DR. IDI ALLEN (M.D.) – Interventional Pain Medicine Physician, NPI 1700029402

DR. IDI ALLEN (M.D.) is a healthcare provider. based in Fayetteville, Georgia. specializing in PAIN MANAGEMENT, ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 70849 (GA). The NPI Number for DR. IDI ALLEN (M.D.) is 1700029402

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. IDI ALLEN (M.D.)
NPI
1700029402
Phone
(470) 481-2020
Address
101 YORKTOWN DR STE 211
Enumeration Date
9 April 2009
Last Update Date
21 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4704812020
Graduation Year
2004 (22 years ago)
PAC ID
2264570126
Professional Enrollment ID
I20131226000995
Address ID
GA302141578FA101XXDRXX306
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

259 PAIN MANAGEMENT in GA

Provider Addresses for DR. IDI ALLEN (M.D.)

  • 101 YORKTOWN DR STE 211

    FAYETTEVILLE, GA 302141578

    Phone: (470) 481-2020

    Fax: (770) 703-4989

    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 7 Open Payments records for all available years, with a total value of $139.

Total Amount is formed as General ($139) + Research ($0) + Ownership ($0) = $139.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($87).

Total Amount

$139

General + Research + Ownership

Payments

7

Total payment records

General Amount

$139

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2014-04-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (891 days ago).

Enrollment records

2

Earliest due date

2023-12-31

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
I20131226000995IPain ManagementGA2023-12-31
I20140430001534IAnesthesiologyALTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 minutes29342$0
80305Testing for presence of drug, read by direct observation25444$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 30214)

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Reviews

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Frequently asked questions

Can I use this page to confirm DR. IDI ALLEN (M.D.)'s NPI?
Yes. DR. IDI ALLEN (M.D.) is listed with NPI 1700029402 in the public NPI dataset.
Is DR. IDI ALLEN (M.D.) listed as active for patients and plans?
The listing shows DR. IDI ALLEN (M.D.) as active in the NPI system.
What is DR. IDI ALLEN (M.D.)'s specialty?
The listing groups DR. IDI ALLEN (M.D.) with Interventional Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. IDI ALLEN (M.D.) on a map?
Expect Fayetteville, Georgia as a primary anchor for DR. IDI ALLEN (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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