Dr. James C. Pavelka
- Gender: Male
- Experience: 20 years
- Graduated from: Ohio State University College Of Medicine
- Graduation year: 2001
- Sole propriator: No
- NPI: 1861521460
Dr. James C. Pavelka M.D.
Obstetrician and Gynecologist
He is located at 3219 Clifton Avenue Suite 100 in Cincinnati, OH 45220. Can help patients with the following: Braxton Hicks Contractions, Cancer, Gestational Diabetes, Menopause, Polycystic Ovary Syndrome (PCOS), Yeast Infection. His National Provider Identifier (NPI) number is 1861521460. Appointment can be made via the phone number (513) 862-1888. He is affiliated with 1 practices and 5 hospitals.
Conditions treated
Dr. James C. Pavelka, being an obstetrician and gynecologist, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. James C. Pavelka.
- Amenorrhea
- Bacterial Vaginosis
- Birth Control Counseling
- Blood in Urine
- Braxton Hicks Contractions
- Breast Cancer
- Breastfeeding
- Breastfeeding and Lactation
- Cancer
- Cervical Cancer
- Cervical Intraepithelial Neoplasia (CIN)
- Chlamydia
- Ectopic Pregnancy
- Endometriosis
- Fibrocystic Breast Disease
- Gestational Diabetes
- Group B Streptococcal Infection (GBS)
- Gynecological Exam
- High Blood Pressure
- Hot Flashes
- Human Papillomavirus (HPV)
- Infertility
- Labor and Birth
- Menopause
- Menstrual Cramps
- Miscarriage
- Morning Sickness
- Osteoporosis
- Ovarian Cancer
- Ovarian Cysts
- Overactive Bladder (OAB)
- Pelvic Inflammatory Disease (PID)
- Pelvic Pain
- Perimenopause
- Placenta Previa
- Polycystic Ovary Syndrome (PCOS)
- Preeclampsia and Eclampsia
- Pregnancy
- Premature Ovarian Failure (POF)
- Premenstrual Dysphoric Disorder (PMDD)
- Premenstrual Syndrome (PMS)
- Prenatal Care
- Sexually Transmitted Diseases (STDs)
- Trichomoniasis
- Urinary Incontinence (UI)
- Urinary Retention
- Urinary Tract Infection (UTI)
- Uterine Cancer
- Uterine Fibroids
- Uterine Growths
- VBAC
- Vaginal Atrophy and Dryness
- Vaginal Bleeding
- Vaginal Cancer
- Vaginal Pain
- Vaginitis
- Women's Health
- Yeast Infection
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. James C. Pavelka as in-network for the following 2026 plans.
Health plans
Ambetter from Buckeye Health Plan
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 16 plans from Ambetter from Buckeye Health Plan
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Choice Bronze HSA | HMO · Expanded Bronze | Preferred | Not accepting new patients |
| Choice Bronze HSA + Vision + Adult Dental | HMO · Expanded Bronze | Preferred | Not accepting new patients |
| Clear Gold | HMO · Gold | Preferred | Not accepting new patients |
| Clear Gold + Vision + Adult Dental | HMO · Gold | Preferred | Not accepting new patients |
| Complete Gold | HMO · Gold | Preferred | Not accepting new patients |
| Complete Gold + Vision + Adult Dental | HMO · Gold | Preferred | Not accepting new patients |
| Complete Silver | HMO · Silver | Preferred | Not accepting new patients |
| Complete Silver + Vision + Adult Dental | HMO · Silver | Preferred | Not accepting new patients |
| Everyday Bronze | HMO · Expanded Bronze | Preferred | Not accepting new patients |
| Everyday Bronze + Vision + Adult Dental | HMO · Expanded Bronze | Preferred | Not accepting new patients |
| Standard Expanded Bronze | HMO · Expanded Bronze | Preferred | Not accepting new patients |
| Standard Expanded Bronze + Vision + Adult Dental | HMO · Expanded Bronze | Preferred | Not accepting new patients |
| Standard Gold | HMO · Gold | Preferred | Not accepting new patients |
| Standard Gold + Vision + Adult Dental | HMO · Gold | Preferred | Not accepting new patients |
| Standard Silver | HMO · Silver | Preferred | Not accepting new patients |
| Standard Silver + Vision + Adult Dental | HMO · Silver | Preferred | Not accepting new patients |
Anthem Blue Cross and Blue Shield
Network data as of Sep 10, 2026, as reported by the insurer.
Show all 11 plans from Anthem Blue Cross and Blue Shield
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs) | HMO · Bronze | Participating | Accepting new patients |
| Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) | HMO · Bronze | Participating | Accepting new patients |
| Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Pathway 8500 for HSA | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs) | HMO · Gold | Participating | Accepting new patients |
| Anthem Heart Healthy Bronze Pathway 6000 ($0 Virtual PCP + $0 Select Drugs) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs) | HMO · Silver | Participating | Accepting new patients |
| Anthem Silver Pathway 4000 ($0 Virtual PCP + $0 Select Drugs) | HMO · Silver | Participating | Accepting new patients |
| Anthem Silver Pathway 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) | HMO · Silver | Participating | Accepting new patients |
| Anthem Silver Pathway 5500 for HSA | HMO · Silver | Participating | Accepting new patients |
| Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs) | HMO · Silver | Participating | Accepting new patients |
CareSource
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 21 plans from CareSource
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Bronze 7500 $25 Generic Drugs | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Core Gold 1500 $10 Generic Drugs | HMO · Gold | Preferred | Accepting new patients |
| Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness | HMO · Gold | Preferred | Accepting new patients |
| Diabetes Gold 3000 $0 Chronic Care Drugs & Services | HMO · Gold | Preferred | Accepting new patients |
| Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness | HMO · Gold | Preferred | Accepting new patients |
| Diabetes Silver 5000 $0 Chronic Care Drugs & Services | HMO · Silver | Preferred | Accepting new patients |
| Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness | HMO · Silver | Preferred | Accepting new patients |
| Gold 2000 $15 Generic Drugs | HMO · Gold | Preferred | Accepting new patients |
| Gold 2000 $15 Generic Drugs + Adult Vision & Fitness | HMO · Gold | Preferred | Accepting new patients |
| HDHP Preventive Silver 5500 $0 Chronic Care Drugs | HMO · Silver | Preferred | Accepting new patients |
| Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services | HMO · Gold | Preferred | Accepting new patients |
| Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness | HMO · Gold | Preferred | Accepting new patients |
| Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services | HMO · Silver | Preferred | Accepting new patients |
| Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness | HMO · Silver | Preferred | Accepting new patients |
| Low Premium Bronze 10600 $25 Generic Drugs | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Low Premium Silver 6200 $3 Generic Drugs | HMO · Silver | Preferred | Accepting new patients |
| Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness | HMO · Silver | Preferred | Accepting new patients |
| Silver 6000 $20 Generic Drugs | HMO · Silver | Preferred | Accepting new patients |
| Silver 6000 $20 Generic Drugs + Adult Vision & Fitness | HMO · Silver | Preferred | Accepting new patients |
Oscar Health Insurance
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 16 plans from Oscar Health Insurance
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Bronze Classic 4700 | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Classic Standard | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Elite + PCP Saver Plus | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Simple Breathe Easy with Enhanced COPD Benefits | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Simple Chronic Care CKM | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Simple Diabetes | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Gold Classic | HMO · Gold | Preferred | Accepting new patients |
| Gold Classic Standard | HMO · Gold | Preferred | Accepting new patients |
| Gold Elite Saver Plus | HMO · Gold | Preferred | Accepting new patients |
| Silver Classic Standard | HMO · Silver | Preferred | Accepting new patients |
| Silver Elite Saver Plus | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Breathe Easy with Enhanced COPD Benefits | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Chronic Care CKM | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Diabetes | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple PCP Saver | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Women's Health with Menopause Benefits | HMO · Silver | Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. James C. Pavelka is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. James C. Pavelka is enrolled to bill Medicare as a Practitioner - Gynecological Oncology .
Bills through: Trihealth G Llc
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Minerva Surgical | $104 |
| AstraZeneca | $101 |
Other
| Food and Beverage | $206 |
Studies
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated in 2001Additional Specialities
- Specialist
Affiliated hospitals
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Questions & Answers
Has Dr. James C. Pavelka affiliation with hospitals?
Dr. James C. Pavelka is affiliated with BETHESDA NORTH. For the full list of hospitals see this list.
Does Dr. James C. Pavelka accept insurance?
Dr. James C. Pavelka is listed in-network for 64 ACA Marketplace (Obamacare/HealthCare.gov) plans from Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield, CareSource, Oscar Health Insurance. See the Marketplace plans section for details.
Does Dr. James C. Pavelka have affiliation with practices?
Dr. James C. Pavelka is affiliated with Trihealth Physician Practices.
Where can you meet with Dr. James C. Pavelka?
Dr. James C. Pavelka's office is located at 3219 Clifton Avenue Suite 100 in Cincinnati, OH 45220.
What conditions does Dr. James C. Pavelka treat?
Dr. James C. Pavelka provides treatment for Braxton Hicks Contractions, Cancer, Gestational Diabetes, Menopause, Polycystic Ovary Syndrome (PCOS), Yeast Infection. For the full list see this list.