EMMANUEL GAGE – Interventional Pain Medicine Physician, NPI 1720213093
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
259 PAIN MANAGEMENT in GA
Provider Addresses for EMMANUEL GAGE
1218 Alice St
Waycross, GA 315014525
Phone: (912) 590-0973
Fax: (912) 590-0180
Type: Location
5191 First Coast Tech Pkwy
3rd Floor
Jacksonville, FL 322240609
Phone: (904) 223-3321
Fax: (904) 223-2169
Type: Location
3408 TROUT ST
BRUNSWICK, GA 315203622
Phone: (912) 590-0973
Fax: (912) 590-0180
Type: Location
200 Blue Moon Xing Ste 203
Pooler, GA 313229698
Phone: (912) 590-0973
Type: Location
1507, Alice Street, Waycross, Ware County, Georgia, 31501, United States
WAYCROSS, GA 315014530
Phone: (912) 590-0973
Fax: (912) 590-0180
Type: Mailing
5191 FIRST COAST TECH PKWY
3RD FLOOR
JACKSONVILLE, FL 322240609
Phone: (904) 223-3321
Fax: (904) 223-2169
Type: Mailing
3221 GLYNN AVE
BRUNSWICK, GA 315204851
Phone: (912) 466-9111
Fax: (912) 466-0366
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 394 Open Payments records for all available years, with a total value of $185,351.
Total Amount is formed as General ($185,351) + Research ($0) + Ownership ($0) = $185,351.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Boston Scientific Corporation ($131,206).
Total Amount
$185,351
General + Research + Ownership
Payments
394
Total payment records
General Amount
$185,351
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $131,206 |
| SI-BONE, INC. | $27,400 |
| Vertos Medical, Inc. | $18,208 |
| Alevio, LLC | $5,723 |
| PAINTEQ LLC | $2,114 |
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: 2020-03-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20141023002596 | I | Interventional Pain Management | GA | TBD |
| I20200318001093 | I | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 10,629 | 447 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 480 | 325 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 472 | 279 | $0 |
| 64484 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level | 433 | 297 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 315 | 315 | $0 |
Insurance plans in this area (ZIP 31501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Pain Management, Anesthesiology | FL | |
| Nurse Practitioner | GA | |
| Pain Management | GA | |
| Nurse Practitioner | FL | |
| Anesthesiology, Pain Management | FL | |
| Nurse Practitioner | FL | |
| Anesthesiology, Pain Management | FL | |
| C H I R O P R A C T I C | FL | |
| Interventional Pain Management | FL |
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