PREFERRED SPINE AND PAIN PLLC
NPI 1104258565
Anesthesiology - Pain Medicine in Austin, TX

Active since August 07, 2013CLIA 45D2075735 · Waiver
12319 N MOPAC EXPY, SUITE 350, AUSTIN, TX 78758(512) 255-7246(512) 255-7547 Get Directions Write a Review

NPPES record last updated: October 13, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Preferred Spine And Pain Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREFERRED SPINE AND PAIN PLLC (NPI 1104258565) is a healthcare organization registered as a pain medicine in Austin, Texas and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through April 2, 2028 and lists Matthew Kaplan, Do, as its authorized official.

NPPES Registry Identity

NPI1104258565
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NamePREFERRED SPINE AND PAIN PLLC
Location Address12319 N MOPAC EXPY, SUITE 350Austin, TX 78758-2414
Mailing Address12319 N Mopac Expy, Suite 350Austin, TX 78758-2414
Fax(512) 255-7547
Organization SubpartNo
Authorized OfficialMatthew KaplanDo · (512) 255-7246
Enumeration DateAugust 7, 2013
Last NPPES UpdateOctober 13, 2014
✔ NPI 1104258565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
12319 N MOPAC EXPY, Austin, TX 78758

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Preferred Spine And Pain Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 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.

StateEnrollment IDDue date
StateTexasEnrollment IDO20131120001159Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Preferred Spine And Pain PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Anesthesiology
NPI 1558423038
170 DEEPWOOD DR SUITE 102
Round Rock, TX 78681
(512) 255-7246
✔ PECOS✔ Accepts Medicare6.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2075735

Preferred Spine And Pain, PLLC · Round Rock, TX
Active · expires Apr 2, 2028
CLIA Number45D2075735
Laboratory TypePhysician Office
Certificate Effective DateApril 3, 2026
Certificate Expiration DateApril 2, 2028
Laboratory DirectorMatthew A. Kaplan
Laboratory Phone(512) 255-7246
Laboratory LocationPreferred Spine And Pain, PLLC171 Deepwood Drive Ste 102, Round Rock, TX 78681
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Preferred Spine And Pain PLLC's NPI number?

The NPI number for Preferred Spine And Pain PLLC is 1104258565. It was assigned to this organization in the NPPES registry on August 7, 2013.

Where is Preferred Spine And Pain PLLC located?

Preferred Spine And Pain PLLC is located at 12319 N Mopac Expy Suite 350, Austin, TX 78758. The listed phone number is (512) 255-7246.

What is Preferred Spine And Pain PLLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Preferred Spine And Pain PLLC enrolled in Medicare?

Yes. Preferred Spine And Pain PLLC is registered in the Medicare PECOS enrollment system.

When is Preferred Spine And Pain PLLC'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 (Texas, Clinic/Group Practice) is due for revalidation by November 30, 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 Preferred Spine And Pain PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to Preferred Spine And Pain PLLC. 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.

Does Preferred Spine And Pain PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2075735) is associated with this NPI, valid through April 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Preferred Spine And Pain PLLC accept?

Health plans from Sendero Health Plans, Local Nonprofit list Preferred Spine And Pain PLLC 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 Preferred Spine And Pain PLLC was last updated on October 13, 2014. 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.