The Pain Management Group – Pain Medicine (Anesthesiology) Physician, NPI 1518107242
Pain Medicine (Anesthesiology) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for The Pain Management Group
103 Pamela Ann Dr Ste 500
Fort Walton Beach, FL 325471383
Phone: (850) 475-2668
Type: Location
150 E REDSTONE AVE STE A
CRESTVIEW, FL 325395322
Phone: (850) 689-8004
Fax: (850) 475-2669
Type: Location
175 MAIN STREET
UNIT 235
DESTIN, FL 325419998
Phone: (850) 475-2668
Fax: (850) 475-2669
Type: Mailing
1549, Airport Boulevard, Cordova Commons, Pensacola, Escambia County, Florida, 32504, United States
SUITE 440
PENSACOLA, FL 325048633
Phone: (850) 475-2668
Fax: (850) 475-2669
Type: Location
Pensacola Avenue, Caversham, Perth, Western Australia, 6055, Australia
PENSACOLA, FL 325132266
Phone: (850) 475-2668
Fax: (850) 475-2669
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2009-03-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (953 days ago).
Enrollment records
1
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| O20090330000521 | O | Clinic/Group Practice | FL | 2023-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32547)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.