DR. JUSTIN ROSS PORTER (M.D.) – Interventional Pain Medicine Physician, NPI 1104098961
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
34 INTERVENTIONAL PAIN MANAGEMENT in OK
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Provider Addresses for DR. JUSTIN ROSS PORTER (M.D.)
PO BOX 108835
OKLAHOMA CITY, OK 731018835
Phone: (405) 550-8040
Type: Mailing
3601, Northwest 138th Street, Oklahoma City, Oklahoma County, Oklahoma, 73134, United States
OKLAHOMA CITY, OK 731342513
Phone: (405) 242-4100
Fax: (405) 775-9356
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 56 Open Payments records for all available years, with a total value of $1,056.
Total Amount is formed as General ($1,056) + Research ($0) + Ownership ($0) = $1,056.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Nevro Corp. ($322).
Total Amount
$1,056
General + Research + Ownership
Payments
56
Total payment records
General Amount
$1,056
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Nevro Corp. | $322 |
| Medtronic, Inc. | $267 |
| ABBVIE INC. | $180 |
| Abbott Laboratories | $71 |
| Almatica Pharma LLC | $30 |
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: 2013-07-12
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 |
|---|---|---|---|---|
| I20130712000273 | I | Interventional Pain Management | OK | 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 | 9,260 | 541 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,381 | 682 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 592 | 378 | $0 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 301 | 221 | $0 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 296 | 196 | $0 |
Insurance plans in this area (ZIP 73101)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL PAIN MANAGEMENT | OK | 20610 | Aspiration and/or injection of large joint or joint capsule | 60 | 47 |
| INTERVENTIONAL PAIN MANAGEMENT | OK | 62311 | Injections of substances into lower or sacral spine | 41 | 31 |
| INTERVENTIONAL PAIN MANAGEMENT | OK | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 81 | 57 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology, Pain Management | OK | |
| Nurse Practitioner | OK | |
| Pain Management, Anesthesiology | OK | |
| A N E S T H E S I O L O G Y | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| Physician Assistant | OK |
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