DR. MARCHYARN MAHATHANARUK (D.O.) – Pain Medicine (Anesthesiology) Physician, NPI 1265674287
Pain Medicine (Anesthesiology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,169 ANESTHESIOLOGY in CO
Provider Addresses for DR. MARCHYARN MAHATHANARUK (D.O.)
300 Union Blvd
Suite 600
Lakewood, CO 802281535
Phone: (716) 536-2168
Type: Location
PO BOX 800022
KANSAS CITY, MO 641800022
Phone: (800) 953-0104
Fax: (303) 765-6670
Type: Mailing
11700 W 2ND PL STE 225
LAKEWOOD, CO 802281707
Phone: (303) 661-4100
Fax: (720) 321-8969
Type: Location
300, Union Boulevard, Lakewood, Jefferson County, Colorado, 80228, United States
SUITE 600
LAKEWOOD, CO 802281535
Phone: (716) 536-2168
Type: Location
2207, West 33rd Avenue, Highland, Denver, Colorado, 80211, United States
DENVER, CO 802113313
Phone: (716) 536-2168
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 40 Open Payments records for all available years, with a total value of $1,115.
Total Amount is formed as General ($1,115) + Research ($0) + Ownership ($0) = $1,115.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Boston Scientific Corporation ($632).
Total Amount
$1,115
General + Research + Ownership
Payments
40
Total payment records
General Amount
$1,115
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $632 |
| Medtronic, Inc. | $214 |
| Abbott Laboratories | $88 |
| ABBVIE INC. | $60 |
| PAINTEQ LLC | $27 |
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: 2015-06-30
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 |
|---|---|---|---|---|
| I20150630001069 | I | Anesthesiology | CO | 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 | 221 | 161 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 128 | 21 | $0 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 119 | 87 | $0 |
| 27096 | Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 112 | 86 | $0 |
| 64494 | Injection of lower or sacral spine facet joint using imaging guidance, second level | 102 | 74 | $0 |
Insurance plans in this area (ZIP 80228)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| Radiation Oncology | TX | |
| - | CO | |
| Hospitalist, General Practice, Family Practice | CO | |
| Cardiovascular Disease (Cardiology) | NM | |
| Family Practice | OK | |
| Internal Medicine | CO | |
| - | IL | |
| H E M A T O L O G Y/ O N C O L O G Y | TX | |
| Internal Medicine | PA |
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