MARIAM BUKKY SALISU (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1821484213
Pain Medicine (Anesthesiology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
497 PAIN MANAGEMENT in PA
Provider Addresses for MARIAM BUKKY SALISU (MD)
1201 GRAMPIAN BLVD
WILLIAMSPORT, PA 177011900
Phone: (570) 326-8723
Fax: (570) 326-8922
Type: Mailing
1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 177011900
Phone: (570) 326-8457
Fax: (570) 326-7989
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 135 Open Payments records for all available years, with a total value of $1,390.
Total Amount is formed as General ($1,390) + Research ($0) + Ownership ($0) = $1,390.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Boston Scientific Corporation ($875).
Total Amount
$1,390
General + Research + Ownership
Payments
135
Total payment records
General Amount
$1,390
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $875 |
| Medtronic, Inc. | $420 |
| Nevro Corp. | $63 |
| Stryker Corporation | $17 |
| Abbott Laboratories | $15 |
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: 2024-10-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20201012002575 | I | Pain Management | PA | TBD |
| I20241016004170 | I | Pain Management | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 370 | 232 | $0 |
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 168 | 83 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 148 | 148 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 122 | 19 | $0 |
| 27096 | Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 92 | 71 | $0 |
Insurance plans in this area (ZIP 17701)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| General Surgery, Critical Care (Intensivists) | PA | |
| - | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| - | ME | |
| Pulmonary Disease, Critical Care (Intensivists) | PA | |
| - | PA | |
| Vascular Surgery | NY | |
| Cardiovascular Disease (Cardiology) | NM | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Emergency Medicine | PA |
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