NPPES file of Aug 9, 2026

Pain Medicine Physician providers in the U.S.

1,264 NPPES records list pain medicine physician as their primary taxonomy, about 0.4 per 100,000 residents; Delaware and Nevada have the most per resident. 944 of them appear in the Medicare Part D prescriber file: a registry record is not proof of an active practice.

CMS NPPES registry, file of Aug 9, 2026; 2023 Census estimates · NUCC 208VP0000X · method

What taxonomy code 208VP0000X means

208VP0000X is the National Uniform Claim Committee code for Pain Medicine, Pain Medicine, in the grouping Allopathic & Osteopathic Physicians. 1,264 NPPES records list it as their primary taxonomy (file of Aug 9, 2026).

Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

Source: NUCC Health Care Provider Taxonomy code set, definition as NUCC publishes it (nucc.org); counts from CMS NPPES.

Most per resident: the 8 highest

  1. Delaware1.0
  2. Nevada0.9
  3. North Dakota0.9
  4. Arizona0.8
  5. Florida0.5
  6. Ohio0.5
  7. North Carolina0.5
  8. Georgia0.5
  9. 50 states and D.C.0.4

Source: CMS NPPES, primary taxonomy 208VP0000X by practice state, file of Aug 9, 2026; records per 100,000 residents, 2023 Census estimates.

Houston has the most, 23

Source: CMS NPPES, primary taxonomy 208VP0000X by practice city, file of Aug 9, 2026.

All 51 by state

StateRecordsPer 100,000
Alabama150.3
Alaska30.4
Arizona570.8
Arkansas70.2
California1400.4
Colorado120.2
Connecticut110.3
Delaware101.0
District of Columbia10.1
Florida1170.5
Georgia510.5
Hawaii20.1
Idaho80.4
Illinois300.2
Indiana280.4
Iowa50.2
Kansas90.3
Kentucky190.4
Louisiana140.3
Maine40.3
Maryland190.3
Massachusetts150.2
Michigan310.3
Minnesota250.4
Mississippi60.2
Missouri120.2
StateRecordsPer 100,000
Montana30.3
Nebraska80.4
Nevada290.9
New Hampshire40.3
New Jersey450.5
New Mexico20.1
New York660.3
North Carolina520.5
North Dakota70.9
Ohio560.5
Oklahoma190.5
Oregon130.3
Pennsylvania570.4
Rhode Island10.1
South Carolina130.2
South Dakota10.1
Tennessee210.3
Texas1150.4
Utah100.3
Vermont10.2
Virginia250.3
Washington250.3
West Virginia80.5
Wisconsin230.4
Wyoming20.3

In federal data

  • NUCC code208VP0000X · Pain Medicine
  • Size rank247th of 688 specialties by records (0.02% of all)
  • In its family2nd of 2 Pain Medicine codes, 32.4% of the family
  • Part D prescribers944 (74.7% of records)
  • Part D claims2,095 a year per prescriber, on average (30th of 496)
  • Industry payments769 physicians paid $2.6M in 2024, $3K each on average
  • Concentration8 states hold half of all records

Source: CMS NPPES; Medicare Part D Prescriber PUF; CMS Open Payments 2024. Presence in these files is not a quality judgment.

A sample of pain medicine physician records

  1. Leon Chandler, MDAnchorage, AK1073593315
  2. Casandra Mysior, MDAnchorage, AK1730319039
  3. Stephen Markewich, MDWasilla, AK1295959823
  4. Reginald Smith, MDMoody, AL1700877719
  5. David Mulkey, MDCullman, AL1396206314
  6. Gaylyn Horne, MDPell City, AL1750331542
  7. Lisa Columbia, M.D.Birmingham, AL1629051495
  8. Samuel Beenken, MDBirmingham, AL1801830815
  9. Sandra Durham, M.D.Birmingham, AL1487794301
  10. Richard Thomason, MDTuscaloosa, AL1396951596
  11. Mark Murphy, M.DDecatur, AL1326019712
  12. Marcheta Parker, M.D.Huntsville, AL1164447835
  13. Danny Sailsbury, DOGadsden, AL1841345808
  14. Casey Long, M.D.Montgomery, AL1609284751
  15. Jimmy Hankins, D.O.Foley, AL1013924232
  16. Aliya Lundy, PA-CFoley, AL1417786005

Registry order, not a ranking. Search by name to find one provider.

Common questions

How should I read Pain Medicine Physician's mid-pack national roster?

1,264 CMS-registered Pain Medicine Physician providers sit across 52 states; California leads with 140. Leading metros: Houston, TX; Jacksonville, FL; San Antonio, TX; Las Vegas, NV. Rank 247th of 688 NUCC specialties by headcount.

How does Pain Medicine Physician show up in Open Payments mid-pack?

CMS Open Payments 2024 lists 769 Pain Medicine Physician physicians receiving $2.6M across 21,312 payments (average $3K; 127th of 470 specialties). Not a quality score.

How much Part D prescribing does this specialty do?

Among Pain Medicine Physician NPIs, 944 appear in the Medicare Part D Prescriber PUF (average 2,095 claims and $126K drug cost per prescriber; 30th of 496 specialties by average claims). Non-prescribing clinicians in the same NUCC code are still in NPPES.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy (nucc.org); Medicare Part D Prescriber PUF; CMS Open Payments 2024. Counts are self-designated primary taxonomy, not board certification.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.