COMPREHENSIVE PAIN MANAGEMENT CENTER – Specialist, NPI 1720073216
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for COMPREHENSIVE PAIN MANAGEMENT CENTER
16380 SE 84TH CT
SUMMERFIELD, FL 344917057
Phone: (352) 750-0236
Fax: (888) 770-3208
Type: Mailing
305, South Line Avenue, Inverness, Citrus County, Florida, 34452, United States
INVERNESS, FL 344524605
Phone: (352) 344-4791
Fax: (352) 344-3822
Type: Location
8 OCALE WAY N
SUMMERFIELD, FL 344914622
Phone: (523) 553-4075
Fax: (888) 770-3208
Type: Mailing
PO BOX 1925
LADY LAKE, FL 321581925
Phone: (523) 553-4075
Fax: (888) 770-3208
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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: 2004-05-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-03-31 (798 days ago).
Enrollment records
1
Earliest due date
2024-03-31
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 |
|---|---|---|---|---|
| O20040513000180 | O | Clinic/Group Practice | FL | 2024-03-31 |
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 34491)
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