DR. SAMANEH DAVOUDIMOGHADDAM (MD) – Ophthalmology Physician, NPI 1073036612
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
467 OPHTHALMOLOGY in WA
Provider Addresses for DR. SAMANEH DAVOUDIMOGHADDAM (MD)
4300 TALBOT RD S STE 300
RENTON, WA 980556238
Phone: (425) 228-6262
Fax: (425) 228-6260
Type: Mailing
1955 1ST AVE APT 709
NEW YORK, NY 100296445
Phone: (917) 454-8279
Type: Mailing
1901 1ST AVE DEPT OF
NEW YORK, NY 100297404
Phone: (212) 423-6771
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $382.
Total Amount is formed as General ($382) + Research ($0) + Ownership ($0) = $382.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Astellas Pharma US Inc ($149).
Total Amount
$382
General + Research + Ownership
Payments
10
Total payment records
General Amount
$382
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $149 |
| ABBVIE INC. | $72 |
| Biogen, Inc. | $46 |
| Alimera Sciences, Inc. | $45 |
| Harrow Eye, LLC | $28 |
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: 2023-05-26
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20230526001936 | I | Ophthalmology | WA | 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 |
|---|---|---|---|---|
| J2777 | Injection, faricimab-svoa, 0.1 mg | 1,860 | 11 | $0 |
| 92250 | Photography of the retina | 222 | 198 | $0 |
| 92014 | Established patient complete exam of visual system | 173 | 135 | $0 |
| J0178 | Injection, aflibercept, 1 mg | 164 | 34 | $0 |
| 67028 | Injection of drug into eye | 160 | 79 | $0 |
Insurance plans in this area (ZIP 98055)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | WA | |
| O P H T H A L M O L O G Y | WA | |
| O P H T H A L M O L O G Y | NV |
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