DR. PRASHANTH SIRIGERE MANJUNATH (M.D) – Interventional Pain Medicine Physician, NPI 1629227616
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
27 PAIN MANAGEMENT in ID
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Provider Addresses for DR. PRASHANTH SIRIGERE MANJUNATH (M.D)
Bingham Memorial Hospital, 98, Poplar Street, Blackfoot, Bingham County, Idaho, 83221, United States
BLACKFOOT, ID 832211758
Phone: (208) 782-3701
Type: Mailing
2460 S Parkview Loop Ste 3
Yuma, AZ 853645357
Phone: (928) 336-7846
Type: Location
3269 N STOCKTON HILL RD
KINGMAN, AZ 864093619
Phone: (928) 757-2101
Type: Mailing
3801 SANTA ROSA DR
KINGMAN, AZ 864012311
Phone: (928) 681-8570
Fax: (928) 681-8569
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $1,665.
Total Amount is formed as General ($1,665) + Research ($0) + Ownership ($0) = $1,665.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Joline Medical Inc ($1,600).
Total Amount
$1,665
General + Research + Ownership
Payments
2
Total payment records
General Amount
$1,665
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Joline Medical Inc | $1,600 |
| SPR Therapeutics, Inc | $65 |
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: 2021-11-19
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 |
|---|---|---|---|---|
| I20211119001666 | I | Pain Management | AZ | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 111 | 79 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 101 | 85 | $0 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 42 | 25 | $0 |
| 64494 | Injection of lower or sacral spine facet joint using imaging guidance, second level | 40 | 24 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 36 | 36 | $0 |
Insurance plans in this area (ZIP 83221)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MN | |
| - | AZ | |
| A N E S T H E S I O L O G Y | NE | |
| - | AZ | |
| Family Practice | AZ | |
| Interventional Radiology | AZ | |
| Nurse Practitioner | AZ | |
| Hospice/Palliative Care | NV | |
| A N E S T H E S I O L O G Y | MI | |
| Critical Care (Intensivists), Pulmonary Disease | AZ |
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