EVAN PESKIN (MD MBA) – Interventional Pain Medicine Physician, NPI 1669904959
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
259 PAIN MANAGEMENT in MI
Provider Addresses for EVAN PESKIN (MD MBA)
Jackson Memorial Hospital, 1611, Northwest 12th Avenue, Miami, Miami-Dade County, Florida, 33136, United States
(C-301)
MIAMI, FL 331361005
Phone: (305) 585-6970
Type: Mailing
4800 S SAGINAW ST STE 1800
FLINT, MI 485072677
Phone: (810) 732-9333
Type: Location
1611 NW 12th Ave
Miami, FL 331361005
Phone: (305) 585-1111
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 132 Open Payments records for all available years, with a total value of $16,743.
Total Amount is formed as General ($16,743) + Research ($0) + Ownership ($0) = $16,743.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Nalu Medical, Inc. ($9,113).
Total Amount
$16,743
General + Research + Ownership
Payments
132
Total payment records
General Amount
$16,743
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Nalu Medical, Inc. | $9,113 |
| Genesys Orthopedics Systems, L.L.C. | $1,433 |
| Nevro Corp. | $1,353 |
| Medtronic, Inc. | $1,184 |
| Stryker Corporation | $1,030 |
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: 2025-03-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20220720000731 | I | Pain Management | MI | TBD |
| I20230207000061 | I | Pain Management | IL | TBD |
| I20250310003150 | I | Pain Management | OH | 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 | 73 | 38 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 38 | 38 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 37 | 29 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 35 | 28 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 34 | 23 | $0 |
Insurance plans in this area (ZIP 33136)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | MI | |
| General Surgery | TX | |
| Nurse Practitioner | MI | |
| A N E S T H E S I O L O G Y | MI | |
| Orthopedic Surgery | MI | |
| Nurse Practitioner | MI | |
| Interventional Radiology, Vascular Surgery | CT | |
| Clinical Psychologist | MI | |
| Diagnostic Radiology | FL | |
| Nurse Practitioner | MI |
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