ERIC J SIMKO (MD) – Otolaryngology Physician, NPI 1245201367
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ERIC J SIMKO (MD)
Omni Boulevard, City Center, Newport News, Newport News City, Virginia, 23606, United States
SUITE 303
NEWPORT NEWS, VA 236064430
Phone: (757) 232-8769
Fax: (757) 232-8875
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: 2006-06-15
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 |
|---|---|---|---|---|
| I20060615000136 | I | Otolaryngology | VA | 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 | 157 | 116 | $0 |
| 69210 | Removal of impacted ear wax | 125 | 110 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 88 | 88 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 81 | 81 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 81 | 62 | $0 |
Insurance plans in this area (ZIP 23606)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | VA | 92567 | Eardrum testing using ear probe | 25 | 25 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| Family Practice | VA | |
| - | VA | |
| Family Practice | VA | |
| Family Practice | VA | |
| - | VA | |
| Nurse Practitioner | VA | |
| - | VA | |
| - | VA | |
| N E U R O L O G Y | VA |
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