Ethan Pavlovsky, DO
NPI 1407505233 · General Practice Physician · Plano, TX
Enrolled with Medicare as Order and Referring Only - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ethan Pavlovsky, DO is a General Practice Physician provider in Plano, TX (NPI 1407505233).
Provider details
- NPI number
- 1407505233
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- W4177 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-03-20
- Last updated
- 2026-03-08
- Certified
- 2026-03-08
Frequently asked questions
- What is Ethan Pavlovsky's NPI number?
- Ethan Pavlovsky's National Provider Identifier (NPI) is 1407505233, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Pavlovsky's specialty?
- Ethan Pavlovsky is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Ethan Pavlovsky located?
- Ethan Pavlovsky's practice location on file with NPPES is 3901 W 15th St, Plano, TX 75075-7738.
- What is Ethan Pavlovsky's phone number?
- The practice phone number listed in the NPPES registry for Ethan Pavlovsky is (972) 396-4075.
- Does Ethan Pavlovsky accept Medicare?
- Ethan Pavlovsky is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ethan Pavlovsky's NPI active?
- Yes — Ethan Pavlovsky's NPI (1407505233) is active in the NPPES registry as of the last update on 2026-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.