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PACIFIC SPORTS AND INTERVENTIONAL SPINE, LLC
NPI 1881186336
Pain Medicine - Interventional Pain Medicine in Springfield, OR

Active since May 31, 2018
2445 BEVERLY ST STE B, SPRINGFIELD, OR 97477(541) 686-3791(541) 686-3795 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2026, Jun 1, 2026, Nov 6, 2023 and 3 more (6 updates tracked since 2018).

About Pacific Sports And Interventional Spine, Llc NPPES

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

PACIFIC SPORTS AND INTERVENTIONAL SPINE, LLC (NPI 1881186336), doing business as Pacific Sports And Spine, is a healthcare organization registered as an interventional pain medicine in Springfield, Oregon and active in the NPI registry since May 2018. The organization lists Leslie Rea, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1881186336
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NamePACIFIC SPORTS AND INTERVENTIONAL SPINE, LLC
Location Address2445 BEVERLY ST STE BSpringfield, OR 97477-1910
Mailing Address2445 Beverly St Ste BSpringfield, OR 97477-1910 · (541) 743-9003 · Fax (541) 284-0520
Phone(541) 686-3791
Fax(541) 686-3795
Organization SubpartNo
Authorized OfficialLeslie ReaPractice Manager · (541) 743-9003
Enumeration DateMay 31, 2018
Last NPPES UpdateJuly 21, 20266 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1881186336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Licenses✔ Licensed in OR · MD27887✔ Licensed in OR · MD28629
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.
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA00800 (OR), PA00420 (OR), PA152998 (OR)
2445 BEVERLY ST STE B, Springfield, OR 97477
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Other Names 1

Doing Business AsPacific Sports And Spine

Other Identifiers 5

Medicaid500632183OR
Medicaid244117OR
Medicaid500604467OR
Medicaid500608609OR
Medicaid500624453OR

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 MULTIPLE 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)

Pacific Sports And Interventional Spine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Pacific Sports And Interventional Spine, LLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 12 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 7

Physical Medicine and Rehabilitation4
Physical Therapist in Private Practice3
Nurse Practitioner2
Pain Management2
Emergency Medicine1
Interventional Pain Management1
Podiatry1

Clinicians, nearest first (14)

Edalyn Ko, DPM
Podiatry
NPI 1265547277
2445 BEVERLY ST STE B
Springfield, OR 97477
(541) 780-6654
✔ PECOS✔ Accepts MedicareSame address
Trisha Kosloff, DPT
Physical Therapist in Private Practice
NPI 1982962700
2445 BEVERLY ST STE B
Springfield, OR 97477
(541) 780-6654
✔ Accepts MedicareSame address
Gregory Moore, M.D.
Pain Management
NPI 1457496705
2445 BEVERLY ST STE B
Springfield, OR 97477
(541) 780-6654
✔ PECOS✔ Accepts MedicareSame address
Majaliwa Mzombwe, MD
Pain Management
NPI 1447813738
2445 BEVERLY ST STE B
Springfield, OR 97477
(541) 780-6654
✔ PECOS✔ Accepts MedicareSame address
Stephen Peirce, MD
Physical Medicine and Rehabilitation
NPI 1558898528
2445 BEVERLY ST STE B
Springfield, OR 97477
(541) 780-6654
✔ PECOS✔ Accepts MedicareSame address
Gregory Phillips, MD
Interventional Pain Management
NPI 1033319124
2445 BEVERLY ST STE B
Springfield, OR 97477
(541) 780-6654
✔ PECOS✔ Accepts MedicareSame address
Rishi Vora, D.O.
Physical Medicine and Rehabilitation
NPI 1730575119
2445 BEVERLY ST STE B
Springfield, OR 97477
(541) 780-6654
✔ PECOS✔ Accepts MedicareSame address
Aaron Barnard
Physical Therapist in Private Practice
NPI 1902417223
1711 WILLAMETTE ST STE 302
Eugene, OR 97401
(541) 743-9003
✔ Accepts Medicare3.1 mi
Carla Mckibben, PT
Physical Therapist in Private Practice
NPI 1881670198
1711 WILLAMETTE ST STE 302
Eugene, OR 97401
(541) 316-6730
✔ Accepts Medicare3.1 mi
Nicole Palmer, MD
Emergency Medicine
NPI 1033747845
1711 WILLAMETTE ST STE 101
Eugene, OR 97401
(541) 897-9309
✔ PECOS✔ Accepts Medicare3.1 mi
Jedediah Robinson, M.D
Physical Medicine and Rehabilitation
NPI 1073825485
1711 WILLAMETTE ST STE 302
Eugene, OR 97401
(541) 743-9003
✔ PECOS✔ Accepts Medicare3.1 mi
Jennifer Gardner, FNP
Nurse Practitioner
NPI 1235908567
217 DIVISION AVE
Eugene, OR 97404
(541) 780-6654
✔ PECOS4.4 mi
Samantha Griffin, FNP
Nurse Practitioner
NPI 1952852568
277 NW MEDICAL LOOP
Roseburg, OR 97471
(541) 743-9003
✔ PECOS✔ Accepts Medicare60 mi
Timothy Zielicke, D.O.
Physical Medicine and Rehabilitation
NPI 1841638723
3551 E OVERLAND RD
Meridian, ID 83642
(208) 884-1333
✔ PECOS✔ Accepts Medicare336 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 Pacific Sports And Interventional Spine, LLC's NPI number?

The NPI number for Pacific Sports And Interventional Spine, LLC is 1881186336. It was assigned to this organization in the NPPES registry on May 31, 2018. The provider is doing business as Pacific Sports and Spine.

Where is Pacific Sports And Interventional Spine, LLC located?

Pacific Sports And Interventional Spine, LLC is located at 2445 Beverly St Ste B, Springfield, OR 97477. The listed phone number is (541) 686-3791.

What is Pacific Sports And Interventional Spine, LLC's specialty?

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

Is Pacific Sports And Interventional Spine, LLC enrolled in Medicare?

Yes. Pacific Sports And Interventional Spine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pacific Sports And Interventional Spine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 7 Medicare specialties reassign their Medicare billing to Pacific Sports And Interventional Spine, LLC. 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 Physical Medicine and Rehabilitation (4), Physical Therapist in Private Practice (3) and Nurse Practitioner (2). Of these, 7 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pacific Sports And Interventional Spine, LLC accept?

Health plans from Moda Health Plan, Inc. list Pacific Sports And Interventional Spine, LLC 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 Pacific Sports And Interventional Spine, LLC was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.