AVE, SAINT CLAIR SHORES, MI 48082(586) 296-7770(586) 296-9617 Get Directions Write a Review

NPPES record last updated: April 18, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Joel L Pelavin M.d.,p.c. NPPES

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

JOEL L PELAVIN M.D.,P.C. (NPI 1881654655) is an individual ophthalmology provider in Saint Clair Shores, Michigan, licensed in Michigan (JP042865) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1983).

NPPES Registry Identity

NPI1881654655
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJOEL L PELAVINCredential: M.D.,P.C.
Location Address29750 HARPER AVESaint Clair Shores, MI 48082-2607
Mailing Address29750 Harper AveSaint Clair Shores, MI 48082-2607 · (586) 296-7770 · Fax (586) 296-9617
Fax(586) 296-9617
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1983
Enumeration DateMarch 25, 2006
Last NPPES UpdateApril 18, 2014
NPI 1881654655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MI · JP042865
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
29750 HARPER AVE, Saint Clair Shores, MI 48082

Other Identifiers 3

Medicare ID-Type Unspecified0500437MI
Medicare PINP59220001MI
Medicare UPINB46179MI

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

Joel L Pelavin M.d.,p.c. 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 ID4284707811
PECOS Enrollment IDI20080715000794
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 9

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
295 services283 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
257 services250 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
91 services88 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
78 services76 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.
70 services59 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.
69 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48082 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

92.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.59
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%121 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.

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.

Psychologist (Clinical)
29750 HARPER AVE
SAINT CLAIR SHORES, MI 48082
Psychologist
29750 HARPER AVE
SAINT CLAIR SHORES, MI 48082
Psychologist (Clinical)
29750 HARPER AVE
SAINT CLAIR SHORES, MI 48082
Eyewear Supplier
29750 HARPER AVE
SAINT CLAIR SHORES, MI 48082
Counselor
29750 HARPER AVE
SAINT CLAIR SHORES, MI 48082
Counselor (Mental Health)
29750 HARPER AVE
SAINT CLAIR SHORES, MI 48082
Psychologist (Clinical)
29750 HARPER AVE
SAINT CLAIR SHORES, MI 48082
Psychologist (Clinical)
29750 HARPER AVE
SAINT CLAIR SHORES, MI 48082

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 Joel Pelavin's NPI number?

The NPI number for Joel Pelavin is 1881654655. It was assigned to this individual provider in the NPPES registry on March 25, 2006.

Where is Joel Pelavin located?

Joel Pelavin practices at 29750 Harper Ave, Saint Clair Shores, MI 48082. The listed phone number is (586) 296-7770.

What is Joel Pelavin's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Joel Pelavin enrolled in Medicare?

Yes. Joel Pelavin 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 Joel Pelavin accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health, Providence Health Plan and UnitedHealthcare list Joel Pelavin 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.

When was this NPI record last updated?

The NPPES record for Joel Pelavin was last updated on April 18, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.