I'm kind of in the same boat as you, butterfly. I been going to the same PM for a year now and have only seen the doctor on my first visit and during injections or follow-up visits after injections. Other than that I see a physicians assistant. I also have to go every month because they will not give refills for meds but I think it is against the law to give refills for the stronger narcotics. They do seem to get injection crazy sometimes though cause I think that is where the money is.
My PCP will not prescribe narcotics for long term use though so I am at the mercy of the PM doctor. I also am seeing a rheumatologist for my Polymyalgia Rheumatica and I asked her to take over for my PM doctor but she won't because she said I have to many things going on in my spine that cause pain. My PM doctor is over an hours drive one way and the rheumy is local. Would have been nice not to drive so far. My insurance doesn't have any PM doctors closer that are in network. So now I'm stuck paying two co-pays for the time being.