Unknown Individual – Interventional Pain Medicine Physician, NPI 1164472239
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
8880, Royal Palm Boulevard, Coral Springs, Broward County, Florida, 33065, United States
SUITE 103
CORAL SPRINGS, FL 33065
Phone: (954) 975-8233
Fax: (954) 974-2335
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $269.
Total Amount is formed as General ($269) + Research ($0) + Ownership ($0) = $269.
Last reported payment date: 2024-08-30 • Largest payer in this snapshot: Medtronic, Inc. ($221).
Total Amount
$269
General + Research + Ownership
Payments
7
Total payment records
General Amount
$269
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $221 |
| Nevro Corp. | $47 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 366 | 141 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 101 | 73 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 99 | 26 | $0 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 86 | 26 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 78 | 78 | $0 |
Insurance plans in this area (ZIP 33065)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PAIN MANAGEMENT | FL | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 51 | 49 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Pain Management | FL | |
| Physical Medicine And Rehabilitation, Interventional Pain Management | FL |
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