DR. SIMON R RUSSIN (DO) – Ophthalmology Physician, NPI 1407852049
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,143 OPHTHALMOLOGY in PA
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Provider Addresses for DR. SIMON R RUSSIN (DO)
City Avenue, Bala, Lower Merion Township, Montgomery County, Pennsylvania, 19004, United States
SUITE G2
BALA CYNWYD, PA 190041708
Phone: (610) 617-4177
Fax: (610) 617-4170
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2024-02-28 • Largest payer in this snapshot: SUN PHARMACEUTICAL INDUSTRIES INC. ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SUN PHARMACEUTICAL INDUSTRIES INC. | $14 |
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: 2004-12-07
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 |
|---|---|---|---|---|
| I20041207000050 | I | Ophthalmology | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 184 | 140 | $0 |
| 92133 | Imaging of optic nerve | 62 | 45 | $0 |
| 92083 | Exam of visual field with extended testing | 53 | 45 | $0 |
| 92250 | Photography of the retina | 41 | 40 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 24 | 21 | $0 |
Insurance plans in this area (ZIP 19004)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | PA | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 40 | 38 |
| OPHTHALMOLOGY | PA | 92083 | Measurement of field of vision during daylight conditions | 60 | 53 |
| OPHTHALMOLOGY | PA | 92134 | Diagnostic imaging of retina | 12 | 12 |
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