TINA MOLUMPHY (MD) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1124057930
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
928 PAIN MANAGEMENT in CA
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Provider Addresses for TINA MOLUMPHY (MD)
Fremont Avenue, Loyola Corners, Los Altos, Santa Clara County, California, 94024, United States
SUITE 109
LOS ALTOS, CA 940245698
Phone: (650) 941-1040
Fax: (650) 941-1001
Type: Location
340 DARDANELLI LN STE 10
LOS GATOS, CA 950321418
Phone: (408) 412-8100
Fax: (408) 412-8499
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $66.
Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.
Last reported payment date: 2023-08-28 • Largest payer in this snapshot: Relievant Medsystems, Inc. ($66).
Total Amount
$66
General + Research + Ownership
Payments
1
Total payment records
General Amount
$66
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Relievant Medsystems, Inc. | $66 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-05-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070521000483 | I | Pain Management | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 303 | 250 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 179 | 143 | $0 |
| 64484 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level | 111 | 96 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 90 | 78 | $0 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 69 | 69 | $0 |
Insurance plans in this area (ZIP 94024)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Orthopedic Surgery | CA | |
| - | CA | |
| Physical Therapist In Private Practice | CA | |
| Physician Assistant | CA | |
| Osteopathic Manipulative Medicine, Family Practice, Sports Medicine | CA | |
| Hand Surgery, Orthopedic Surgery | CA | |
| Orthopedic Surgery | CA | |
| Occupational Therapist In Private Practice | CA | |
| Nurse Practitioner | CA |
Reviews
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