What is Theophanis Pavlou's specialty?

Theophanis Pavlou (NPI 1871552026) is a Medicare-billing provider whose primary specialty is Pulmonary Disease in Englewood, NJ.

Where does Theophanis Pavlou practice?

Theophanis Pavlou practices in Englewood, NJ, based on the location reported in the CMS Medicare provider datasets for NPI 1871552026.

How much does Medicare pay Theophanis Pavlou?

Theophanis Pavlou (NPI 1871552026) received approximately $162K in total Medicare Part B payments, serving 759 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1871552026

Theophanis PavlouMD

PRACTICENORTH JERSEY INFECTIOUS DISEASE GROUP LLCSee all providers at this practice →

Pulmonary DiseaseEnglewood, NJI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,594

Unique beneficiaries

—

Total services

2,115

Distinct HCPCS

Medicare payment

$157K

Peer benchmark

Total Medicare services vs. 363 Pulmonary Disease providers in NJ — above median (cohort median 1,516).

PRESCRIBING · PART D · 2024

Total Rx claims

2,498

Beneficiaries

—

Total drug cost

$773K

Distinct drugs

Brand share

34.6%

Top prescribed drugs

Montelukast Sodium165 claims

Atorvastatin Calcium154 claims

Albuterol Sulfate153 claims

Fluticasone/Umeclidin/Vilanter97 claims

Zolpidem Tartrate96 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$3K

Payment records

134

By payment type

Food and Beverage$3K

Top paying entities

Food and Beverage$3K

REFERRAL NETWORK

Where Theophanis Pavlou's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 125 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
HOLY NAME MEDICAL CENTER INC.	506	1,953
ENGLEWOOD HOSPITAL AND MEDICAL CENTER	281	993
Paul Han Pulmonary Disease · Englewood, NJ	224	858
Selwyn Levine Pulmonary Disease · Englewood, NJ	165	573
Victor Gorloff Pulmonary Disease · Englewood, NJ	160	470
James Park Diagnostic Radiology · Teaneck, NJ	150	382
Angelo Mastropasqua Diagnostic Radiology · New York, NY	111	240
Kavitha Vadde Diagnostic Radiology · Staten Island, NY	99	260
Tae Park Emergency Medicine · Manhasset, NY	91	176
Marc Herman Diagnostic Radiology · Englewood, NJ	89	225
NPI 1063471217	81	279
Mark Shapiro Diagnostic Radiology · Englewood, NJ	77	159

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history