Centennial Medical Group LLP

A Medicare group practice based in Las Vegas, NV: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 6901807536), with 17 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6901807536The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Multi-Specialty - Physician, DME Supplier - Physician - Interventional Pain Management, Part B Supplier - Clinic/Group Practice
Enrolled in
NM, NV
Enrollments
5
Group size
10 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 2 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20070125000104 NV Part B Supplier - Clinic/Group Practice 1073619359
O20231018003549 NV DME Supplier - Multi-Specialty - Physician 1073619359
O20250423001226 NM Part B Supplier - Clinic/Group Practice 1073619359
O20250724000650 NM DME Supplier - Physician - Interventional Pain Management 1740170091
O20250902001715 NV DME Supplier - Physician - Interventional Pain Management 1013807361

NPIs in this group 3

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
96.58 of 100Reported as group, on the record of 6 clinicians in this group
Quality
100
Improvement activities
40
Cost
67.97

Clinicians 17

Clinicians who reassign their Medicare benefits to this group (17) or whom Care Compare lists as members (10).

Sources for this page