MANJUL DILIPBHAI DERASARI – Interventional Pain Medicine Physician, NPI 1912969775
Interventional Pain Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
370 INTERVENTIONAL PAIN MANAGEMENT in FL
Provider Addresses for MANJUL DILIPBHAI DERASARI
36763 EILAND BLVD STE 201
ZEPHYRHILLS, FL 33542
Phone: (813) 977-6688
Fax: (813) 355-5060
Type: Location
1912 E Busch Blvd
Tampa, FL 336128666
Phone: (813) 933-5900
Fax: (813) 935-9687
Type: Location
2100 Via Bella Blvd Ste 103
Land O Lakes, FL 346395429
Phone: (813) 977-6688
Fax: (813) 355-5060
Type: Location
38135, Market Square, Zephyrhills, Pasco County, Florida, 33542, United States
ZEPHYRHILLS, FL 335427505
Phone: (352) 567-0188
Fax: (813) 355-5084
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $577.
Total Amount is formed as General ($577) + Research ($0) + Ownership ($0) = $577.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Medtronic, Inc. ($203).
Total Amount
$577
General + Research + Ownership
Payments
26
Total payment records
General Amount
$577
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $203 |
| Boston Scientific Corporation | $109 |
| SI-BONE, INC. | $48 |
| SCILEX PHARMACEUTICALS INC. | $45 |
| Abbott Laboratories | $34 |
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: 2014-07-01
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 |
|---|---|---|---|---|
| I20140701000552 | I | Interventional Pain Management | FL | 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 | 2,050 | 35 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,186 | 173 | $0 |
| J0475 | Injection, baclofen, 10 mg | 575 | 12 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 299 | 175 | $0 |
| 80305 | Testing for presence of drug, read by direct observation | 291 | 204 | $0 |
Insurance plans in this area (ZIP 33542)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL PAIN MANAGEMENT | FL | 62311 | Injections of substances into lower or sacral spine | 18 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Diagnostic Radiology | FL | |
| Gastroenterology, Internal Medicine | IA | |
| Vascular Surgery, General Surgery | FL | |
| Family Practice | KY | |
| Nurse Practitioner | FL | |
| R H E U M A T O L O G Y | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| P S Y C H I A T R Y | FL |
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