Organization Active NPI

Legacy Pain Associates, P.a.

  • Pain Medicine Physician
  • Shenandoah, TX
National Provider Identifier
1659485894
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
LEGACY PAIN ASSOCIATES, P.A.
Practice address
9201 Pinecroft Dr Ste 200
Shenandoah, TX 77380-3889
Phone
(832) 953-2280
Fax
(832) 953-2829
NPI assigned
Aug 17, 2006
Last updated
Jan 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Clayton Mark Barhorst, M.D.NPI 1073873386
Title
Owner, Medical Director
Phone
(832) 953-2280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X NU Primary

Addresses

Primary practice location

9201 Pinecroft Dr Ste 200
Shenandoah, TX 77380-3889

Mailing address

PO Box 679113
Dallas, TX 75267-8205
Phone (832) 953-2280

Other practice location 1

9920 Cypresswood Dr
Houston, TX 77070-3400
Phone (832) 953-2280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040116001106 TX Part B Supplier - Clinic/Group Practice 3072414572 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Shenandoah, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2285494Legacy Pain Associates, PA9201 Pinecroft Dr Suite 200, Shenandoah, TX 77380AccreditationJun 3, 2028

National Provider Directory

National Provider Directory

Locations

10694 Jones Rd
Ste 150
Houston, TX 77065
Phone (281) 955-0440

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1659485894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 679113",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678205",
            "telephone_number": "832-953-2280",
            "fax_number": "832-953-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 PINECROFT DR STE 200",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803889",
            "telephone_number": "832-953-2280",
            "fax_number": "832-953-2829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9920 Cypresswood Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770703400",
            "country_code": "US",
            "telephone_number": "832-953-2280",
            "fax_number": "832-953-2829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEGACY PAIN ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "BARHORST",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER, MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "832-953-2280",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.