DR. STEPHEN D. SIMONICH (M.D) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1295710820
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,189 ORTHOPEDIC SURGERY in TX
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Provider Addresses for DR. STEPHEN D. SIMONICH (M.D)
Michel Road, Tomball, Harris County, Texas, 77375, United States
TOMBALL, TX 773756410
Phone: (281) 351-7261
Fax: (281) 351-2515
Type: Location
23910 KATY FWY STE 201
KATY, TX 774941477
Phone: (713) 486-9800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $1,798.
Total Amount is formed as General ($1,798) + Research ($0) + Ownership ($0) = $1,798.
Last reported payment date: 2024-02-01 • Largest payer in this snapshot: Arthrex, Inc. ($1,512).
Total Amount
$1,798
General + Research + Ownership
Payments
21
Total payment records
General Amount
$1,798
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $1,512 |
| Medinc of Texas | $286 |
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: 2006-02-07
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 |
|---|---|---|---|---|
| I20060207000297 | I | Orthopedic Surgery | TX | 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 | 214 | 134 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 76 | 62 | $0 |
| 73564 | X-ray of knee, 4 or more views | 67 | 56 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 64 | 64 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 31 | 26 | $0 |
Insurance plans in this area (ZIP 77375)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | IL | |
| Anesthesiology, Critical Care (Intensivists) | TX | |
| A N E S T H E S I O L O G Y | TX | |
| - | TX | |
| Diagnostic Radiology | TX | |
| Physician Assistant | TX | |
| Certified Nurse Midwife (Cnm) | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX |
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