Theophanis A. Pavlou, MD
NPI 1871552026ActiveIndividual· Internal Medicine, Pulmonary Disease· Englewood, NJ
Internal Medicine, Pulmonary Disease (MD) in Englewood, New Jersey, trained at New York Medical College (class of 1987). Their prescriptions cost Medicare Part D more than their services did: $1,017,978 for 3,141 claims, against $161,635 paid for services in 2024. Glaxosmithkline, LLC. was the largest of 27 companies reporting payments in 2025, $2,790 in all, mostly food and beverage.
Overview
| NPI | 1871552026 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Mar 17, 2006 |
| Last updated in NPPES | Nov 7, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | MA59211 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pulmonary Disease (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 759 |
|---|---|
| Services billed | 2,175 across 47 procedure codes |
| Paid by Medicare | $161,635 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,141 · 6,384 30-day fills |
|---|---|
| Patients | 363 |
| Total drug cost | $1,017,978 |
| Generic share | 73% of claims |
Education and affiliations
| Medical school | New York Medical College |
|---|---|
| Graduation year | 1987 |
| Medicare specialty | Pulmonary Disease |
| Secondary specialties | Critical Care (Intensivists), Internal Medicine, Sleep Medicine |
| Telehealth | Offers telehealth |
Medical group
- Holy Name Pulmonary Associates PCEnglewood, NJ · 15 clinicians
Hospital affiliations
- Englewood Hospital and Medical CenterEnglewood, NJ
- Holy Name Medical CenterTeaneck, NJ
- Palisades Medical CenterNorth Bergen, NJ
Other facilities
- Amedisys Home HealthHome health agency · Hackensack, NJ
- Holy Name Home CareHome health agency · Teaneck, NJ
- Visiting Nurse Association of Englewood, IncHome health agency · Englewood, NJ
Industry payments (Open Payments)
- 2025$2,790 · 208 payments from 27 companies
- 2024$2,516 · 153 payments from 23 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Glaxosmithkline, LLC. | $415.64 | 37 |
| Avadel Cns Pharmaceuticals, LLC | $347.44 | 13 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $265.83 | 23 |
| Astrazeneca Pharmaceuticals LP | $234.74 | 44 |
| Genzyme Corporation | $221.70 | 15 |
What the 2025 payments were for
- Food and Beverage$2,690 · 207 payments
- Education$99.99 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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