CARMINE M VINCIFORA (M.D.) – Pain Medicine (Anesthesiology) Physician, NPI 1265752315
Pain Medicine (Anesthesiology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,591 ANESTHESIOLOGY in TX
Provider Addresses for CARMINE M VINCIFORA (M.D.)
800 E Dawson St
Tyler, TX 757012036
Phone: (903) 606-4500
Type: Location
9091 Ellerbe Rd Ste 200
Shreveport, LA 711066737
Phone: (318) 681-6260
Type: Location
PO BOX 4207
LONGVIEW, TX 756064207
Phone: (903) 315-2032
Fax: (903) 315-2719
Type: Mailing
701 E MARSHALL AVE STE 400
LONGVIEW, TX 756015595
Phone: (903) 315-2032
Fax: (903) 315-2719
Type: Location
385 Bert Kouns Industrial Loop Ste 300
Shreveport, LA 711068158
Phone: (318) 212-0552
Type: Location
701 E Marshall Ave Ste 400
Longview, TX 756015595
Phone: (903) 315-2032
Fax: (903) 315-2719
Type: Location
815 S Washington Ave Ste 304
Marshall, TX 756705358
Phone: (903) 315-2032
Type: Location
703 E Marshall Ave Ste 4003
Longview, TX 756015500
Phone: (903) 315-2032
Type: Location
PO BOX 846098
DALLAS, TX 752846098
Phone: (903) 606-6400
Fax: (903) 606-1522
Type: Mailing
703 E MARSHALL AVE STE 5008
LONGVIEW, TX 756015557
Phone: (903) 315-2032
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 58 Open Payments records for all available years, with a total value of $3,548.
Total Amount is formed as General ($3,548) + Research ($0) + Ownership ($0) = $3,548.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Relievant Medsystems, Inc. ($840).
Total Amount
$3,548
General + Research + Ownership
Payments
58
Total payment records
General Amount
$3,548
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Relievant Medsystems, Inc. | $840 |
| Boston Scientific Corporation | $694 |
| MML US, Inc. | $684 |
| PAINTEQ LLC | $677 |
| Vertos Medical, Inc. | $233 |
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: 2025-09-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20160720001977 | I | Pain Management | TX | TBD |
| I20250923000063 | I | Pain Management | LA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 177 | 100 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 82 | 64 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 71 | 71 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 63 | 53 | $0 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 55 | 46 | $0 |
Insurance plans in this area (ZIP 75701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OR | |
| Anesthesiology, Pain Management | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| N E U R O S U R G E R Y | TX | |
| Physical Medicine And Rehabilitation | TX | |
| Physician Assistant | TX | |
| Pain Management, Anesthesiology | TX | |
| Anesthesiology, Internal Medicine | MN |
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