SAMUEL W AMSTUTZ (MD) – Ophthalmic Plastic and Reconstructive Surgery Physician, NPI 1659346245
Ophthalmic Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
157 OPHTHALMOLOGY in KS
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Provider Addresses for SAMUEL W AMSTUTZ (MD)
North Webb Road, Wichita, Sedgwick County, Kansas, 67206, United States
ATTN FLR2
WICHITA, KS 672063413
Phone: (316) 636-2010
Fax: (316) 858-3830
Type: Mailing
655, North Woodlawn Boulevard, Minneha, Wichita, Sedgwick County, Kansas, 67208, United States
WICHITA, KS 67208
Phone: (316) 684-5158
Fax: (316) 681-1005
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $64.
Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.
Last reported payment date: 2023-12-14 • Largest payer in this snapshot: Apellis Pharmaceuticals, Inc. ($24).
Total Amount
$64
General + Research + Ownership
Payments
3
Total payment records
General Amount
$64
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Apellis Pharmaceuticals, Inc. | $24 |
| Leadiant Biosciences, Inc. | $24 |
| Bausch & Lomb Americas Inc. | $15 |
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: 2010-04-30
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 |
|---|---|---|---|---|
| I20100430000220 | I | Ophthalmology | KS | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 2,185 | 19 | $0 |
| 92285 | Photography of content of eyes | 284 | 280 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 176 | 176 | $0 |
| 92014 | Established patient complete exam of visual system | 97 | 97 | $0 |
| 92081 | Exam of visual field with limited testing | 73 | 72 | $0 |
Insurance plans in this area (ZIP 67206)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | KS | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KS | |
| - | KS | |
| O P H T H A L M O L O G Y | NC | |
| - | KS | |
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