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DR. LISA R PAVLOVIC M.D.
NPI 1942283254
Pediatrics in Worcester, MA

Active since November 22, 2005PECOS Enrolled
55 LAKE AVE N, DEPARTMENT OF CHILD PROTECTION, WORCESTER, MA 01655(508) 856-6629 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Lisa R Pavlovic M.d. NPPES

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

DR. LISA R PAVLOVIC M.D. (NPI 1942283254) is an individual pediatrics provider in Worcester, Massachusetts, licensed in Massachusetts (223541) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942283254
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. LISA R PAVLOVICCredential: M.D.
Location Address55 LAKE AVE N, DEPARTMENT OF CHILD PROTECTIONWorcester, MA 01655-0002
Mailing AddressPo Box 62, Turnpike StationShrewsbury, MA 01545-0062 · (508) 334-8815 · Fax (508) 334-5374
Phone(508) 856-6629
Sole ProprietorNo
Enumeration DateNovember 22, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1942283254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 223541
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
55 LAKE AVE N, Worcester, MA 01655
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Other Identifiers 3

Medicare UPINI25981MA
Medicaid2099730MA
Medicare ID-Type UnspecifiedPA A38190MA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa R Pavlovic M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Lisa Pavlovic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Yale University
88 mi
Adult Mental Health
95 CIRCULAR AVE
Hamden, CT 06514
  • Reassigned Medicare billing, Connecticut enrollment
  • 3,728 clinicians in this Medicare group
NPI 1134391824 (203) 288-6253

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01655 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

HILLARY R. IRONS MD
Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 421-1400
MS. SHERINE MARY HASSEY-HALLIGAN NP
Nurse Practitioner
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-8585
MS. EILEEN A. DUHAMEL NP
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-2710
EWA HRYNISZYN CRNA
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
HELEN COPSEY PA-C
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-8585
DR. ADEPEJU GBADEBO CHAMPION M.D.
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-2731
SOWMYA KORAPATI
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-3550
LAYLA FAKHRZADEH M.D.
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271

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 Lisa Pavlovic's NPI number?

The NPI number for Lisa Pavlovic is 1942283254. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Lisa Pavlovic located?

Lisa Pavlovic practices at 55 Lake Ave N Department Of Child Protection, Worcester, MA 01655. The listed phone number is (508) 856-6629.

What is Lisa Pavlovic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lisa Pavlovic enrolled in Medicare?

Yes. Lisa Pavlovic is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Pavlovic's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Pavlovic reassigns Medicare benefits to Yale University (Hamden, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Pavlovic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Pavlovic was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.