JURIS PETERIS SIMANIS (MD) – Sports Medicine (Family Medicine) Physician, NPI 1417901935
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,330 FAMILY PRACTICE in MO
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Provider Addresses for JURIS PETERIS SIMANIS (MD)
Citizens Memorial Hospital, 1500, North Oakland Avenue, Bolivar, Polk County, Missouri, 65613, United States
BOLIVAR, MO 656133011
Phone: (417) 326-6000
Fax: (417) 328-6338
Type: Mailing
1155, West Parkview Street, Bolivar, Polk County, Missouri, 65613, United States
SUITE 2D
BOLIVAR, MO 656137800
Phone: (417) 777-2663
Fax: (417) 777-2666
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $372.
Total Amount is formed as General ($372) + Research ($0) + Ownership ($0) = $372.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Ferring Pharmaceuticals Inc. ($128).
Total Amount
$372
General + Research + Ownership
Payments
16
Total payment records
General Amount
$372
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ferring Pharmaceuticals Inc. | $128 |
| Avanos Medical | $96 |
| Amgen Inc. | $38 |
| Pacira Pharmaceuticals Incorporated | $36 |
| Boston Scientific Corporation | $34 |
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: 2007-04-03
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 |
|---|---|---|---|---|
| I20070403000591 | I | Family Practice | MO | 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 |
|---|---|---|---|---|
| J3304 | Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg | 2,496 | 28 | $0 |
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 1,728 | 17 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 450 | 82 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 217 | 64 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 216 | 94 | $0 |
Insurance plans in this area (ZIP 65613)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MO | 73562 | X-ray of knee, 3 views | 65 | 25 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Family Practice | MO | |
| - | MO | |
| - | MO | |
| Urology, Internal Medicine | MO | |
| - | MO | |
| Dermatology, Micrographic Dermatologic Surgery (Mds), Dermatology | MO | |
| Hospitalist, Internal Medicine | KS | |
| Cardiovascular Disease (Cardiology) | MO | |
| Nurse Practitioner | MO | |
| Diagnostic Radiology | MO |
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