DR. CARLOS JORGE GIRON (M.D.) – Interventional Pain Medicine Physician, NPI 1053392068

DR. CARLOS JORGE GIRON (M.D.) is a healthcare provider. based in Macon, Georgia. specializing in INTERVENTIONAL PAIN MANAGEMENT. They hold the professional credentials M.D.. They hold a License No. 041564 (GA). The NPI Number for DR. CARLOS JORGE GIRON (M.D.) is 1053392068

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. CARLOS JORGE GIRON (M.D.)
NPI
1053392068
Phone
(478) 476-9886
Address
3356 VINEVILLE AVE
Enumeration Date
7 November 2005
Last Update Date
9 August 2010

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
4784769642
Graduation Year
1992 (34 years ago)
PAC ID
7618860917
Group Practice PAC ID
1557254844
Professional Enrollment ID
I20101108000778
Address ID
GA312042328MA3356XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

148 INTERVENTIONAL PAIN MANAGEMENT in GA

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Provider Addresses for DR. CARLOS JORGE GIRON (M.D.)

  • Vineville Avenue, Vineville, Macon, Bibb County, Georgia, 31213, United States

    MACON, GA 312042328

    Phone: (478) 476-9886

    Fax: (478) 476-9976

    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 19 Open Payments records for all available years, with a total value of $1,713.

Total Amount is formed as General ($1,713) + Research ($0) + Ownership ($0) = $1,713.

Last reported payment date: 2024-12-28 • Largest payer in this snapshot: Boston Scientific Corporation ($1,601).

Total Amount

$1,713

General + Research + Ownership

Payments

19

Total payment records

General Amount

$1,713

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-11-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101108000778IInterventional Pain ManagementGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes17073$0
99213Established patient office or other outpatient visit, 20-29 minutes16971$0
80307Testing for presence of drug, by chemistry analyzers14082$0
96132Evaluation of neuropsychological test, first hour9682$0
96138Administration of psychological or neuropsychological test by technician, first 30 minutes9682$0
View full utilization report →

Insurance plans in this area (ZIP 31204)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557254844View full group profile
NameSpecialtyState
Pain Management, NeurologyGA
Interventional Pain Management, AnesthesiologyGA
Anesthesiology, Pain ManagementGA

Reviews

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Frequently asked questions

How do payers reference DR. CARLOS JORGE GIRON (M.D.)?
For DR. CARLOS JORGE GIRON (M.D.), use NPI 1053392068 as the unique 10-digit identifier.
Would DR. CARLOS JORGE GIRON (M.D.) appear as active to a payer?
You can treat DR. CARLOS JORGE GIRON (M.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. CARLOS JORGE GIRON (M.D.)'s focus?
For DR. CARLOS JORGE GIRON (M.D.), the primary taxonomy reads as Interventional Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. CARLOS JORGE GIRON (M.D.) associated with Macon?
Public fields place DR. CARLOS JORGE GIRON (M.D.) around Macon, Georgia. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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