PERFORMANCE PAIN AND SPORTS MEDICINE, PLLC – Physical Medicine & Rehabilitation Physician, NPI 1316307275
Physical Medicine & Rehabilitation Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PERFORMANCE PAIN AND SPORTS MEDICINE, PLLC
1216 E Main St Ste A
League City, TX 775737463
Phone: (346) 217-1111
Fax: (346) 571-2189
Type: Location
1650 W Baker Rd Ste A
Baytown, TX 775212284
Phone: (346) 308-6741
Fax: (346) 571-2189
Type: Location
Southwest Freeway, Houston, Harris County, Texas, 77004, United States
SUITE 1300
HOUSTON, TX 770277310
Phone: (609) 817-0052
Fax: (609) 817-0051
Type: Mailing
PO BOX 649834
DALLAS, TX 752649834
Phone: (346) 308-6741
Fax: (346) 571-2189
Type: Mailing
4126 SOUTHWEST FWY STE 1700
HOUSTON, TX 770277317
Phone: (346) 217-1111
Fax: (346) 571-2189
Type: Location
PO BOX 818
MEMPHIS, TN 381010818
Phone: (346) 308-6741
Fax: (346) 571-2189
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: 2016-07-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1049 days ago).
Enrollment records
1
Earliest due date
2023-07-31
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 |
|---|---|---|---|---|
| O20160705001410 | O | Clinic/Group Practice | TX | 2023-07-31 |
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 77573)
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