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

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