Active NPI
Tom Porter, MD
- Interventional Pain Medicine Physician
- Davenport, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- ME78730
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- Ohio State University College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
141 Webb Dr
Suite 300
Davenport, FL 33837-3951
Phone (863) 422-0020
Hospital & facility affiliations
- Adventhealth Heart of Florida
- Adventhealth Sebring
- HCA Florida Poinciana Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Right Path Pain and Spine Center PLLC | Pain Medicine | Current | 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
- 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.
-
- Pain Medicine (Anesthesiology) Physician
- Davenport, FL
- NPI 1942520333
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1144216433
-
- Durable Medical Equipment & Medical Supplies
- Deland, FL
- NPI 1659068377
-
- Specialist
- Ocala, FL
- NPI 1891789269
-
- Pain Clinic/Center
- Ocala, FL
- NPI 1952395345
Anesthesiology
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Davenport, FL
- NPI 1801457510
-
- General Acute Care Hospital
- Sebring, FL
- NPI 1083692594
-
- General Acute Care Hospital
- Kissimmee, FL
- NPI 1912246786
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.