DR. SIMON LEVI AMSDELL (M.D.) – Orthopaedic Surgery Physician, NPI 1376868950
Orthopaedic Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,072 ORTHOPEDIC SURGERY in NY
Provider Addresses for DR. SIMON LEVI AMSDELL (M.D.)
601 Elmwood Ave
Box 665
Rochester, NY 146420001
Phone: (585) 275-5168
Fax: (585) 756-4721
Type: Location
505 Foote Ave
Jamestown, NY 147018204
Phone: (716) 720-5623
Fax: (716) 720-5627
Type: Location
1487, Stone Hill Road, Conewango Township, Warren County, Pennsylvania, 16365, United States
WARREN, PA 163655401
Phone: (419) 290-8102
Type: Mailing
2, Crescent Park, Warren, Warren County, Pennsylvania, 16365, United States
WARREN, PA 163652111
Phone: (814) 406-0035
Fax: (814) 726-9412
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $298.
Total Amount is formed as General ($298) + Research ($0) + Ownership ($0) = $298.
Last reported payment date: 2024-06-21 • Largest payer in this snapshot: Smith+Nephew, Inc. ($155).
Total Amount
$298
General + Research + Ownership
Payments
8
Total payment records
General Amount
$298
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $155 |
| Stryker Corporation | $114 |
| Intuitive Surgical, Inc. | $29 |
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: 2016-07-13
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20160713001091 | I | Orthopedic Surgery | PA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 741 | 486 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 677 | 356 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 166 | 151 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 165 | 165 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 94 | 94 | $0 |
Insurance plans in this area (ZIP 14642)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| Certified Nurse Midwife (Cnm) | PA | |
| Physician Assistant | PA | |
| - | PA | |
| Family Practice | PA | |
| Nurse Practitioner | PA | |
| - | PA | |
| Nurse Practitioner | CA | |
| Certified Nurse Midwife (Cnm) | PA | |
| G A S T R O E N T E R O L O G Y | PA |
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