PAIN CARE CENTER, LLC – Pain Medicine (Anesthesiology) Physician, NPI 1023398906
Pain Medicine (Anesthesiology) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PAIN CARE CENTER, LLC
2620 COMMERCIAL WAY STE 20
ROCK SPRINGS, WY 829014705
Phone: (307) 212-6270
Fax: (307) 212-6271
Type: Mailing
5850 E 2nd St Unit 100
Casper, WY 826094343
Phone: (307) 212-6270
Type: Location
170 Arrowhead Dr Ste 2
Evanston, WY 829309307
Phone: (307) 212-6270
Type: Location
15 Shrine Club Rd Ste B
Lander, WY 825208502
Phone: (307) 212-6270
Type: Location
1909 Vista Dr
Laramie, WY 820705530
Phone: (307) 212-6270
Type: Location
4136 Laramie St Ste 20
Cheyenne, WY 820011969
Phone: (307) 212-6270
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2012-08-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1047 days ago).
Enrollment records
2
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 |
|---|---|---|---|---|
| O20111123000314 | O | Clinic/Group Practice | WY | 2023-07-31 |
| O20120809000820 | O | Physician - Interventional Pain Management | WY | 2024-01-31 |
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 82901)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.