OKLAHOMA PAIN MANAGEMENT PLLC
NPI 1679760912
Specialist in Oklahoma City, OK
About Oklahoma Pain Management Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OKLAHOMA PAIN MANAGEMENT PLLC (NPI 1679760912) is a healthcare organization registered as a specialist in Oklahoma City, Oklahoma and active in the NPI registry since October 2007. The organization lists Justin Ross Porter, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Oklahoma Pain Management Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Oklahoma Pain Management PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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 Oklahoma Pain Management PLLC's NPI number?
The NPI number for Oklahoma Pain Management PLLC is 1679760912. It was assigned to this organization in the NPPES registry on October 1, 2007.
Where is Oklahoma Pain Management PLLC located?
Oklahoma Pain Management PLLC is located at 3601 NW 138th St Ste 200, Oklahoma City, OK 73134. The listed phone number is (405) 242-4100.
What is Oklahoma Pain Management PLLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Oklahoma Pain Management PLLC enrolled in Medicare?
Yes. Oklahoma Pain Management PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Oklahoma Pain Management PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 5 Medicare specialties reassign their Medicare billing to Oklahoma Pain Management 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 (4), Anesthesiology (2) and Interventional Pain Management (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Oklahoma Pain Management PLLC was last updated on May 3, 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.
# Oklahoma Pain Management Pllc · NPI 1679760912
Specialist organization in Oklahoma City, Oklahoma. Organization record, active in the CMS NPPES registry since October 1, 2007.
## Identity
- **NPI:** 1679760912 (Entity type: Organization)
- **Enumerated:** October 1, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Justin Porter, OWNER
## Practice location
- **Address:** 3601 NW 138TH ST, STE 200, Oklahoma City, OK 73134-2513
- **Phone:** (405) 242-4100 · **Fax:** (405) 775-9356
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Anesthesiology (2), Interventional Pain Management (1); 4 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 3, 2022
- **Other identifiers:** Medicaid 200123080A (OK); Other DG6361 (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1679760912) · Data from the CMS NPPES public registry.