Unknown Individual – Interventional Pain Medicine Physician, NPI 1114129418
Interventional Pain Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 1408
RICHLAND, WA 993521408
Phone: (509) 946-3340
Fax: (509) 943-7909
Type: Mailing
Jadwin Avenue, Richland, Benton County, Washington, 99354, United States
SUITE 201
RICHLAND, WA 993523437
Phone: (509) 946-3340
Fax: (509) 943-7909
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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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 | 2,084 | 234 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 62 | 50 | $0 |
Insurance plans in this area (ZIP 99352)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL PAIN MANAGEMENT | WA | 62311 | Injections of substances into lower or sacral spine | 30 | 24 |
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