PAIN MANAGEMENT CARE PC
NPI 1073665584
Specialist in South Bend, IN
About Pain Management Care Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAIN MANAGEMENT CARE PC (NPI 1073665584) is a healthcare organization registered as a specialist in South Bend, Indiana and active in the NPI registry since January 2007. The organization lists Joseph G Glazier, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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)
Pain Management Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
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 Pain Management Care PC, 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 Pain Management Care PC's NPI number?
The NPI number for Pain Management Care PC is 1073665584. It was assigned to this organization in the NPPES registry on January 17, 2007.
Where is Pain Management Care PC located?
Pain Management Care PC is located at 2106 Ironwood Cir, South Bend, IN 46635. The listed phone number is (574) 247-4682.
What is Pain Management Care PC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Pain Management Care PC enrolled in Medicare?
Yes. Pain Management Care PC is registered in the Medicare PECOS enrollment system.
When is Pain Management Care PC'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 (Indiana, Clinic/Group Practice) is due for revalidation by February 28, 2027. 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 Pain Management Care PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pain Management) reassigns their Medicare billing to Pain Management Care PC. 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.
When was this NPI record last updated?
The NPPES record for Pain Management Care PC was last updated on November 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Pain Management Care Pc · NPI 1073665584
Specialist organization in South Bend, Indiana. Organization record, active in the CMS NPPES registry since January 17, 2007.
## Identity
- **NPI:** 1073665584 (Entity type: Organization)
- **Enumerated:** January 17, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Joseph Glazier, OWNER
## Practice location
- **Address:** 2106 IRONWOOD CIR, South Bend, IN 46635-1864
- **Phone:** (574) 247-4682 · **Fax:** (574) 247-4685
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Pain Management) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 18, 2013
- **Other identifiers:** Medicare ID-Type Unspecified 735300 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1073665584) · Data from the CMS NPPES public registry.