SIMON O JR. CANO (P. A.) – Physician Assistant, NPI 1861426124

SIMON O JR. CANO (P. A.) is a healthcare provider. based in Amarillo, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P. A.. They hold a License No. PA2901 (TX). The NPI Number for SIMON O JR. CANO (P. A.) is 1861426124

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
SIMON O JR. CANO (P. A.)
NPI
1861426124
Phone
(806) 468-9700
Address
1100 S COULTER ST
Enumeration Date
10 July 2006
Last Update Date
5 April 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8064689700
Graduation Year
2000 (26 years ago)
PAC ID
0446406854
Group Practice PAC ID
6103978499
Professional Enrollment ID
I20120816000822
Address ID
TX791061836AM1100XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for SIMON O JR. CANO (P. A.)

  • 1100, Coulter Street, Amarillo, Potter County, Texas, 79106, United States

    AMARILLO, TX 791061836

    Phone: (806) 468-9700

    Fax: (806) 468-9771

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-08-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120816000822IPhysician AssistantTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg54879$0
99214Established patient office or other outpatient visit, 30-39 minutes121104$0
73564X-ray of knee, 4 or more views11791$0
20610Aspiration and/or injection of fluid from large joint11580$0
99213Established patient office or other outpatient visit, 20-29 minutes8773$0
View full utilization report →

Insurance plans in this area (ZIP 79106)

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Provider's Procedures

SIMON O JR. CANO (P. A.) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTTX20610Aspiration and/or injection of large joint or joint capsule13499
PHYSICIAN ASSISTANTTX73562X-ray of knee, 3 views210181

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103978499View full group profile
NameSpecialtyState
Physician AssistantTX
Physical Therapist In Private PracticeTX
Orthopedic SurgeryTX
-TX
Physical Therapist In Private PracticeTX
-TX
Orthopedic SurgeryTX
Nurse PractitionerTX
Physician AssistantTX
Orthopedic Surgery, Hand SurgeryTX

Reviews

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Frequently asked questions

How is SIMON O JR. CANO (P. A.) identified in CMS data?
CMS-hosted NPPES data lists SIMON O JR. CANO (P. A.) with NPI 1861426124.
Is SIMON O JR. CANO (P. A.) listed as active for patients and plans?
The listing shows SIMON O JR. CANO (P. A.) as active in the NPI system.
What healthcare role does SIMON O JR. CANO (P. A.) hold?
Scheduling teams often label SIMON O JR. CANO (P. A.) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is SIMON O JR. CANO (P. A.) based?
SIMON O JR. CANO (P. A.) is tied to Amarillo, Texas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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