Pain Center of Wyoming Valley, LLC
NPI 1629409578 · Ambulatory Surgical Clinic/Center · Wilkes Barre, PA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pain Center of Wyoming Valley, LLC is a Ambulatory Surgical Clinic/Center organization in Wilkes Barre, PA (NPI 1629409578).
Provider details
- NPI number
- 1629409578
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amanda Ricca, Ceo(570) 270-5700
- License
- 23881501 (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
422 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Injection Procedure for Sacroiliac Joint; Provision of Anesthetic, Steroid And/Or Other Therapeutic Agent, With Or Without ArthrographyG0260 | 117 | $257 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 58 | $314 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 57 | $610 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 37 | $321 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 35 | $395 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-12-03
- Last updated
- 2023-05-04
- Certified
- 2023-05-04
Frequently asked questions
- What is Pain Center of Wyoming Valley, LLC's NPI number?
- Pain Center of Wyoming Valley, LLC's National Provider Identifier (NPI) is 1629409578, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pain Center of Wyoming Valley, LLC?
- Pain Center of Wyoming Valley, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pain Center of Wyoming Valley, LLC located?
- Pain Center of Wyoming Valley, LLC's practice location on file with NPPES is 142 Mundy St, Wilkes Barre, PA 18702-6875.
- What is Pain Center of Wyoming Valley, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pain Center of Wyoming Valley, LLC is (570) 270-5712.
- Does Pain Center of Wyoming Valley, LLC accept Medicare?
- Pain Center of Wyoming Valley, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pain Center of Wyoming Valley, LLC?
- The authorized official listed on Pain Center of Wyoming Valley, LLC's NPPES record is Amanda Ricca, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pain Center of Wyoming Valley, LLC's NPI active?
- Yes — Pain Center of Wyoming Valley, LLC's NPI (1629409578) is active in the NPPES registry as of the last update on 2023-05-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.