Unknown Individual – Interventional Pain Medicine Physician, NPI 1497704928
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
1671, North Clyde Morris Boulevard, Daytona Beach, Volusia County, Florida, 32117, United States
SUITE 100
DAYTONA BEACH, FL 32117
Phone: (386) 274-2977
Fax: (386) 274-2966
Type: Mailing
West Plymouth Avenue, DeLand, Volusia County, Florida, 32720, United States
DELAND, FL 327203282
Phone: (386) 740-1123
Fax: (386) 274-4835
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 $22.
Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.
Last reported payment date: 2023-05-24 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($22).
Total Amount
$22
General + Research + Ownership
Payments
1
Total payment records
General Amount
$22
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $22 |
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.
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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 | 256 | 200 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 224 | 169 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 66 | 61 | $0 |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 41 | 38 | $0 |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 19 | 19 | $0 |
Insurance plans in this area (ZIP 32117)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL PAIN MANAGEMENT | FL | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 178 | 99 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pain Management, Anesthesiology | FL | |
| Physical Medicine And Rehabilitation | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| - | IL | |
| Anesthesiology, Pain Management | FL | |
| Nurse Practitioner | FL | |
| Interventional Pain Management, Anesthesiology, Physical Medicine And Rehabilitation | OH | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | AZ |
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