DANIEL O SOUTHERN (MD) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1154346302
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
150 PHYSICAL MEDICINE AND REHABILITATION in CT
Provider Addresses for DANIEL O SOUTHERN (MD)
195 DANBURY RD STE 220
WILTON, CT 068974075
Phone: (203) 456-5717
Type: Location
195 Danbury Road, Suite B220
Wilton, CT 06897
Phone: (203) 456-5717
Fax: (203) 445-6184
Type: Location
195 DANBURY ROAD, SUITE B220
WILTON, CT 068976014
Phone: (203) 456-5717
Fax: (203) 445-6184
Type: Mailing
91 EAST AVE STE 1A
NORWALK, CT 068515020
Phone: (203) 456-5717
Fax: (203) 445-6184
Type: Location
13, Indian Hill Road, Wilton, Western Connecticut Planning Region, Connecticut, 06897, United States
WILTON, CT 068971320
Phone: (203) 456-5717
Type: Mailing
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 $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2023-12-18 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $21 |
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: 2004-11-24
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 |
|---|---|---|---|---|
| I20041124000551 | I | Physical Medicine And Rehabilitation | CT | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 104 | 51 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 56 | 36 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 28 | 28 | $0 |
| 76881 | Complete ultrasound scan of joint | 19 | 19 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 12 | 11 | $0 |
Insurance plans in this area (ZIP 06897)
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Provider's Procedures
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