PALM TREE INTERVENTIONAL PAIN MANAGEMENT, PLLC
NPI 1336682764
Physical Medicine & Rehabilitation - Pain Medicine in Saint Cloud, FL
About Palm Tree Interventional Pain Management, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PALM TREE INTERVENTIONAL PAIN MANAGEMENT, PLLC (NPI 1336682764) is a healthcare organization registered as a pain medicine in Saint Cloud, Florida and active in the NPI registry since December 2016. The organization lists Jason Jeong Hwan Song, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Group Practice 2
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)
Palm Tree Interventional Pain Management, Pllc 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
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Palm Tree Interventional Pain Management, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Palm Tree Interventional Pain Management, PLLC's NPI number?
The NPI number for Palm Tree Interventional Pain Management, PLLC is 1336682764. It was assigned to this organization in the NPPES registry on December 3, 2016.
Where is Palm Tree Interventional Pain Management, PLLC located?
Palm Tree Interventional Pain Management, PLLC is located at 2801 17th St Unit 202, Saint Cloud, FL 34769. The listed phone number is (407) 906-1328.
What is Palm Tree Interventional Pain Management, PLLC's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.
Is Palm Tree Interventional Pain Management, PLLC enrolled in Medicare?
Yes. Palm Tree Interventional Pain Management, PLLC is registered in the Medicare PECOS enrollment system.
When is Palm Tree Interventional Pain Management, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Florida, Physician - Unknown Physician Specialty) 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 Palm Tree Interventional Pain Management, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Palm Tree Interventional Pain Management, PLLC, in Interventional Pain Management and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Palm Tree Interventional Pain Management, PLLC accept?
Health plans from Ambetter Health, Ambetter of Alabama, AvMed and Molina Healthcare list Palm Tree Interventional Pain Management, 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 Palm Tree Interventional Pain Management, PLLC was last updated on October 1, 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.
# Palm Tree Interventional Pain Management, Pllc · NPI 1336682764
Pain Medicine organization in Saint Cloud, Florida. Organization record, active in the CMS NPPES registry since December 3, 2016.
## Identity
- **NPI:** 1336682764 (Entity type: Organization)
- **Enumerated:** December 3, 2016
- **Primary specialty:** Physical Medicine & Rehabilitation - Pain Medicine · taxonomy 2081P2900X
- **Organization subpart:** No
- **Authorized official:** Jason Song, MEDICAL DIRECTOR
## Practice location
- **Address:** 2801 17TH ST UNIT 202, Saint Cloud, FL 34769-4939
- **Phone:** (407) 906-1328 · **Fax:** (866) 425-8143
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (DME, Florida, Physician - Unknown Physician Specialty) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Interventional Pain Management (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 1, 2020
- **Other identifiers:** Medicaid 020119900 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1336682764) · Data from the CMS NPPES public registry.