Active NPI 1326302563 Individual Practitioner Male Practitioner

Dr. Albert Gordon Pavalonis , DO

Surgery - Vascular Surgery • Lynchburg, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Albert Pavalonis, DO is a certified Surgery - Vascular Surgery practicing in Lynchburg, VA. With approximately 14 years of clinical experience since completing medical education in 2012, Dr. Pavalonis delivers high-quality medical care to the local community at 2410 ATHERHOLT RD.

Dr. Pavalonis is affiliated with Centra Medical Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, review by radiologist of both arms or legs arteries image. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2410 Atherholt Rd

Lynchburg, VA 245012148

Telephone 4342005299

Fax 4342002386

Associated Practice Facility / Clinic

🏢 Centra Health Professional Services, Llc Facility NPI 1407884448

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Lynchburg, VA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -6.3 yrs vs City Avg

City Avg: 20.3 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Lynchburg, VA (156 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pavalonis (14 Years) 14 Yrs

Lynchburg Specialty Average (20.3 Years) 20.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	119	119	$260.00	$131.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	95	$189.65	$95.56
75716 Review by radiologist of both arms or legs arteries image	48	48	$224.58	$89.62
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	37	33	$24.00	$11.82
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	18	18	$876.00	$360.54
37226 Insertion of stent in arteries of leg	17	16	$1024.00	$400.37
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$128.00	$64.45
34713 Exposure of one groin artery for delivery of graft, accessed through the skin	13	13	$394.15	$146.77
37228 Balloon dilation of artery of leg, initial vessel	13	13	$1068.00	$469.61
35301 Removal of blood clot and portion of artery of neck	11	11	$2250.00	$1069.05
34705 Repair of non-ruptured aorta and groin arteries on both sides with graft inserted through artery, including radiological supervision and interpretation	11	11	$3033.00	$1436.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	106	106	$255.00	$130.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	64	$185.00	$95.59
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	51	47	$24.00	$12.16
75716 Review by radiologist of both arms or legs arteries image	42	42	$207.79	$89.60
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$125.00	$64.68
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	20	20	$859.00	$379.44
37226 Insertion of stent in arteries of leg	15	14	$1004.00	$410.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$156.00	$81.01
37215 Insertion of stent and blood clot protection device in neck artery with review by radiologist	11	11	$1942.00	$945.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$255.00	$133.30
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	58	52	$24.00	$12.61
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	50	50	$346.00	$184.25
75716 Review by radiologist of both arms or legs arteries image	44	43	$181.00	$93.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	25	$187.70	$97.82
37226 Insertion of stent in arteries of leg	27	25	$1004.00	$390.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$156.00	$83.36
34713 Exposure of one groin artery for delivery of graft, accessed through the skin	21	21	$239.00	$125.07
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	21	21	$162.00	$83.29
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$125.00	$64.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$275.00	$145.76
37228 Balloon dilation of artery of leg, initial vessel	17	16	$1047.00	$519.81
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	16	16	$859.00	$343.34
34705 Repair of non-ruptured aorta and groin arteries on both sides with graft inserted through artery, including radiological supervision and interpretation	11	11	$2974.00	$1513.87
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	11	11	$579.00	$268.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$255.00	$154.03
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	56	51	$103.00	$12.64
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	40	40	$346.00	$187.72
75716 Review by radiologist of both arms or legs arteries image	38	37	$125.95	$95.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$185.00	$119.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$155.79	$93.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	27	$208.59	$136.95
99213 Established patient office or other outpatient visit, typically 15 minutes	29	25	$124.28	$78.53
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	20	$59.50	$38.64
37226 Insertion of stent in arteries of leg	23	21	$1146.57	$468.88
37228 Balloon dilation of artery of leg, initial vessel	20	18	$1220.80	$534.12
36140 Insertion of needle or catheter into an artery of arm or leg	19	19	$192.63	$50.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$275.00	$140.16
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	14	13	$1041.57	$385.91
37221 Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure	11	11	$1103.27	$477.23
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	11	11	$599.09	$262.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	80	$75.00	$74.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$130.00	$129.70
75716 Review by radiologist of both arms or legs arteries image	54	53	$130.00	$96.10
75625 Radiological supervision and interpretation X-ray of abdominal aorta	49	48	$115.00	$70.40
99213 Established patient office or other outpatient visit, typically 15 minutes	33	30	$50.00	$49.98
75630 Review by radiologist of abdominal aorta and both leg arteries image	31	28	$175.00	$98.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$205.00	$137.86
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	30	29	$650.00	$262.50
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	29	28	$103.00	$12.40
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	25	24	$940.00	$391.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	18	$55.00	$39.53
37226 Insertion of stent in arteries of leg	21	20	$1100.00	$469.03
37228 Balloon dilation of artery of leg, initial vessel	18	17	$1140.00	$542.93
28825 Amputation of toe at toe joint	13	11	$750.00	$245.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	22	$68.79	$38.94
75625 Radiological supervision and interpretation X-ray of abdominal aorta	27	27	$115.00	$55.43
75716 Review by radiologist of both arms or legs arteries image	26	26	$130.00	$95.88
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	24	23	$103.00	$12.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$225.20	$132.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	13	$95.00	$38.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$454.00	$200.07

Medical Specialties & State Licenses

CMS Verified: 2022-11-09

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License VA 0102205543

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Hospital & Practice Group Affiliations

Centra Medical Group Llc

1906 Thomson Dr, Lynchburg, VA 245011009

Phone: 4342003933

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Aric Moran , MD

Internal Medicine - Cardiovascular Disease

NPI 1003203555

Doctor of Medicine (M.D.)

Dr. Evan Ownby , MD

Internal Medicine - Cardiovascular Disease

NPI 1033377007

Doctor of Medicine (M.D.)

Virginia Blevins , FNP

Nurse Practitioner - Family

NPI 1043855356

Family Nurse Practitioner

Dr. John Haas , MD

Internal Medicine - Cardiovascular Disease

NPI 1063711950

Doctor of Medicine (M.D.)

Dr. Michael Cook , MD

Family Medicine

NPI 1073597027

Doctor of Medicine (M.D.)

Dr. Carl Moore , MD

Internal Medicine - Interventional Cardiology

NPI 1083698468

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location November 09, 2022

Registered at 2410 ATHERHOLT RD, LYNCHBURG, VA 245012148 (Tel: 4342005299)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2022

Surgery (License #0102205543 in VA)

✅

NPI Profile Active February 09, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location February 09, 2018

Registered at 1735 CALAIS TRAIL, POWHATAN, VA 23139 (Tel: 5405880521)

📍

Updated Business Mailing Address February 09, 2018

Registered at 1735 CALAIS TRAIL, POWHATAN, VA 231394523 (Tel: 5405880521)

👤

Provider Name / Credentials Updated February 09, 2018

Recorded as ALBERT PAVALONIS, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2018

Surgery (License #2887081 in NY)

✅

NPI Profile Active July 03, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location July 03, 2012

Registered at 1735 CALAIS TRAIL, POWHATAN, VA 23139 (Tel: 5405880521)

📍

Updated Business Mailing Address July 03, 2012

Registered at 1735 CALAIS TRAIL, POWHATAN, VA 231394523 (Tel: 5405880521)

👤

Provider Name / Credentials Updated July 03, 2012

Recorded as ALBERT PAVALONIS, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2012

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration July 03, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1326302563

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 03, 2012

Last Update: November 09, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1735 Calais Trail

Powhatan, VA 231394523

Phone: 5405880521

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.