PAIN CARE PHYSICIANS PLLC
NPI 1144779232
Pain Medicine - Interventional Pain Medicine in Renton, WA
About Pain Care Physicians Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAIN CARE PHYSICIANS PLLC (NPI 1144779232) is a healthcare organization registered as an interventional pain medicine in Renton, Washington and active in the NPI registry since September 2016. The organization holds 5 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Kevin Brian Moon, Director Of Revenue And Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
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)
Pain Care Physicians 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.
Clinicians Billing Medicare Through This Organization
19Medicare enrollment records show 19 clinicians reassign Medicare billing to Pain Care Physicians PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (19)
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 5
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 50D2122658
Pain Care Physicians · Renton, WACertificate of Waiver 50D2199350
Pain Care Physicians PLLC · Olympia, WACertificate of Waiver 50D2122660
Pain Care Physicians · Tacoma, WACertificate of Waiver 50D2122661
Pain Care Physicians · Spokane Valley, WACertificate of Waiver 50D2297037
Pain Care Physicians PLLC · Bellevue, WAAreas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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 Care Physicians PLLC's NPI number?
The NPI number for Pain Care Physicians PLLC is 1144779232. It was assigned to this organization in the NPPES registry on September 29, 2016.
Where is Pain Care Physicians PLLC located?
Pain Care Physicians PLLC is located at 801 SW 16th St Suite 121, Renton, WA 98057. The listed phone number is (206) 538-6300.
What is Pain Care Physicians PLLC's specialty?
The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.
Is Pain Care Physicians PLLC enrolled in Medicare?
Yes. Pain Care Physicians PLLC is registered in the Medicare PECOS enrollment system.
When is Pain Care Physicians PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Washington, Physician - Interventional Pain Management) 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 Pain Care Physicians PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 6 Medicare specialties reassign their Medicare billing to Pain Care Physicians 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. The largest specialties are Nurse Practitioner (5), Certified Registered Nurse Anesthetist (CRNA) (4) and Pain Management (4). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pain Care Physicians PLLC hold CLIA laboratory certificates?
Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Pain Care Physicians PLLC accept?
Health plans from Providence Health Plan list Pain Care Physicians 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 Pain Care Physicians PLLC was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 Care Physicians Pllc · NPI 1144779232
Interventional Pain Medicine organization in Renton, Washington. Organization record, active in the CMS NPPES registry since September 29, 2016.
## Identity
- **NPI:** 1144779232 (Entity type: Organization)
- **Enumerated:** September 29, 2016
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **Organization subpart:** No
- **Authorized official:** Kevin Moon, DIRECTOR OF REVENUE AND FINANCE
## Practice location
- **Address:** 801 SW 16TH ST, SUITE 121, Renton, WA 98057
- **Phone:** (206) 538-6300 · **Fax:** (206) 538-6301
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (DME, Washington, Physician - Interventional Pain Management) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 19 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Certified Registered Nurse Anesthetist (CRNA) (4), Pain Management (4); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2025
- **Other identifiers:** Other 50C0001329 (WA); Other 50C0001354 (WA)
- **CLIA laboratory certificates:** 5 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1144779232) · Data from the CMS NPPES public registry.