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LIBERTY SPINE & PAIN CENTER P C
NPI 1578077954
Pain Medicine - Interventional Pain Medicine in Salem, OR

Active since November 21, 2017
760 HIGH ST NE STE 760, SALEM, OR 97301(503) 371-4647(503) 584-7854 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2025, Nov 21, 2017 (2 updates tracked since 2017).

About Liberty Spine & Pain Center P C NPPES

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

LIBERTY SPINE & PAIN CENTER P C (NPI 1578077954) is a healthcare organization registered as an interventional pain medicine in Salem, Oregon and active in the NPI registry since November 2017. The organization lists Craig D Anderson, President, as its authorized official.

NPPES Registry Identity

NPI1578077954
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameLIBERTY SPINE & PAIN CENTER P C
Location Address760 HIGH ST NE STE 760Salem, OR 97301-2440
Mailing Address760 High St Ne Ste 760Salem, OR 97301-2440 · (503) 569-3254 · Fax (503) 584-7854
Phone(503) 371-4647
Fax(503) 584-7854
Organization SubpartNo
Authorized OfficialCraig D AndersonPresident · (503) 569-3254
Enumeration DateNovember 21, 2017
Last NPPES UpdateApril 10, 20252 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1578077954 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.
760 HIGH ST NE STE 760, Salem, OR 97301
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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)

Liberty Spine & Pain Center P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Liberty Spine & Pain Center P C, which bills Medicare for the services this clinician delivers.

Clinician (1)

Craig Anderson, MD
Pain Management
NPI 1629014824
350 MILLER ST SE # 100
Salem, OR 97302
(503) 371-4647
✔ PECOS✔ Accepts Medicare1.3 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 Liberty Spine & Pain Center P C's NPI number?

The NPI number for Liberty Spine & Pain Center P C is 1578077954. It was assigned to this organization in the NPPES registry on November 21, 2017.

Where is Liberty Spine & Pain Center P C located?

Liberty Spine & Pain Center P C is located at 760 High St NE Ste 760, Salem, OR 97301. The listed phone number is (503) 371-4647.

What is Liberty Spine & Pain Center P C's specialty?

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

Is Liberty Spine & Pain Center P C enrolled in Medicare?

Yes. Liberty Spine & Pain Center P C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Liberty Spine & Pain Center P C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pain Management) reassigns their Medicare billing to Liberty Spine & Pain Center P C. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Liberty Spine & Pain Center P C accept?

Health plans from Moda Health Plan, Inc. list Liberty Spine & Pain Center P C 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 Liberty Spine & Pain Center P C was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.