AMANDA NEIDERMYER (MD) – Family Medicine Physician, NPI 1154984466

AMANDA NEIDERMYER (MD) is a healthcare provider. based in Colorado springs, Colorado. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. DR.0064984 (CO). The NPI Number for AMANDA NEIDERMYER (MD) is 1154984466

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA NEIDERMYER (MD)
NPI
1154984466
Phone
(719) 344-6873
Address
3205 N ACADEMY BLVD STE 130
Enumeration Date
22 April 2019
Last Update Date
21 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9707649150
Graduation Year
2018 (8 years ago)
PAC ID
7719215177
Group Practice PAC ID
1052214814
Professional Enrollment ID
I20190822001917
Address ID
CO811229653BA480XXDRXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,660 FAMILY PRACTICE in CO

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Provider Addresses for AMANDA NEIDERMYER (MD)

  • 130, North Academy Boulevard, Colorado Springs, El Paso County, Colorado, 80909, United States

    COLORADO SPRINGS, CO 809175152

    Phone: (719) 344-6873

    Type: Mailing

  • 340, Printers Parkway, Colorado Springs, El Paso County, Colorado, 80910, United States

    COLORADO SPRINGS, CO 809103190

    Phone: (719) 648-2378

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-10-23 • Largest payer in this snapshot: Exact Sciences Corporation ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-08-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190822001917IFamily PracticeCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes359182$0
99213Established patient office or other outpatient visit, 20-29 minutes198138$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit117117$0
99497Advance care planning, first 30 minutes7777$0
G0008Administration of influenza virus vaccine4746$0
View full utilization report →

Insurance plans in this area (ZIP 80917)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052214814View full group profile
NameSpecialtyState
Internal MedicineWA
Nurse PractitionerNM
-NM
Nurse PractitionerCO
-CO
Internal MedicineCO
Family PracticeCO
Nurse PractitionerWY
Physician AssistantLA
Family PracticeNV

Reviews

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Frequently asked questions

What is the 10-digit NPI for AMANDA NEIDERMYER (MD)?
AMANDA NEIDERMYER (MD) — NPI 1154984466 — is the standard way to identify this listing.
Is AMANDA NEIDERMYER (MD) listed as active for patients and plans?
The listing shows AMANDA NEIDERMYER (MD) as active in the NPI system.
What healthcare role does AMANDA NEIDERMYER (MD) hold?
Scheduling teams often label AMANDA NEIDERMYER (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does AMANDA NEIDERMYER (MD) list a practice location?
Patients near Colorado Springs, Colorado may find AMANDA NEIDERMYER (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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