James C. Pavelka, M.D.
NPI 1861521460ActiveIndividual· Obstetrics & Gynecology, Gynecologic Oncology· Cincinnati, OH
Obstetrics & Gynecology, Gynecologic Oncology (M.D.) in Cincinnati, Ohio, trained at Ohio State University College of Medicine (class of 2001). Their prescriptions cost Medicare Part D more than their services did: $290,846 for 252 claims, against $52,266 paid for services in 2024.
Overview
| NPI | 1861521460 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Mar 2, 2007 |
| Last updated in NPPES | Mar 30, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Obstetrics & Gynecology, Gynecologic Oncology Primary | 207VX0201X | 35-092322 | OH |
| Specialist | 174400000X | 24369 | KY |
| Obstetrics & Gynecology, Gynecologic Oncology | 207VX0201X | A92102 | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Gynecological Oncology (KY); Practitioner - Gynecological Oncology (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 130 |
|---|---|
| Services billed | 369 across 41 procedure codes |
| Paid by Medicare | $52,266 |
Part D prescriptions in 2024
| Prescriptions (claims) | 252 · 331 30-day fills |
|---|---|
| Patients | 97 |
| Total drug cost | $290,846 |
| Generic share | 87% of claims |
Education and affiliations
| Medical school | Ohio State University College of Medicine |
|---|---|
| Graduation year | 2001 |
| Medicare specialty | Gynecological Oncology |
Medical groups
- Trihealth H LLCCincinnati, OH · 850 clinicians
- St Elizabeth Medical Center, IncEdgewood, KY · 187 clinicians
Hospital affiliations
- Bethesda NorthCincinnati, OH
- Good Samaritan HospitalCincinnati, OH
- St Elizabeth EdgewoodEdgewood, KY
- St Elizabeth FlorenceFlorence, KY
- St Elizabeth Ft ThomasFort Thomas, KY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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