Ethan Pavlovsky, DO
Ethan Pavlovsky, DO is a General Practice Physician in Plano, TX, registered under NPI 1407505233.
Getting there
The practice address on file is 3901 W 15TH ST, Plano, TX 75075. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| W4177 | TX | General Practice Physician primary |
This provider holds licence W4177 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Order And Referring Only - General Surgery
- PAC ID
- 1557803814
- Enrollment ID
- I20240603001767
Medicare enrolment is recorded as approved under the provider type Order And Referring Only - General Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What General Practice covers
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. NUCC Health Care Provider Taxonomy, code 208D00000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1407505233 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 20, 2022 |
| Last updated | Mar 8, 2026 |
| Status | Active |
| Sole proprietor | No |
| Credential | DO |
| Practice address |
3901 W 15TH ST Plano, TX 75075 (972) 396-4075 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 0 | 7 | 5 | 0 | 5 | 2 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 0 | 7 | 1 | 0 | 1 | 2 | 6 |
Sum = 47 · next multiple of 10 = 50 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.