MS. KRISTIN SIMONCELLI (O.D.) – Optometrist, NPI 1730614561

MS. KRISTIN SIMONCELLI (O.D.) is a healthcare provider. based in New fairfield, Connecticut. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 3042 (CT). The NPI Number for MS. KRISTIN SIMONCELLI (O.D.) is 1730614561

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MS. KRISTIN SIMONCELLI (O.D.)
NPI
1730614561
Phone
(203) 417-1050
Address
5 AMBER DR
Enumeration Date
30 April 2017
Last Update Date
18 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2034385855
Graduation Year
2017 (9 years ago)
PAC ID
8123373271
Group Practice PAC ID
8022909803
Professional Enrollment ID
I20180614000442
Address ID
CT068774069RI96XXXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

530 OPTOMETRY in CT

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Provider Addresses for MS. KRISTIN SIMONCELLI (O.D.)

  • 5, Amber Drive, New Fairfield, Fairfield County, Connecticut, 06812, United States

    NEW FAIRFIELD, CT 068123126

    Phone: (203) 417-1050

    Type: Mailing

  • 96 DANBURY RD

    RIDGEFIELD, CT 068774069

    Phone: (203) 438-5855

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $392.

Total Amount is formed as General ($392) + Research ($0) + Ownership ($0) = $392.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Tarsus Pharmaceuticals, Inc. ($98).

Total Amount

$392

General + Research + Ownership

Payments

18

Total payment records

General Amount

$392

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

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: 2018-06-14

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
I20180614000442IOptometryCTTBD

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
92012Established patient problem focused exam of visual system129101$0
92014Established patient complete exam of visual system109109$0
92133Imaging of optic nerve5552$0
92083Exam of visual field with extended testing5047$0
92020Exam of the internal drainage system of eye3232$0
View full utilization report →

Insurance plans in this area (ZIP 06812)

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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: 8022909803View full group profile
NameSpecialtyState
-CT

Reviews

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Frequently asked questions

Is there an official ID for MS. KRISTIN SIMONCELLI (O.D.) in U.S. healthcare records?
The official identifier for MS. KRISTIN SIMONCELLI (O.D.) is NPI 1730614561.
Would MS. KRISTIN SIMONCELLI (O.D.) appear as active to a payer?
You can treat MS. KRISTIN SIMONCELLI (O.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MS. KRISTIN SIMONCELLI (O.D.)?
At a glance, MS. KRISTIN SIMONCELLI (O.D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Where in Connecticut is MS. KRISTIN SIMONCELLI (O.D.) registered?
Use New Fairfield, Connecticut as the headline location for MS. KRISTIN SIMONCELLI (O.D.) here.
When was this NPI issued?
Enumeration for MS. KRISTIN SIMONCELLI (O.D.) is noted as April 30, 2017 where the registry provides it.

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