DR. DARRELL GEORGE VYDRA (DO) – Pain Medicine Physician, NPI 1689945495
Pain Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
671 PAIN MANAGEMENT in FL
Provider Addresses for DR. DARRELL GEORGE VYDRA (DO)
4500 SAN PABLO RD S
JACKSONVILLE, FL 322241865
Phone: (904) 953-2000
Type: Location
5450 ROWLEY RD
APT 907
SAN ANTONIO, TX 782404782
Phone: (601) 951-0335
Type: Mailing
7703 FLOYD CURL DR
SAN ANTONIO, TX 782293901
Phone: (210) 567-7000
Fax: (662) 283-3452
Type: Location
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 $1,987.
Total Amount is formed as General ($1,987) + Research ($0) + Ownership ($0) = $1,987.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Stryker Corporation ($1,031).
Total Amount
$1,987
General + Research + Ownership
Payments
40
Total payment records
General Amount
$1,987
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $1,031 |
| SPR Therapeutics, Inc | $268 |
| Nevro Corp. | $244 |
| Boston Scientific Corporation | $166 |
| Nalu Medical, Inc. | $88 |
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: 2022-06-24
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 |
|---|---|---|---|---|
| I20220624001392 | I | Pain Management | NV | 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 |
|---|---|---|---|---|
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 3,208 | 51 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1,091 | 66 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 351 | 66 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 303 | 99 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 170 | 84 | $0 |
Insurance plans in this area (ZIP 32224)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation, Pain Management | MN | |
| Pain Management, Physical Medicine And Rehabilitation | NV | |
| Nurse Practitioner | NV | |
| Physical Medicine And Rehabilitation, Pain Management | NV | |
| Anesthesiology, Pain Management | HI | |
| Nurse Practitioner | NV | |
| Clinical Psychologist | NV | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | NV |
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