Theophanis Pavlou, MD
NPI 1871552026 · Pulmonary Disease Physician · Englewood, NJ
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theophanis Pavlou, MD is a Pulmonary Disease Physician provider in Englewood, NJ (NPI 1871552026).
Provider details
- NPI number
- 1871552026
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MA59211 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,079 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 460 | $143 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 386 | $86 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 161 | $102 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 159 | $9 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 100 | $129 |
| X-Ray of Chest, 2 Views71046 | 91 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 70 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Montelukast Sodium | 165 | 61 |
| Atorvastatin Calcium | 154 | 42 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 153 | 54 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 97 | 28 |
| Zolpidem Tartrate | 96 | 16 |
| Amlodipine Besylate | 84 | 23 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,516 across 134 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-17
- Last updated
- 2011-11-07
Frequently asked questions
- What is Theophanis Pavlou's NPI number?
- Theophanis Pavlou's National Provider Identifier (NPI) is 1871552026, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theophanis Pavlou's specialty?
- Theophanis Pavlou is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Theophanis Pavlou located?
- Theophanis Pavlou's practice location on file with NPPES is 200 Grand Ave, Englewood, NJ 07631-4363.
- What is Theophanis Pavlou's phone number?
- The practice phone number listed in the NPPES registry for Theophanis Pavlou is (201) 871-3636.
- Does Theophanis Pavlou accept Medicare?
- Theophanis Pavlou is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theophanis Pavlou's NPI active?
- Yes — Theophanis Pavlou's NPI (1871552026) is active in the NPPES registry as of the last update on 2011-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.