BRYANT T ITTIARA (D.O.) – Interventional Pain Medicine Physician, NPI 1871829069
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
259 PAIN MANAGEMENT in MI
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Provider Addresses for BRYANT T ITTIARA (D.O.)
416, James Circle, Royal Oak, Oakland County, Michigan, 48067, United States
ROYAL OAK, MI 480674545
Phone: (734) 604-0017
Type: Mailing
18707, Ecorse Road, Allen Park, Wayne County, Michigan, 48101, United States
ALLEN PARK, MI 481012255
Phone: (734) 682-3309
Fax: (734) 682-1488
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 140 Open Payments records for all available years, with a total value of $5,257.
Total Amount is formed as General ($5,257) + Research ($0) + Ownership ($0) = $5,257.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Spinal Simplicity, LLC ($1,591).
Total Amount
$5,257
General + Research + Ownership
Payments
140
Total payment records
General Amount
$5,257
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Spinal Simplicity, LLC | $1,591 |
| Nalu Medical, Inc. | $886 |
| Nevro Corp. | $754 |
| ABBVIE INC. | $378 |
| Medtronic, Inc. | $256 |
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: 2013-10-03
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 |
|---|---|---|---|---|
| I20131003000541 | I | Pain Management | MI | 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 | 525 | 88 | $0 |
| J2704 | Injection, propofol, 10 mg | 422 | 58 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 196 | 85 | $0 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 179 | 46 | $0 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 90 | 37 | $0 |
Insurance plans in this area (ZIP 48067)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Pain Management | MI |
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