JURIS PETERIS SIMANIS (MD) – Sports Medicine (Family Medicine) Physician, NPI 1417901935

JURIS PETERIS SIMANIS (MD) is a healthcare provider. based in Bolivar, Missouri. specializing in FAMILY PRACTICE, SPORTS MEDICINE. They hold the professional credentials MD. They hold a License No. 2005018446 (MO). The NPI Number for JURIS PETERIS SIMANIS (MD) is 1417901935

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
JURIS PETERIS SIMANIS (MD)
NPI
1417901935
Phone
(417) 326-6000
Address
1500 N OAKLAND AVE
Enumeration Date
20 May 2006
Last Update Date
10 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4173286631
Graduation Year
2002 (24 years ago)
PAC ID
9830293679
Group Practice PAC ID
4183528169
Professional Enrollment ID
I20070403000591
Address ID
MO65613XXXXBOXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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

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: 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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070403000591IFamily PracticeMOTBD

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
J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg2,49628$0
J7325Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg1,72817$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg45082$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance21764$0
99214Established patient office or other outpatient visit, 30-39 minutes21694$0
View full utilization report →

Insurance plans in this area (ZIP 65613)

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Provider's Procedures

JURIS PETERIS SIMANIS (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMO73562X-ray of knee, 3 views6525

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: 4183528169View full group profile
NameSpecialtyState
Family PracticeMO
-MO
-MO
Urology, Internal MedicineMO
-MO
Dermatology, Micrographic Dermatologic Surgery (Mds), DermatologyMO
Hospitalist, Internal MedicineKS
Cardiovascular Disease (Cardiology)MO
Nurse PractitionerMO
Diagnostic RadiologyMO

Reviews

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Frequently asked questions

What NPI should I save for JURIS PETERIS SIMANIS (MD)?
Save NPI 1417901935 if you need a stable reference for JURIS PETERIS SIMANIS (MD).
Is JURIS PETERIS SIMANIS (MD) currently active in the NPI registry?
CMS-published data lists JURIS PETERIS SIMANIS (MD) as an active registrant.
What kind of provider is JURIS PETERIS SIMANIS (MD)?
The page reflects Sports Medicine (Family Medicine) Physician for JURIS PETERIS SIMANIS (MD). Clinical services aligned with this taxonomy classification.
Does JURIS PETERIS SIMANIS (MD) practice in Missouri?
You will see Bolivar, Missouri on file for JURIS PETERIS SIMANIS (MD) alongside any extra practice locations.
How can I contact JURIS PETERIS SIMANIS (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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