INTERVENTIONAL PAIN CONSULTANTS LLC
NPI 1225522063
Pain Medicine - Interventional Pain Medicine in Alton, IL
About Interventional Pain Consultants Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTERVENTIONAL PAIN CONSULTANTS LLC (NPI 1225522063) is a healthcare organization registered as an interventional pain medicine in Alton, Illinois and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through January 21, 2027, maintains a secondary practice location in Swansea, and lists Wynndel Buenger, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Location 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)
Interventional Pain Consultants Llc 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
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Interventional Pain Consultants LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (11)
Saint Louis, MO 63110
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 14D1063745
Interventional Pain Consultants · Alton, ILFrequently 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 Interventional Pain Consultants LLC's NPI number?
The NPI number for Interventional Pain Consultants LLC is 1225522063. It was assigned to this organization in the NPPES registry on June 15, 2018.
Where is Interventional Pain Consultants LLC located?
Interventional Pain Consultants LLC is located at 3 Professional Dr Ste B, Alton, IL 62002. The listed phone number is (618) 465-7177.
What is Interventional Pain Consultants LLC's specialty?
The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.
Is Interventional Pain Consultants LLC enrolled in Medicare?
Yes. Interventional Pain Consultants LLC is registered in the Medicare PECOS enrollment system.
When is Interventional Pain Consultants LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Illinois, Physician - Interventional Pain Management) 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 Interventional Pain Consultants LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Interventional Pain Consultants LLC. 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 (6), Physical Therapist in Private Practice (3) and Interventional Pain Management (2). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Interventional Pain Consultants LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D1063745) is associated with this NPI, valid through January 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Interventional Pain Consultants LLC was last updated on January 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Interventional Pain Consultants Llc · NPI 1225522063
Interventional Pain Medicine organization in Alton, Illinois. Organization record, active in the CMS NPPES registry since June 15, 2018.
## Identity
- **NPI:** 1225522063 (Entity type: Organization)
- **Enumerated:** June 15, 2018
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **Organization subpart:** No
- **Authorized official:** Wynndel Buenger, MEDICAL DIRECTOR
## Practice location
- **Address:** 3 PROFESSIONAL DR STE B, Alton, IL 62002-5067
- **Phone:** (618) 465-7177 · **Fax:** (618) 465-7176
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (DME, Illinois, Physician - Interventional Pain Management) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 11 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Physical Therapist in Private Practice (3), Interventional Pain Management (2); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 21, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1225522063) · Data from the CMS NPPES public registry.