MICHAELA NICOLE SIMONCINI (M.D.) – Surgery Physician, NPI 1558896803
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
147 GENERAL SURGERY in RI
Provider Addresses for MICHAELA NICOLE SIMONCINI (M.D.)
2 Dudley St Ste 370
Providence, RI 029053248
Phone: (401) 553-8353
Fax: (401) 868-2308
Type: Location
33, Mount Wilson Way, Clayton, Contra Costa County, California, 94517, United States
CLAYTON, CA 945171642
Phone: (559) 972-5531
Type: Mailing
UC Davis School of Medicine, 4610, X Street, Sacramento, Sacramento County, California, 95817, United States
SACRAMENTO, CA 958172200
Phone: (916) 734-4800
Type: Location
325 DISTEL CIR
LOS ALTOS, CA 940221408
Phone: (650) 652-8787
Type: Mailing
1501 TROUSDALE DR
BURLINGAME, CA 940104506
Phone: (650) 652-8787
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $3,005.
Total Amount is formed as General ($3,005) + Research ($0) + Ownership ($0) = $3,005.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($1,650).
Total Amount
$3,005
General + Research + Ownership
Payments
16
Total payment records
General Amount
$3,005
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $1,650 |
| Intuitive Surgical, Inc. | $1,040 |
| Medtronic, Inc. | $294 |
| Ethicon US, LLC | $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: 2024-09-24
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 |
|---|---|---|---|---|
| I20230621002411 | I | General Surgery | RI | TBD |
| I20240924004165 | I | General Surgery | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02905)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA | |
| Family Practice | WA | |
| - | CT | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | IL | |
| - | CA | |
| Nurse Practitioner | CA |
Reviews
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