NPPES file of Aug 9, 2026

James C. Pavelka, M.D.

Gynecologic Oncology Physician · Cincinnati, OH

James C. Pavelka, M.D. is a gynecologic oncology physician with a practice address in Cincinnati, Ohio, and NPI 1861521460, issued on Mar 2, 2007. Check the license (Ohio 35-092322, as entered in NPPES) on the State Medical Board of Ohio; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1861521460
Name
James C. Pavelka
Credential
M.D.
Primary taxonomy
Gynecologic Oncology Physician 207VX0201X
License numbers
35-092322 OH
A92102 CA
24369 KY
Self-reported in NPPES; status is on the state search
Practice location
3219 Clifton Ave, Cincinnati, OH 45220
Phone
(513) 862-1888
Enumerated
Mar 2, 2007
Record last updated
Mar 30, 2010 (not updated in 16 years: call before relying on the address or phone)
Fax
(513) 862-3616
Medicaid IDs
7900073650 KY
2905824 OH
Medicare enrollment
Enrolled (PECOS I20090204000000); accepts Medicare assignment
Medical or professional school
Ohio State University College Of Medicine, 2001
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 3219 Clifton Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jameil Abou-Hanna, M.D.General Practice Physician1881129302
  2. James Amis, M.D.Orthopaedic Foot and Ankle Surgery Physician1568454965
  3. Maziar Arya, M.D.Cardiovascular Disease Physician1306836861
  4. Wajih Askar, M.D.Infectious Disease Physician1619408648
  5. Jack Basil, MDGynecologic Oncology Physician1073505525
  6. Pamela Bolton, N.P.Acute Care Nurse Practitioner1659378669

Verify James C. Pavelka in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersState Medical Board of Ohio
    Search for license 35-092322
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Ohio license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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29% more Medicare Part D claims than the average gynecologic oncology physician in 2024

252 Medicare Part D claims for 97 beneficiaries, against an average of 195 among the 1,475 providers of this specialty who prescribed in Part D. Brand-name drugs were 13% of claims. 49 claims were for opioids.

  1. James Pavelka252
  2. Specialty average195

Most prescribed

  1. Oxycodone Hcl43 claims
  2. Prochlorperazine Maleate20 claims
  3. Megestrol Acetate19 claims
  4. Lynparza15 claims
  5. Dexamethasone12 claims
  6. Gabapentin12 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 90.4 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score80.8
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Bills Medicare through 2 group practices

  1. St Elizabeth Medical Center, IncEdgewood, KY
  2. Trihealth H LLCMontgomery, OH

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

James C. Pavelka among 75 gynecologic oncology physician records in Ohio

James C. Pavelka, M.D. is one of 75 gynecologic oncology physician records with a practice address in Ohio. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 41% of them.

  • NPI issued2007 · 41% of these records are older, 48% newer
  • In a Medicare fileYes · 81% of these records are
  • In the CMS Doctors and Clinicians fileYes · 72% of these records are
  • Graduated2001 · median 2007 among the 54 with a school on file
  • Record last updated2010 · 55% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207VX0201X and a Ohio practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Gynecologic Oncology Physician providers in Ohio

There are 75 gynecologic oncology physician records in Ohio.

The 8 gynecologic oncology physician records with the nearest ZIP codes

  1. Jack Basil, MDCincinnati, OH 452201073505525
  2. Helmut Schellhas, MDCincinnati, OH 452201023000544
  3. Kevin Schuler, M.D.Cincinnati, OH 452201821219569
  4. Caroline Billingsley, M.D.Cincinnati, OH 452191619136082
  5. Eric Eisenhauer, M.D.Cincinnati, OH 452191205001351
  6. Thomas Herzog, M.D.Cincinnati, OH 452191619909850
  7. Nader Husseinzadeh, M.D.Cincinnati, OH 452191952498412
  8. Amanda Jackson, MDCincinnati, OH 452191245498864

Common questions

What is James C. Pavelka, M.D.'s NPI number?

James C. Pavelka, M.D.'s National Provider Identifier (NPI) is 1861521460, issued on Mar 2, 2007. An NPI identifies a provider in billing; it is not a license.

Where is James C. Pavelka, M.D. located?

The NPPES record lists a practice address at 3219 Clifton Ave, Cincinnati, OH, 45220. Phone: (513) 862-1888. Providers update this record themselves, so call before visiting.

How can I verify James C. Pavelka, M.D.'s license?

NPPES lists Ohio license number 35-092322, as entered by the provider. Search the State Medical Board of Ohio at https://elicense.ohio.gov/oh_verifylicense. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does James C. Pavelka, M.D. prescribe under Medicare Part D?

In 2024, James C. Pavelka, M.D. had 252 Medicare Part D claims for 97 beneficiaries; the average among gynecologic oncology physician prescribers was 195. Part D covers Medicare prescriptions only.

What is James C. Pavelka, M.D.'s MIPS final score?

The 2023 MIPS final score is 90.4 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.