DESERT PAIN SPECIALISTS, LLC – Pain Medicine (Anesthesiology) Physician, NPI 1871762450
Pain Medicine (Anesthesiology) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DESERT PAIN SPECIALISTS, LLC
634, Cynthia Lane, Santa Clara, Washington County, Utah, 84765, United States
SANTA CLARA, UT 847655634
Phone: (435) 216-7000
Type: Mailing
617 E RIVERSIDE DR STE 301
SAINT GEORGE, UT 847908722
Phone: (435) 216-7000
Fax: (435) 216-7001
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: 2017-08-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-06-30 (708 days ago).
Enrollment records
3
Earliest due date
2024-06-30
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 |
|---|---|---|---|---|
| O20080603000173 | O | Clinic/Group Practice | UT | TBD |
| O20120117000410 | O | Clinic/Group Practice | NV | TBD |
| O20170815001242 | O | Independent Clinical Laboratory | UT | 2024-06-30 |
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 84765)
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