PAIN CARE PHYSICIANS PLLC – Interventional Pain Medicine Physician, NPI 1548710585

PAIN CARE PHYSICIANS PLLC is a healthcare provider. based in Spokane valley, Washington. specializing in Interventional Pain Medicine Physician. The organization holds a License No. 604032151 (WA). The NPI Number for PAIN CARE PHYSICIANS PLLC is 1548710585

Main info

Organization
Name
PAIN CARE PHYSICIANS PLLC
NPI
1548710585
Phone
(206) 538-6300
Address
1414 N Vercler Rd Ste 5
Authorized Official
KEVIN MOON DIRECTOR OF REVENUE AND FINANCE
Enumeration Date
13 October 2016
Last Update Date
21 July 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Digital endpointsOther names

Provider Addresses for PAIN CARE PHYSICIANS PLLC

  • 1414 N Vercler Rd Ste 5

    Spokane Valley, WA 992161092

    Phone: (206) 538-6300

    Type: Location

  • 1415 N HOUK RD STE C

    SPOKANE VALLEY, WA 992161043

    Phone: (206) 538-6300

    Fax: (206) 638-6301

    Type: Location

  • 1414, North Vercler Road, Opportunity, Spokane Valley, Spokane County, Washington, 99216, United States

    SPOKANE VALLEY, WA 992161092

    Phone: (206) 538-6300

    Fax: (206) 638-6301

    Type: Location

  • 1414 N VERCLER RD STE 5

    SPOKANE VALLEY, WA 992161092

    Phone: (206) 538-6300

    Fax: (206) 638-6301

    Type: Location

  • Walmart Corp., 801, Southwest 16th Street, Renton, King County, Washington, 98057, United States

    STE. 121

    RENTON, WA 980572697

    Phone: (206) 538-6300

    Fax: (206) 538-6301

    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: 2020-07-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-07-31 (1045 days ago).

Enrollment records

1

Earliest due date

2023-07-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20200721002402OPhysician - Interventional Pain ManagementWA2023-07-31

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.

Verify on CMS Revalidation Lookup Tool

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 99216)

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Reviews

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Frequently asked questions

What is the standard ID for PAIN CARE PHYSICIANS PLLC in the U.S.?
In the U.S., PAIN CARE PHYSICIANS PLLC is identified by NPI 1548710585.
Is PAIN CARE PHYSICIANS PLLC currently accepting referrals based on NPI status?
Registry metadata lists PAIN CARE PHYSICIANS PLLC as active.
How should patients interpret PAIN CARE PHYSICIANS PLLC's specialty?
The extract shows Interventional Pain Medicine Physician for PAIN CARE PHYSICIANS PLLC. Clinical services aligned with this taxonomy classification.
Which community is linked to PAIN CARE PHYSICIANS PLLC?
PAIN CARE PHYSICIANS PLLC shows a connection to Spokane Valley, Washington in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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