GREGORY SCOTT MASIMORE (MD) – Pain Medicine Physician, NPI 1104878982

GREGORY SCOTT MASIMORE (MD) is a healthcare provider. based in Greenwood, Indiana. specializing in PAIN MANAGEMENT, ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 01042621A (IN). The NPI Number for GREGORY SCOTT MASIMORE (MD) is 1104878982

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY SCOTT MASIMORE (MD)
NPI
1104878982
Phone
(317) 346-7246
Address
730 EXECUTIVE PARK DR STE A
Enumeration Date
17 May 2006
Last Update Date
13 December 2017

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
3173467246
Graduation Year
1988 (38 years ago)
PAC ID
2668484734
Professional Enrollment ID
I20060608000311
Address ID
IN461433213GR730XXDRXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

183 PAIN MANAGEMENT in IN

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Provider Addresses for GREGORY SCOTT MASIMORE (MD)

  • Executive Park Drive, Greenwood, Johnson County, Indiana, 46143, United States

    GREENWOOD, IN 461433213

    Phone: (317) 346-7246

    Fax: (317) 543-3763

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-06-08

PECOS data refreshed: 2026-06-15

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
I20060608000311IPain ManagementINTBD

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 minutes46674$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg18615$0
View full utilization report →

Insurance plans in this area (ZIP 46143)

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Provider's Procedures

GREGORY SCOTT MASIMORE (MD) performs procedures in PAIN MANAGEMENT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PAIN MANAGEMENTIN62311Injections of substances into lower or sacral spine1711

Reviews

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Frequently asked questions

Can I cross-check GREGORY SCOTT MASIMORE (MD) using NPI 1104878982?
NPI 1104878982 belongs to GREGORY SCOTT MASIMORE (MD); compare other details if you need extra assurance.
Would GREGORY SCOTT MASIMORE (MD) appear as active to a payer?
You can treat GREGORY SCOTT MASIMORE (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is GREGORY SCOTT MASIMORE (MD)?
GREGORY SCOTT MASIMORE (MD) is associated with Pain Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Indiana is GREGORY SCOTT MASIMORE (MD) registered?
Use Greenwood, Indiana as the headline location for GREGORY SCOTT MASIMORE (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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