DR. STEPAN KASIMIAN (M.D.) – Orthopaedic Surgery of the Spine Physician, NPI 1720003619
Orthopaedic Surgery of the Spine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. STEPAN KASIMIAN (M.D.)
1101 EAST BROADWAY
STE 201
GLENDALE, CA 912051396
Phone: (213) 361-7038
Fax: (818) 500-9272
Type: Mailing
950, North Kings Road, Beverly Grove, West Hollywood, Los Angeles County, California, 90069, United States
UNIT 126
LOS ANGELES, CA 900694352
Phone: (310) 859-3422
Fax: (310) 659-5861
Type: Mailing
3831, Hughes Avenue, Palms, Los Angeles, Los Angeles County, California, 90232, United States
SUITE 105
CULVER CITY, CA 902322751
Phone: (310) 859-3422
Fax: (310) 659-5861
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $680.
Total Amount is formed as General ($680) + Research ($0) + Ownership ($0) = $680.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Medacta USA, Inc. ($345).
Total Amount
$680
General + Research + Ownership
Payments
11
Total payment records
General Amount
$680
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medacta USA, Inc. | $345 |
| Globus Medical, Inc. | $195 |
| Centinel Spine, LLC | $45 |
| OssDsign Incorporated | $29 |
| CTL Medical Corporation | $28 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-09-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050915000422 | I | Orthopedic Surgery | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 91205)
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