LAKE OF THE OZARKS PAIN MANAGEMENT SERVICES, INC
NPI 1003901976
Specialist in Osage Beach, MO
About Lake Of The Ozarks Pain Management Services, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE OF THE OZARKS PAIN MANAGEMENT SERVICES, INC (NPI 1003901976) is a healthcare organization registered as a specialist in Osage Beach, Missouri and active in the NPI registry since October 2006. The organization lists Alan W Mead, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lake Of The Ozarks Pain Management Services, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lake Of The Ozarks Pain Management Services, Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lake Of The Ozarks Pain Management Services, Inc's NPI number?
The NPI number for Lake Of The Ozarks Pain Management Services, Inc is 1003901976. It was assigned to this organization in the NPPES registry on October 4, 2006.
Where is Lake Of The Ozarks Pain Management Services, Inc located?
Lake Of The Ozarks Pain Management Services, Inc is located at 54 Hospital Dr, Osage Beach, MO 65065. The listed phone number is (573) 302-1661.
What is Lake Of The Ozarks Pain Management Services, Inc's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Lake Of The Ozarks Pain Management Services, Inc enrolled in Medicare?
Yes. Lake Of The Ozarks Pain Management Services, Inc is registered in the Medicare PECOS enrollment system.
When is Lake Of The Ozarks Pain Management Services, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Missouri, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Lake Of The Ozarks Pain Management Services, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to Lake Of The Ozarks Pain Management Services, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lake Of The Ozarks Pain Management Services, Inc accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Lake Of The Ozarks Pain Management Services, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lake Of The Ozarks Pain Management Services, Inc was last updated on May 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lake Of The Ozarks Pain Management Services, Inc · NPI 1003901976
Specialist organization in Osage Beach, Missouri. Organization record, active in the CMS NPPES registry since October 4, 2006.
## Identity
- **NPI:** 1003901976 (Entity type: Organization)
- **Enumerated:** October 4, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Alan Mead, OWNER
## Practice location
- **Address:** 54 HOSPITAL DR, Osage Beach, MO 65065-3050
- **Phone:** (573) 302-1661
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Missouri, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Anesthesiology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 25, 2012
- **Other identifiers:** Medicare ID-Type Unspecified 000060247 (MO); Medicaid 508901402 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1003901976) · Data from the CMS NPPES public registry.