NPIMap

South Lake Pain Institute Inc

A Medicare group practice based in Clermont, FL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6901832609), with 2 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6901832609The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - General Practice, Part B Supplier - Clinic/Group Practice
Enrolled in
FL
Enrollments
2
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20050714000069 FL Part B Supplier - Clinic/Group Practice 1033121546
O20130620000095 FL DME Supplier - Physician - General Practice 1033121546

NPIs in this group 2

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
75 of 100Reported as group, on the record of 2 clinicians in this group

Clinicians 2

Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).

Sources for this page