KENTUCKY PAIN MANAGEMENT SERVICES
NPI 1376692657
Clinic/Center - Pain in Hazard, KY
About Kentucky Pain Management Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENTUCKY PAIN MANAGEMENT SERVICES (NPI 1376692657) is a healthcare organization registered as a pain in Hazard, Kentucky and active in the NPI registry since January 2007. The organization holds a CLIA Certificate of Compliance certificate valid through April 28, 2028 and lists Phillip R Mullins, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kentucky Pain Management Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Kentucky Pain Management Services, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 Compliance 18D1002441
Kentucky Pain Management Services · Hazard, KYFrequently 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 Kentucky Pain Management Services's NPI number?
The NPI number for Kentucky Pain Management Services is 1376692657. It was assigned to this organization in the NPPES registry on January 9, 2007.
Where is Kentucky Pain Management Services located?
Kentucky Pain Management Services is located at 311 Roy Campbell Drive, Hazard, KY 41701. The listed phone number is (606) 487-0776.
What is Kentucky Pain Management Services's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.
Is Kentucky Pain Management Services enrolled in Medicare?
Yes. Kentucky Pain Management Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kentucky Pain Management Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Kentucky Pain Management Services, in Internal Medicine 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, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Kentucky Pain Management Services hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 18D1002441) is associated with this NPI, valid through April 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Kentucky Pain Management Services accept?
Health plans from Anthem Blue Cross and Blue Shield list Kentucky Pain Management Services 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 Kentucky Pain Management Services was last updated on August 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Kentucky Pain Management Services · NPI 1376692657
Pain organization in Hazard, Kentucky. Organization record, active in the CMS NPPES registry since January 9, 2007.
## Identity
- **NPI:** 1376692657 (Entity type: Organization)
- **Enumerated:** January 9, 2007
- **Primary specialty:** Clinic/Center - Pain · taxonomy 261QP3300X
- **Organization subpart:** No
- **Authorized official:** Phillip Mullins, CEO
## Practice location
- **Address:** 311 ROY CAMPBELL DRIVE, Hazard, KY 41701
- **Phone:** (606) 487-0776 · **Fax:** (606) 487-0777
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (2), Nurse Practitioner (2); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 15, 2015
- **Other identifiers:** Medicare PIN 00216 (KY); Other 29445 (KY); Medicaid 7100002910 (KY); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1376692657) · Data from the CMS NPPES public registry.