SAMUEL LI (MD) – Orthopaedic Surgery of the Spine Physician, NPI 1902300643
Orthopaedic Surgery of the Spine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
844 ORTHOPEDIC SURGERY in VA
Provider Addresses for SAMUEL LI (MD)
1945 Old Gallows Rd Ste 430
Vienna, VA 221822764
Phone: (703) 525-2200
Type: Location
Paca-Pratt Building, 110, South Paca Street, Ridgely's Delight, Baltimore, Maryland, 21201, United States
6TH FLOOR, SUITE 300
BALTIMORE, MD 21201
Phone: (410) 328-8915
Type: Mailing
1715 N GEORGE MASON DR STE 504
ARLINGTON, VA 222053670
Phone: (703) 525-2200
Fax: (703) 522-2603
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 62 Open Payments records for all available years, with a total value of $8,914.
Total Amount is formed as General ($8,914) + Research ($0) + Ownership ($0) = $8,914.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Synthes GmbH ($2,766).
Total Amount
$8,914
General + Research + Ownership
Payments
62
Total payment records
General Amount
$8,914
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Synthes GmbH | $2,766 |
| Alphatec Spine, Inc | $2,258 |
| Globus Medical, Inc. | $1,288 |
| DePuy Synthes Sales Inc. | $1,041 |
| Stryker Corporation | $598 |
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: 2024-11-25
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 |
|---|---|---|---|---|
| I20230616000914 | I | Orthopedic Surgery | NY | TBD |
| I20241125001275 | I | Orthopedic Surgery | DC | 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 |
|---|---|---|---|---|
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 30 | 11 | $0 |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 11 | 11 | $0 |
Insurance plans in this area (ZIP 22182)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery, Sports Medicine | VA | |
| Physical Therapist In Private Practice | VA | |
| - | VA | |
| Physical Therapist In Private Practice | VA | |
| Orthopedic Surgery | WA | |
| Orthopedic Surgery, Sports Medicine | TN | |
| Physician Assistant | VA | |
| Physical Therapist In Private Practice | VA | |
| Physical Therapist In Private Practice | MD | |
| Orthopedic Surgery, Physical Medicine And Rehabilitation | VA |
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