DR. HELEN SIMIGIANNIS (MD) – Obstetrics & Gynecology Physician, NPI 1366497265
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,497 OBSTETRICS/GYNECOLOGY in NJ
Provider Addresses for DR. HELEN SIMIGIANNIS (MD)
375 ROUTE 130
SUITE 103
EAST WINDSOR, NJ 085202700
Phone: (609) 448-7800
Fax: (609) 448-7880
Type: Mailing
1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 079222104
Phone: (908) 273-4300
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $733.
Total Amount is formed as General ($733) + Research ($0) + Ownership ($0) = $733.
Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($558).
Total Amount
$733
General + Research + Ownership
Payments
14
Total payment records
General Amount
$733
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $558 |
| Gynesonics, Inc. | $71 |
| Sumitomo Pharma America, Inc. | $37 |
| ABBVIE INC. | $31 |
| Davol Inc. | $23 |
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: 2006-09-21
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 |
|---|---|---|---|---|
| I20060921000078 | I | Obstetrics/Gynecology | NJ | 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 |
|---|---|---|---|---|
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 251 | 251 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 182 | 133 | $0 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 43 | 43 | $0 |
| 81002 | Urinalysis, manual test | 34 | 33 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 34 | 31 | $0 |
Insurance plans in this area (ZIP 08520)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | NJ | |
| Radiation Oncology | NY | |
| - | NJ | |
| - | NJ | |
| Physical Therapist In Private Practice | NJ | |
| - | NJ | |
| - | NJ | |
| G A S T R O E N T E R O L O G Y | NJ | |
| - | NJ | |
| - | NJ |
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