Pavel Vaclav Petrik, MD
NPI 1417044868ActiveIndividual· Surgery, Trauma Surgery· Lancaster, CA
Surgery, Trauma Surgery (MD) in Lancaster, California, trained at University of California, San Diego School of Medicine (class of 1991). Mostly services rather than prescriptions: Medicare paid $47,668 for 165 patients in 2024, with only 17 Part D claims. Haemonetics Corporation reported $185.17 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1417044868 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Oct 6, 2006 |
| Last updated in NPPES | Dec 9, 2021 |
| Certified by provider | Dec 9, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Trauma Surgery Primary | 2086S0127X | G74861 | CA |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | G74861 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Thoracic Surgery (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 165 |
|---|---|
| Services billed | 400 across 35 procedure codes |
| Paid by Medicare | $47,668 |
Part D prescriptions in 2024
| Prescriptions (claims) | 17 · 17 30-day fills |
|---|---|
| Patients | 15 |
| Total drug cost | $661.66 |
| Generic share | 94% of claims |
Education and affiliations
| Medical school | University of California, San Diego School of Medicine |
|---|---|
| Graduation year | 1991 |
| Medicare specialty | Thoracic Surgery |
| Secondary specialties | General Surgery |
Hospital affiliation
- Antelope Valley HospitalLancaster, CA
Industry payments (Open Payments)
- 2025$185.17 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Haemonetics Corporation | $185.17 | 2 |
What the 2025 payments were for
- Food and Beverage$185.17 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records