MD PAIN LLC – Pain Medicine (Anesthesiology) Physician, NPI 1235668294
Pain Medicine (Anesthesiology) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MD PAIN LLC
Pioneer Woods Drive, Pioneer Woods, Lincoln, Lancaster County, Nebraska, 68520, United States
LINCOLN, NE 685067552
Phone: (402) 858-0117
Fax: (402) 477-9295
Type: Location
450 E 23rd St
Fremont, NE 680259802
Phone: (402) 721-1610
Type: Location
2222 N Lincoln Ave
York, NE 684671030
Phone: (402) 362-6671
Type: Location
1760 County Road J
Wahoo, NE 680664152
Phone: (402) 443-1455
Type: Location
4508 38th St Ste 210
Columbus, NE 686011668
Phone: (402) 562-4802
Type: Location
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: 2017-09-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (984 days ago).
Enrollment records
1
Earliest due date
2023-09-30
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 |
|---|---|---|---|---|
| O20170901003000 | O | Clinic/Group Practice | NE | 2023-09-30 |
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 68506)
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