DR. MARIO DODDS ROSALES SIMANGAN (M.D.) – Psychiatry Physician, NPI 1710969696
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. MARIO DODDS ROSALES SIMANGAN (M.D.)
Blue Ridge Medical Center - Yancey Campus, 800, Medical Campus Drive, Burnsville, Yancey County, North Carolina, 28714, United States
800 WEST MAPLE STREET
MEDICAL LAKE, WA 990220800
Phone: (509) 565-4000
Fax: (509) 565-7015
Type: Mailing
800 WEST MAPLE STREET
MEDICAL LAKE, WA 990220800
Phone: (509) 565-4000
Fax: (509) 565-7015
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $143.
Total Amount is formed as General ($143) + Research ($0) + Ownership ($0) = $143.
Last reported payment date: 2024-06-25 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($125).
Total Amount
$143
General + Research + Ownership
Payments
2
Total payment records
General Amount
$143
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $125 |
| Cranial Technologies, Inc | $18 |
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: 2011-02-26
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 |
|---|---|---|---|---|
| I20110226000125 | I | Psychiatry | 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 |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 46 | 22 | $0 |
Insurance plans in this area (ZIP 99022)
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