Doctor profile · Federal record
Dr. Theophanis Pavlou, MD
Pulmonary Disease Physician (CMS: Pulmonary Disease) · Englewood, NJ
- NPI 1871552026
- Accepts Medicare
- 39 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
200 Grand Ave, Suite 102
Englewood, NJ 076314363
(201) 871-3636
fax (201) 871-2286
Credentials & registration
- NPI registered
- March 2006 — 20 yrs on file
- Profile last updated
- November 7, 2011
- Year of graduation
- 1987 — 39 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State license (1)
- New Jersey #MA59211
- Medicaid
- NJ #6341705
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1871552026. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,221
Distinct HCPCS
10
Medicare allowed
$196,790
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 457 | 207 | $85 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 403 | 291 | $140 | |
36415 |
Insertion of needle into vein for collection of blood sample | 172 | 96 | $8 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 169 | 101 | $98 | |
71046 |
X-ray of chest, 2 views | 106 | 92 | $11 | |
94060 |
Test to measure expiratory airflow and volume changes before and after medication administration | 82 | 75 | $11 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 77 | 76 | $186 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 73 | 40 | $128 | |
94729 |
Test to examine how well the lungs exchange gases | 71 | 71 | $9 | |
94727 |
Test to determine lung volumes using gas dilution or washout | 68 | 68 | $13 |
In context: peer comparison
Among 6 peers in this city , average services per provider: 82. This provider delivers 27× the peer median.Open Payments
Industry payments received
All-time total
$2,516
Transactions
125
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Inspire Medical Systems, Inc. | 13 | $546.49 | |
| GlaxoSmithKline, LLC. | 28 | $389.41 | |
| AstraZeneca Pharmaceuticals LP | 19 | $328.86 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 16 | $267.40 | |
| Avadel CNS Pharmaceuticals, LLC | 11 | $186.67 | |
| Regeneron Healthcare Solutions, Inc. | 7 | $126.48 | |
| United Therapeutics Corporation | 6 | $100.67 | |
| Insmed, Inc. | 4 | $69.72 | |
| Mylan Specialty L.P. | 4 | $67.11 | |
| Vifor Pharma, Inc. | 4 | $62.90 | |
| GENZYME CORPORATION | 4 | $62.28 | |
| Azurity Pharmaceuticals, Inc. | 3 | $43.08 | |
| Philips North America LLC | 2 | $39.02 | |
| Merck Sharp & Dohme LLC | 2 | $34.55 | |
| JAZZ PHARMACEUTICALS INC. | 2 | $32.53 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,304
Patients
383
Total drug cost
$179,778
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Montelukast Sodium | Generic | 166 | 55 | $2,891 |
| Atorvastatin Calcium | Generic | 161 | 43 | $2,255 |
| Zolpidem Tartrate | Generic | 107 | 17 | $900 |
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 103 | 27 | $120,277 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 90 | 37 | $3,659 |
| Rosuvastatin Calcium | Generic | 85 | 26 | $2,340 |
| Amlodipine Besylate | Generic | 83 | 23 | $978 |
| Simvastatin | Generic | 77 | 21 | $1,261 |
| Levothyroxine Sodium | Generic | 68 | 17 | $880 |
| Alprazolam | Generic | 66 | 13 | $1,133 |
Hospital affiliations
Frequently asked questions
What is Dr. Theophanis Pavlou's medical specialty?
Dr. Theophanis Pavlou practices Pulmonary Disease Physician in Englewood, NJ.
Where does Dr. Theophanis Pavlou practice?
Dr. Theophanis Pavlou practices at 200 Grand Ave, Englewood, NJ 076314363. Office phone: 2018713636.
What is Dr. Theophanis Pavlou's NPI?
Dr. Theophanis Pavlou's National Provider Identifier (NPI) is 1871552026, issued by NPPES.
Does Dr. Theophanis Pavlou accept Medicare assignment?
Yes. Dr. Theophanis Pavlou accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Theophanis Pavlou commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Established patient office or other outpatient visit (HCPCS 99214); Insertion of needle into vein for collection of blood sample (HCPCS 36415). Source: CMS Medicare Physician & Other Practitioners file.