PREMIER INTERVENTIONAL PAIN MANAGEMENT, PLLC – Interventional Pain Medicine Physician, NPI 1427574656
Interventional Pain Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PREMIER INTERVENTIONAL PAIN MANAGEMENT, PLLC
1804 NE LOOP 410 STE 101
SAN ANTONIO, TX 782175211
Phone: (210) 634-1232
Fax: (210) 634-1243
Type: Location
Olympia Drive, Flower Mound, Denton County, Texas, 75028, United States
FLOWER MOUND, TX 750281856
Phone:
Type: Mailing
2130 NE LOOP 410 STE 375
SAN ANTONIO, TX 782174659
Phone: (210) 634-1232
Fax: (210) 634-1243
Type: Location
3001 CROSS TIMBERS RD STE 120
FLOWER MOUND, TX 750282800
Phone: (972) 350-0225
Fax: (972) 350-0228
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: 2018-09-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (921 days ago).
Enrollment records
1
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| O20180912000793 | O | Physician - Interventional Pain Management | TX | 2023-11-30 |
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 78217)
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