Nikos Konstantinos Pavlides, MD
Orthopaedic Surgery Physician · Pottstown, PA
Nikos Konstantinos Pavlides, MD is an orthopaedic surgery physician with a practice address in Pottstown, Pennsylvania, and NPI 1891726006, issued on Jul 5, 2006. Check the license (Pennsylvania 430394, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- Nikos Konstantinos Pavlides
- Credential
- MD
- Primary taxonomy
- Orthopaedic Surgery Physician 207X00000X
- License number
- 430394 PA
Self-reported in NPPES; status is on the state search - Practice location
- 1561 Medical Dr, Pottstown, PA 19464
- Phone
- (610) 792-9292
- Enumerated
- Jul 5, 2006
- Record last updated
- Nov 26, 2013 (not updated in 13 years: call before relying on the address or phone)
- Fax
- (610) 792-9292
- Medicare enrollment
- Enrolled (PECOS I20070724000315); accepts Medicare assignment
- Medical or professional school
- Hahnemann University College Of Medicine, 2001
- Entity
- Type 1 · individual
8 nearest orthopaedic surgery physician records → All 1,253 in Pennsylvania → Look up another NPI →
Also registered at 1561 Medical Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Mike ChouPhysical Therapist1629622196
- Jessica Clark, L.A.T., A.T.C.Athletic Trainer1174940571
- Anil Dham, PTPhysical Therapist1467607721
- Elizabeth Dinenna, PTPhysical Therapist1124443494
- Sarah Kauffman, CRNPNurse Practitioner1346798188
- Anthony Kreft, DPTPhysical Therapist1265916076
Verify Nikos Konstantinos Pavlides in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license 430394Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
4.2 times the Medicare Part D claims of the average orthopaedic surgery physician in 2024
1,458 Medicare Part D claims for 493 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. Brand-name drugs were 1% of claims. 349 claims were for opioids.
Most prescribed
- Amoxicillin182 claims
- Mupirocin173 claims
- Tramadol Hcl163 claims
- Oxycodone Hcl129 claims
- Prednisone114 claims
- Gabapentin103 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): 59.4 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.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $341.22
3 payments; by number, the most common kind was food and beverage; the largest payer was restor3d, inc. The 15,003 providers of this specialty with any payment received $23,022.89 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 4 group practices
- Keystone Rehabilitation Systems IncBirdsboro, PA
- Novacare Outpatient Rehabilitation East, Inc.Collegeville, PA
- Phoenix Rehabilitation And Health Services IncCranberry Township, PA
- Premier Orthopaedic And Sports Medicine Associates, LtdPottstown, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Nikos Konstantinos Pavlides among 1,253 orthopaedic surgery physician records in Pennsylvania
Nikos Konstantinos Pavlides, MD is one of 1,253 orthopaedic surgery physician records with a practice address in Pennsylvania. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 21% of them.
- NPI issued2006 · 21% of these records are older, 48% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 62% of these records are
- Graduated2001 · median 2003 among the 777 with a school on file
- Record last updated2013 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Orthopaedic Surgery Physician providers in Pennsylvania
There are 1,253 orthopaedic surgery physician records in Pennsylvania.
All 1,253 in Pennsylvania → Every provider in Pottstown → Orthopaedic Surgery Physician nationwide →
The 8 orthopaedic surgery physician records with the nearest ZIP codes
- Linda D'Andrea, M.D.Pottstown, PA 194641831167477
- John Donahue, M.D.Pottstown, PA 194641053373068
- James Guille, M.D.Pottstown, PA 194641346218237
- Glenn Lipton, M.D.Pottstown, PA 194641861431504
- Scott Ritterman, M.D.Pottstown, PA 194641467770727
- Carl Deirmengian, MDLimerick, PA 194681205815503
- Frederic Liss, MDPhoenixville, PA 194601447256680
- Donald Mazur, M.D.Limerick, PA 194681477564276
Common questions
What is Nikos Konstantinos Pavlides, MD's NPI number?
Nikos Konstantinos Pavlides, MD's National Provider Identifier (NPI) is 1891726006, issued on Jul 5, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Nikos Konstantinos Pavlides, MD located?
The NPPES record lists a practice address at 1561 Medical Dr, Pottstown, PA, 19464. Phone: (610) 792-9292. Providers update this record themselves, so call before visiting.
How can I verify Nikos Konstantinos Pavlides, MD's license?
NPPES lists Pennsylvania license number 430394, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Nikos Konstantinos Pavlides, MD prescribe under Medicare Part D?
In 2024, Nikos Konstantinos Pavlides, MD had 1,458 Medicare Part D claims for 493 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.
What is Nikos Konstantinos Pavlides, MD's MIPS final score?
The 2023 MIPS final score is 59.4 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.