MR. VADIM PETROV-KONDRATOV (M.D.) – Interventional Pain Medicine Physician, NPI 1891061040
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
148 INTERVENTIONAL PAIN MANAGEMENT in GA
Provider Addresses for MR. VADIM PETROV-KONDRATOV (M.D.)
1907 Sunset Blvd
Jesup, GA 315457813
Phone: (912) 910-3777
Fax: (912) 292-0005
Type: Location
3760 US Highway 17 Ste 11
Richmond Hill, GA 313243378
Phone: (912) 910-3777
Fax: (912) 292-0005
Type: Location
6606 Abercorn St Ste 101
Savannah, GA 314055831
Phone: (912) 910-3777
Fax: (912) 292-0005
Type: Location
604 W OGLETHORPE HWY
HINESVILLE, GA 313134415
Phone: (912) 910-3777
Fax: (912) 292-0005
Type: Mailing
180 MEDICAL PARK PL STE 102
HOT SPRINGS, AR 719018066
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 177 Open Payments records for all available years, with a total value of $9,956.
Total Amount is formed as General ($9,956) + Research ($0) + Ownership ($0) = $9,956.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Abbott Laboratories ($9,603).
Total Amount
$9,956
General + Research + Ownership
Payments
177
Total payment records
General Amount
$9,956
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
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: 2022-03-22
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 |
|---|---|---|---|---|
| I20220322002479 | I | Interventional Pain Management | GA | 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 |
|---|---|---|---|---|
| 96127 | Assessment of emotional or behavioral problems | 1,906 | 346 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,582 | 365 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,568 | 103 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1,437 | 80 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 1,422 | 360 | $0 |
Insurance plans in this area (ZIP 31545)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA |
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