Individual provider Active NPI

Fred Usoh, MD

  • Interventional Pain Medicine Physician
  • Rome, GA
National Provider Identifier
1821277443
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
71294 Issued in GA
Practice address
18 Riverbend Dr SW
Suite 120
Rome, GA 30161-6013
Phone
(706) 378-1202
Fax
(706) 378-1204
NPI assigned
Oct 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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 MD459207 PA
Pain Medicine (Anesthesiology) Physician 207LP2900X MD459207 PA
Interventional Pain Medicine Physician 208VP0014X 71294 GA Primary
Surgery Physician 208600000X 243641 NY

Addresses

Primary practice location

18 Riverbend Dr SW
Suite 120
Rome, GA 30161-6013

Mailing address

PO Box 80883
Athens, GA 30608-0883
Phone (706) 549-8114

Other identifiers 1

IdentifierTypeStateIssuer
003144698AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20161115002182 PA Practitioner - AnesthesiologyPractitioner - Pain Management 2668607417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Pain and Wellness Center LLCGroup PAC ID 9234557968, 2 clinicians

Practice addresses (Care Compare)

468 Northampton St
Edwardsville, PA 18704-4566
Phone (917) 495-6239

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
58.1 of 100Reported as individual
Quality
60.6
Improvement activities
40
Cost
10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
243641NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain and Wellness Center LLC Interventional Pain Medicine CurrentSince May 11, 2020 Accepting new patients
Maimonides Department of Psychiatry FPP Past Accepting new patients

Locations

468 Northampton St
Kingston, PA 18704
Phone (570) 552-4000

1327 Highway 315 Blvd
Ste 1
Wilkes Barre, PA 18702
Phone (570) 616-8589

Interoperability endpoints

  • Direct secure messaging: fred.usoh.1@28784.direct.athenahealth.com

Organizations & group practices 2

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 2

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": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1821277443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80883",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306080883",
            "telephone_number": "706-549-8114",
            "fax_number": "833-955-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 RIVERBEND DR SW",
            "address_2": "SUITE 120",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301616013",
            "telephone_number": "706-378-1202",
            "fax_number": "706-378-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USOH",
        "first_name": "FRED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-31",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD459207",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD459207",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "71294",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "243641",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003144698A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.