DR. JESSE SALLY (D.O.) – Sports Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1447419981
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
878 PHYSICAL MEDICINE AND REHABILITATION in PA
Provider Addresses for DR. JESSE SALLY (D.O.)
107 GAMMA DR
SUITE 220
PITTSBURGH, PA 152382917
Phone: (412) 963-6480
Fax: (412) 963-6820
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 8 Open Payments records for all available years, with a total value of $177.
Total Amount is formed as General ($177) + Research ($0) + Ownership ($0) = $177.
Last reported payment date: 2024-06-11 • Largest payer in this snapshot: Relievant Medsystems, Inc. ($31).
Total Amount
$177
General + Research + Ownership
Payments
8
Total payment records
General Amount
$177
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Relievant Medsystems, Inc. | $31 |
| Abbott Laboratories | $24 |
| TRICE MEDICAL, INC. | $24 |
| Bioventus LLC | $22 |
| MML US, Inc. | $21 |
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: 2012-07-24
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 |
|---|---|---|---|---|
| I20120724000881 | I | Physical Medicine And Rehabilitation | 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 | 78 | 41 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 48 | 31 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 22 | 22 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 20 | 16 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 13 | 11 | $0 |
Insurance plans in this area (ZIP 15238)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL MEDICINE AND REHABILITATIO | PA | 20610 | Aspiration and/or injection of large joint or joint capsule | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation, Interventional Pain Management | PA | |
| Physical Medicine And Rehabilitation, Interventional Pain Management | PA |
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