FORMOSO PAIN SPECIALISTS, PA
NPI 1487270351
Physical Medicine & Rehabilitation - Pain Medicine in Jacksonville, FL
About Formoso Pain Specialists, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FORMOSO PAIN SPECIALISTS, PA (NPI 1487270351) is a healthcare organization registered as a pain medicine in Jacksonville, Florida and active in the NPI registry since June 2020. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Jacksonville Beach, and lists Ferdinand Formoso, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 2
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)
Formoso Pain Specialists, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Formoso Pain Specialists, PA, 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 (3)
Jacksonville, FL 32224
Jacksonville, FL 32224
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 2
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 10D2257650
Formoso Pain Specialists, PA · Jacksonville, FLCertificate of Waiver 10D2252773
Formoso Pain Specialists PA · Jacksonville Beach, FLFrequently 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 Formoso Pain Specialists, PA's NPI number?
The NPI number for Formoso Pain Specialists, PA is 1487270351. It was assigned to this organization in the NPPES registry on June 17, 2020.
Where is Formoso Pain Specialists, PA located?
Formoso Pain Specialists, PA is located at 11555 Central Pkwy Ste 304, Jacksonville, FL 32224. The listed phone number is (904) 201-3111.
What is Formoso Pain Specialists, PA's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.
Is Formoso Pain Specialists, PA enrolled in Medicare?
Yes. Formoso Pain Specialists, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Formoso Pain Specialists, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Formoso Pain Specialists, PA, in Interventional Pain Management, Pain Management and Physical Medicine and Rehabilitation. 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 and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Formoso Pain Specialists, PA hold CLIA laboratory certificates?
Yes. 2 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 Formoso Pain Specialists, PA accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Formoso Pain Specialists, PA 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 Formoso Pain Specialists, PA was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Formoso Pain Specialists, Pa · NPI 1487270351
Pain Medicine organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since June 17, 2020.
## Identity
- **NPI:** 1487270351 (Entity type: Organization)
- **Enumerated:** June 17, 2020
- **Primary specialty:** Physical Medicine & Rehabilitation - Pain Medicine · taxonomy 2081P2900X
- **Organization subpart:** No
- **Authorized official:** Ferdinand Formoso, OWNER
## Practice location
- **Address:** 11555 CENTRAL PKWY STE 304, Jacksonville, FL 32224-2694
- **Phone:** (904) 201-3111 · **Fax:** (904) 201-3095
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Interventional Pain Management (1), Pain Management (1), Physical Medicine and Rehabilitation (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 20, 2022
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1487270351) · Data from the CMS NPPES public registry.