Quick answers
- Does James C. Pavelka accept Medicare assignment?
- Yes. Medicare's clinician data says James C. Pavelka accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does James C. Pavelka see?
- In 2024, CMS data shows 130 Original Medicare patients and 369 services for James C. Pavelka. This counts Original Medicare only and measures volume, not quality.
- What is James C. Pavelka's NPI number?
- 1861521460. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for James C. Pavelka, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 130 |
|---|---|
| Services billed to Medicare | 369 |
| Different services or procedures | 41 |
| Participating Medicare provider | Yes |
| Average age of these patients | 73 |
Most frequent services
- Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)90 services
- Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)48 services
- Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less (58571)22 services
- Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's (G2211)15 services
- New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)12 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High blood pressure75%
- High cholesterol70%
- Arthritis49%
- Cancer (breast, colorectal, lung, prostate, endometrial or leukemia/lymphoma)42%
- Anxiety33%
- Depression32%
Hospitals where James C. Pavelka works
Medicare's Facility Affiliation Data lists James C. Pavelka at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.
- Bethesda NorthCincinnati, OH · Acute Care Hospital · Medicare rating: 3 of 5 stars · Emergency services: listed by Medicare · CCN 360179
- Good Samaritan HospitalCincinnati, OH · Acute Care Hospital · Medicare rating: 4 of 5 stars · Emergency services: listed by Medicare · CCN 360134
- St Elizabeth EdgewoodEdgewood, KY · Acute Care Hospital · Medicare rating: 5 of 5 stars · Emergency services: listed by Medicare · CCN 180035
- St Elizabeth FlorenceFlorence, KY · Acute Care Hospital · Medicare rating: 3 of 5 stars · Emergency services: listed by Medicare · CCN 180045
- St Elizabeth Ft ThomasFort Thomas, KY · Acute Care Hospital · Medicare rating: 5 of 5 stars · Emergency services: listed by Medicare · CCN 180001
Practice locations
Addresses where James C. Pavelka is enrolled with Medicare (CMS data updated October 2, 2026). The first 5 of 8; the Medicare profile lists all.
- 1 Medical Village DrEdgewood, KY 41017
- 10500 Montgomery RdMontgomery, OH 45242
- 10506 A Montgomery RdMontgomery, OH 45242
- 238 Barnes RdWilliamstown, KY 41097 (859) 301‑4000
- 3219 Clifton Ave, Suite 100Cincinnati, OH 45220 (513) 463‑4300
Group practices
Medicare enrollment lists James C. Pavelka as a member of these groups (CMS data updated October 2, 2026).
- TriHealth H LLC850 clinicians in the group
- St Elizabeth Medical Center, Inc187 clinicians in the group
Specialties
- Gynecological Oncologyprimary
Other gynecologic oncologists in Kentucky
Clinicians with the same Medicare primary specialty in Kentucky — not a recommendation.
Other clinicians in TriHealth H LLC
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | MD |
|---|---|
| Medical school | Ohio State University College Of Medicine |
| Graduation year | 2001 (25 years since medical school) |
| Gender (as listed) | Male |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1861521460 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
- Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians