EXTANT PLLC
NPI 1407555865
Pain Medicine - Interventional Pain Medicine in Missouri City, TX

Active since February 24, 2023
3550 FM 1092 RD STE A, MISSOURI CITY, TX 77459(832) 409-1460 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Extant Pllc NPPES

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

EXTANT PLLC (NPI 1407555865) is a healthcare organization registered as an interventional pain medicine in Missouri City, Texas and active in the NPI registry since February 2023. The organization lists Christian D Peccora, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1407555865
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameEXTANT PLLC
Location Address3550 FM 1092 RD STE AMissouri City, TX 77459-2203
Mailing Address3550 Fm 1092 Rd Ste 200Missouri City, TX 77459-2203
Organization SubpartNo
Authorized OfficialChristian D PeccoraOwner/md · (832) 409-1460
Enumeration DateFebruary 24, 2023
NPPES CertifiedFebruary 24, 2023
✔ NPI 1407555865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
3550 FM 1092 RD STE A, Missouri City, TX 77459

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)

Extant 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 IDO20231110000802DME · Physician - AnesthesiologyDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Extant PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1356137020
3550 FM 1092 RD STE A
Missouri City, TX 77459
(855) 748-7246
✔ PECOSSame address
Interventional Pain Management
NPI 1275853830
3550 FM 1092 RD STE A
Missouri City, TX 77459
(855) 748-7246
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1538255161
3634 GLENN LAKES SUITE 101
Missouri City, TX 77459
(281) 208-6690
✔ PECOS0.4 mi
Nurse Practitioner
NPI 1770202103
6700 WEST LOOP S STE 225
Bellaire, TX 77401
(281) 462-5339
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1285231282
6565 FANNIN ST
Houston, TX 77030
(713) 790-3311
✔ PECOS14 mi
Nurse Practitioner
NPI 1902493208
9787 N 91ST ST STE 101
Scottsdale, AZ 85258
(480) 651-8042
✔ PECOS1,000 mi
Nurse Practitioner
NPI 1922502319
6701 N CHARLES ST
Towson, MD 21204
(443) 849-2000
✔ PECOS1,272 mi

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 Extant PLLC's NPI number?

The NPI number for Extant PLLC is 1407555865. It was assigned to this organization in the NPPES registry on February 24, 2023.

Where is Extant PLLC located?

Extant PLLC is located at 3550 Fm 1092 Rd Ste A, Missouri City, TX 77459. The listed phone number is (832) 409-1460.

What is Extant PLLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Extant PLLC enrolled in Medicare?

Yes. Extant PLLC is registered in the Medicare PECOS enrollment system.

When is Extant PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Texas, Physician - Anesthesiology) 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 Extant PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Extant 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), Interventional Pain Management (1) and Psychiatry (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Extant PLLC accept?

Health plans from WellPoint list Extant 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 Extant PLLC was last updated on February 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.