Dr. Theophanis Pavlou, MD
200 Grand Ave, Suite 102, Englewood, NJ 07631 • +1-753-555-3724
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Englewood Percentiles
NPI #1871552026 • CBSA Regional • Pulmonary Disease
Anchored in Englewood, NJ 07631, Dr. Theophanis Pavlou, MD (NPI 1871552026) logged 2,175 annual procedures (mid-cohort balanced caseload (53.85th Englewood percentile), 55.39th NJ percentile, -0.15σ) with sub-specialty concentration in 47 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 200 Grand Ave, Suite 102 shows Dr. Theophanis Pavlou's primary concentration in Established Pulmonary, Asthma & COPD Management (code 99214: 873x/yr, 53.85th local percentile) alongside Pre- & Post-Bronchodilator Spirometry Airflow Evaluation (94060: 490x/yr, $96–$132).
Direct cash-pay transparency modeling sets Dr. Pavlou's baseline new-consult rate near $209.00 in Englewood, NJ (cash-pay accepted, in-person clinic visits only, 11-minute average reception wait).
Patients evaluating Dr. Theophanis Pavlou in ZIP 07631 note 28 years of post-doctoral tenure (null, 1998) alongside 2.9 annual CMS procedures per patient.
Compared against Englewood, NJ Pulmonary Disease peers
2,175 annual services across 759 beneficiaries
Standard deviations from NJ Pulmonary Disease mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Pulmonary, Asthma & COPD Management | 873 | 53.85th | $148 – $203 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 490 | 58.85th | $96 – $132 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 362 | 52.85th | $87 – $120 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 234 | 54.85th | $270 – $370 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 170 | 56.85th | $208 – $286 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (47 HCPCS billing breadth) | 45 | 53.85th | $133 – $193 |
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Dr. Theophanis Pavlou, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pavlou National Provider Identifier | NPI #1871552026 (MD) | CMS NPPES Registry (07631) |
| Dr. Pavlou Englewood CMS Volume Rank | 53.85th Pct (2,175 CMS svcs; Z -0.148σ) | CMS Medicare Part B (NJ Pulmonary Disease) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Englewood, NJ) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.79/5 Listening • 4.79/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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