Individual provider Active NPI

Tom Porter, MD

  • Interventional Pain Medicine Physician
  • Davenport, FL
National Provider Identifier
1013903095
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME78730 Issued in FL
Practice address
141 Webb Dr
Ste. 200
Davenport, FL 33837-3951
Phone
(863) 422-0020
Fax
(863) 422-0021
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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 ME78730 FL
Pain Medicine Physician 208VP0000X ME78730 FL
Interventional Pain Medicine Physician 208VP0014X ME78730 FL Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME78730 FL

Addresses

Primary practice location

141 Webb Dr
Ste. 200
Davenport, FL 33837-3951

Mailing address

141 Webb Dr
Ste. 200
Davenport, FL 33837-3951
Phone (863) 422-0020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050917000370 FL Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Pain Management 2062445166 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Ohio State University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Right Path Pain and Spine Center PLLCGroup PAC ID 1355467168, 4 clinicians

Practice addresses (Care Compare)

141 Webb Dr
Suite 300
Davenport, FL 33837-3951
Phone (863) 422-0020

Hospital & facility affiliations

  • Adventhealth Heart of Florida Hospital, Davenport, FL, CCN 100137
  • Adventhealth Sebring Hospital, Sebring, FL, CCN 100109
  • HCA Florida Poinciana Hospital Hospital, Kissimmee, FL, CCN 100320

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Right Path Pain and Spine Center PLLC Pain Medicine CurrentSince Jul 1, 2010 Accepting new patients
Hughston Orthopaedic Southeast PC Past Accepting new patients
Ocala Surgical Center Anesthesia Inc Past Accepting new patients
Sacher Anesthesia and Pain Management Inc Anesthesiology Past Accepting new patients

Locations

141 Webb Dr
Ste 200
Davenport, FL 33837
Phone (863) 422-0020

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

141 Webb Dr
Ste 300
Davenport, FL 33837
Phone (863) 422-0020

107 Park Place Blvd
Davenport, FL 33837
Phone (863) 419-2812

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11192/brand/4/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1013903095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 WEBB DR",
            "address_2": "STE. 200",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338373951",
            "telephone_number": "863-422-0020",
            "fax_number": "863-422-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 WEBB DR",
            "address_2": "STE. 200",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338373951",
            "telephone_number": "863-422-0020",
            "fax_number": "863-422-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "TOM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME78730",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME78730",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME78730",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME78730",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

Verify at the official NPI Registry.