JAISIMHA K IYENGAR (MD) – Interventional Pain Medicine Physician, NPI 1194770164
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
141 PAIN MANAGEMENT in WA
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Provider Addresses for JAISIMHA K IYENGAR (MD)
PO BOX 111750
TACOMA, WA 984111750
Phone: (253) 627-2666
Fax: (253) 627-8661
Type: Mailing
1818, South Union Avenue, Tacoma, Pierce County, Washington, 98405, United States
STE 1A
TACOMA, WA 984051953
Phone: (253) 627-2666
Fax: (253) 627-8661
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2024-09-18 • Largest payer in this snapshot: ABBVIE INC. ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $20 |
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: 2007-12-26
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 |
|---|---|---|---|---|
| I20071226000259 | I | Pain Management | WA | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 2,150 | 215 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 304 | 29 | $0 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 243 | 150 | $0 |
| 64494 | Injection of lower or sacral spine facet joint using imaging guidance, second level | 237 | 147 | $0 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 170 | 68 | $0 |
Insurance plans in this area (ZIP 98411)
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