Individual provider Active NPI

Justin William Byrne Tokorcheck, M.D., M.S.

  • Pain Medicine (Anesthesiology) Physician
  • Pensacola, FL
National Provider Identifier
1629338348
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME137410 Issued in FL
Practice address
1851 Saint Mary Ave
Pensacola, FL 32501-1053
Phone
(850) 226-6801
Fax
(877) 413-5104
NPI assigned
May 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X MD.41538 AL
Pain Medicine (Anesthesiology) Physician 207LP2900X ME137410 FL Primary

Addresses

Primary practice location

1851 Saint Mary Ave
Pensacola, FL 32501-1053

Mailing address

930 Mar Walt Drive
Suite C
Fort Walton Beach, FL 32547
Phone (850) 226-6801

Other practice location 1

1924K Dauphin Island Pkwy
Mobile, AL 36605-3004
Phone (850) 226-6801

Other practice location 2

2826 Ross Clark Cir Ste 103
Dothan, AL 36301-2017
Phone (850) 226-6801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20181005000855 FL Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 8123370921 Reassigns benefits to 2 organizations
I20201027003457 AL Practitioner - Pain Management 8123370921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Eastern Virginia Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Pain and Wellness LLCGroup PAC ID 8527364058, 29 clinicians

Practice addresses (Care Compare)

1924 K Dauphin Island Pkwy
Mobile, AL 36605-3004
Phone (251) 308-9800

5111 N 12TH Ave
Pensacola, FL 32504-8918
Phone (850) 226-6801

Hospital & facility affiliations

  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093
  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
  • HCA Florida West Hospital Hospital, Pensacola, FL, CCN 100231
  • Santa Rosa Medical Center Hospital, Milton, FL, CCN 100124

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.41538ALMDPain Medicine (Anesthesiology) Physician
ME137410FLMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Tampa Anesthesia Consultants CurrentSince Dec 1, 2018 Accepting new patients
Dynamic Pain & Wellness LLC CurrentSince Aug 3, 2020 Accepting new patients
Dynamic Pain & Wellness LLC Pain Medicine CurrentSince Aug 3, 2020 Accepting new patients
Dynamic Chiro & PT LLC Past Accepting new patients

Locations

2826 Ross Clark Cir
Ste 103
Dothan, AL 36301
Phone (251) 308-9800

1924K Dauphin Island Pkwy
Mobile, AL 36605
Phone (251) 308-9800

210 S Main St
Crestview, FL 32536
Phone (850) 306-3433

930 Mar Walt Dr
Unit C
Fort Walton Beach, FL 32547
Phone (850) 431-6183

930 Mar Walt Dr
Ste C
Fort Walton Beach, FL 32547
Phone (850) 244-0406

930 Mar Walt Dr
Fort Walton Beach, FL 32547
Phone (850) 331-2930

2222 S Harbor City Blvd
Ste 540
Melbourne, FL 32901
Phone (321) 541-1776

2110 W 23rd St
Ste A
Panama City, FL 32405

1851 Saint Mary Ave
Pensacola, FL 32501

4457 Bayou Blvd
Pensacola, FL 32503
Phone (504) 842-4851

5111 N 12th Ave
Pensacola, FL 32504
Phone (850) 291-7641

5111 N 12th Ave
Unit B
Pensacola, FL 32504

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

Interoperability endpoints

  • Direct secure messaging: justin.tokorcheck@2498.securemail.prognocis.com

Organizations & group practices 4

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 4

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": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1629338348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 MAR WALT DRIVE",
            "address_2": "SUITE C",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "32547",
            "telephone_number": "850-226-6801",
            "fax_number": "877-413-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 SAINT MARY AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011053",
            "telephone_number": "850-226-6801",
            "fax_number": "877-413-5104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1924K Dauphin Island Pkwy",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366053004",
            "country_code": "US",
            "telephone_number": "850-226-6801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2826 Ross Clark Cir Ste 103",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363012017",
            "country_code": "US",
            "telephone_number": "850-226-6801",
            "fax_number": "877-413-5104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOKORCHECK",
        "first_name": "JUSTIN",
        "middle_name": "WILLIAM BYRNE",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-29",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AL",
            "license": "MD.41538",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME137410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.