MELISSA SIOUX AMUNDSON (DDS) – Oral & Maxillofacial Surgery (D.M.D.), NPI 1689823619
Oral & Maxillofacial Surgery (D.M.D.)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
63 DENTIST in FL
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Provider Addresses for MELISSA SIOUX AMUNDSON (DDS)
Centerville Road, Tallahassee, Leon County, Florida, 323089, United States
TALLAHASSEE, FL 323084638
Phone: (850) 431-2100
Fax: (850) 431-2199
Type: Mailing
1401 CENTERVILLE RD STE 100
TALLAHASSEE, FL 323084638
Phone: (850) 877-5183
Fax: (850) 656-1288
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $1,638.
Total Amount is formed as General ($1,638) + Research ($0) + Ownership ($0) = $1,638.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Stryker Corporation ($641).
Total Amount
$1,638
General + Research + Ownership
Payments
25
Total payment records
General Amount
$1,638
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $641 |
| KLS-Martin L.P. | $414 |
| Kerecis Limited | $294 |
| DePuy Synthes Sales Inc. | $92 |
| AstraZeneca Pharmaceuticals LP | $73 |
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: 2020-07-20
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 |
|---|---|---|---|---|
| I20200720002267 | I | Maxillofacial Surgery | FL | 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 32308)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| R H E U M A T O L O G Y | KY | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| Physician Assistant | FL | |
| E N D O C R I N O L O G Y | MN | |
| - | FL | |
| Internal Medicine | FL | |
| - | IA | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | OH |
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