SUSAN SAMUDRE (D.O.) – Pain Medicine (Anesthesiology) Physician, NPI 1609258953
Pain Medicine (Anesthesiology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
224 PAIN MANAGEMENT in VA
Provider Addresses for SUSAN SAMUDRE (D.O.)
16262 SAMANTHA DR
APT. 18
ABINGDON, VA 242117597
Phone: (757) 515-0446
Type: Mailing
16000 JOHNSTON MEMORIAL DR
ABINGDON, VA 242117664
Phone: (276) 258-4435
Type: Location
163 INTREPID LN STE 100
SYRACUSE, NY 132052548
Phone: (315) 469-1130
Type: Mailing
750 E ADAMS ST
SYRACUSE, NY 132101834
Phone: (315) 464-4720
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2021-06-23
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 |
|---|---|---|---|---|
| I20210623002052 | I | Pain Management | NY | 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 |
|---|---|---|---|---|
| 01996 | Daily hospital management of continuous spinal drug administration | 32 | 20 | $0 |
| 64488 | Injection of local anesthetic for abdominal wall pain control on both sides using imaging guidance | 29 | 28 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 21 | 14 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 17 | 17 | $0 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 12 | 12 | $0 |
Insurance plans in this area (ZIP 24211)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | NY | |
| A N E S T H E S I O L O G Y | NY | |
| A N E S T H E S I O L O G Y | NY | |
| Certified Registered Nurse Anesthetist (Crna) | NY | |
| A N E S T H E S I O L O G Y | NY | |
| - | NY | |
| A N E S T H E S I O L O G Y | NC | |
| A N E S T H E S I O L O G Y | NY | |
| A N E S T H E S I O L O G Y | WV | |
| Anesthesiology, Pain Management | NY |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.