Individual provider Active NPI

Jacob Russell Caylor, M.D.

  • Interventional Pain Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1013370717
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
47427 Issued in OK
Practice address
13601 W Memorial Park Dr Ste 200
Oklahoma City, OK 73120-8375
Phone
(405) 751-0011
Fax
(405) 751-7246
NPI assigned
Mar 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A152887 CA
Pain Medicine (Anesthesiology) Physician 207LP2900X MD61170608 WA
Interventional Pain Medicine Physician 208VP0014X 47427 OK Primary
Interventional Pain Medicine Physician 208VP0014X T9363 TX

Addresses

Primary practice location

13601 W Memorial Park Dr Ste 200
Oklahoma City, OK 73120-8375

Mailing address

PO Box 654470
Dallas, TX 75265-4470

Other identifiers 2

IdentifierTypeStateIssuer
2J6973OtherTXTEXAS MEDICARE PTAN
2J6974OtherTXTEXAS MEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX, OK3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210622001564 WA Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 3971902529 Reassigns benefits to 1 organization
I20221007001044 TX Practitioner - Pain Management 3971902529 Reassigns benefits to 1 organization
I20260408000304 OK Practitioner - Interventional Pain Management 3971902529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
University of Washington School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BDC Medical, PLLCGroup PAC ID 8325330798, 6 clinicians
Central Texas Pain Center, PLLCGroup PAC ID 0547233207, 28 clinicians

Practice addresses (Care Compare)

13601 W Memorial Park Dr
Suite 200
Oklahoma City, OK 73120-8355
Phone (405) 751-0011

1401 Medical Pkwy
Suite 345
Cedar Park, TX 78613-7763
Phone (512) 953-8137

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion18
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A152887CAMDAnesthesiology Physician
47427OKMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Pain Center, PLLC Anesthesiology CurrentSince Aug 15, 2022 Accepting new patients
Central Texas Pain Center, PLLC CurrentSince Aug 15, 2022 Accepting new patients
Psa Ambulatory Surgical Center of Austin LLC Past Accepting new patients
Central Texas Pain Institute PLLC Interventional Pain Medicine Past Accepting new patients
Psa Ambulatory Surgical Center of South Austin, LLC Past Accepting new patients

Locations

4316 James Casey St
Ste B-200
Austin, TX 78745

1401 Medical Pkwy
Ste C345
Cedar Park, TX 78613
Phone (512) 953-8137

1401 Medical Pkwy
Ste 345
Cedar Park, TX 78613
Phone (512) 953-8137

3201 S Austin Ave
Ste 265
Georgetown, TX 78626
Phone (512) 717-5077

4883 Williams Dr
Georgetown, TX 78633
Phone (512) 953-8120

213 Hunters Vlg
New Braunfels, TX 78132
Phone (830) 627-3800

7201 Wyoming Springs Dr
Ste 400
Round Rock, TX 78681
Phone (512) 953-8133

Networks

  • TX HMO D-SNP
  • TX HMO

Interoperability endpoints

  • Direct secure messaging: jacob.caylor@psoa.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FJCFBD/Endpoint/FJCFBD
  • Direct secure messaging: jcaylor188166@direct.multicare.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1013370717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 654470",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752654470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13601 W MEMORIAL PARK DR STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208375",
            "telephone_number": "405-751-0011",
            "fax_number": "405-751-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAYLOR",
        "first_name": "JACOB",
        "middle_name": "RUSSELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A152887",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WA",
            "license": "MD61170608",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OK",
            "license": "47427",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "T9363",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICARE PTAN",
            "identifier": "2J6973",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICARE PTAN",
            "identifier": "2J6974",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.