Doctor profile · Federal record
Dr. James Pavelka, M.D.
Gynecologic Oncology Physician (CMS: Gynecological Oncology) · Specialist · Gynecologic Oncology Physician · Cincinnati, OH
- NPI 1861521460
- Accepts Medicare
- MIPS 90.4 / 100 · 2023
- 25 yrs in practice
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3219 Clifton Ave, Suite 100
Cincinnati, OH 452203027
(513) 862-1888
fax (513) 862-3616 - Mailing address
-
Po Box 635063
Cincinnati, OH 452635063
Credentials & registration
- NPI registered
- March 2007 — 19 yrs on file
- Profile last updated
- March 30, 2010
- Year of graduation
- 2001 — 25 yrs since
- Specialty taxonomy
- 207VX0201X — NUCC code
- State licenses (3)
- Ohio #35-092322 · Kentucky #24369 · California #A92102
- Medicaid (2)
- KY #7900073650 · OH #2905824
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1861521460. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
240
Distinct HCPCS
10
Medicare allowed
$21,824
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 56 | 19 | $92 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 48 | 11 | $122 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 25 | 17 | $86 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 19 | 17 | $54 | |
99231 |
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 19 | 14 | $48 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 18 | 11 | $76 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 15 | 15 | $159 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 15 | 13 | $63 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 13 | 12 | $126 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 12 | 11 | $34 |
In context: peer comparison
Among 5 peers in Cincinnati Gynecologic Oncology Physician, average services per provider: 62. This provider delivers 3.9× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
127
Patients
54
Total drug cost
$19,979
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Prochlorperazine Maleate | Generic | 39 | 21 | $563 |
| Oxycodone Hcl | Generic | 20 | 20 | $74 |
| Dexamethasone | Generic | 17 | 13 | $423 |
| Duloxetine Hcl | Generic | 15 | 0 | $137 |
| Eliquis (Apixaban) | Brand | 13 | 0 | $11,619 |
| Ondansetron Hcl | Generic | 12 | 0 | $169 |
| Xarelto (Rivaroxaban) | Brand | 11 | 0 | $6,993 |
Hospital affiliations
Frequently asked questions
What is Dr. James Pavelka's medical specialty?
Dr. James Pavelka practices Gynecologic Oncology Physician in Cincinnati, OH.
Where does Dr. James Pavelka practice?
Dr. James Pavelka practices at 3219 Clifton Ave, Cincinnati, OH 452203027. Office phone: 5138621888.
What is Dr. James Pavelka's NPI?
Dr. James Pavelka's National Provider Identifier (NPI) is 1861521460, issued by NPPES.
Does Dr. James Pavelka accept Medicare assignment?
Yes. Dr. James Pavelka accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. James Pavelka commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.