SAMUEL LANCE (MD) – Plastic Surgery Physician, NPI 1780811786
Plastic Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
589 PLASTIC AND RECONSTRUCTIVE SURGERY in TX
Provider Addresses for SAMUEL LANCE (MD)
3020 CHILDRENS WAY # MC5003
SAN DIEGO, CA 921234223
Phone: (858) 309-6300
Type: Mailing
PO BOX 844658
DALLAS, TX 752844658
Phone: (254) 724-2111
Type: Mailing
2401 S 31ST ST
TEMPLE, TX 765082736
Phone: (254) 724-2111
Type: Location
7920 Frost St
Ste 200
San Diego, CA 921232736
Phone: (858) 966-8209
Type: Location
7920, Frost Street, Serra Mesa, San Diego, San Diego County, California, 92123, United States
STE 200
SAN DIEGO, CA 921232736
Phone: (858) 966-8209
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $370.
Total Amount is formed as General ($370) + Research ($0) + Ownership ($0) = $370.
Last reported payment date: 2024-06-25 • Largest payer in this snapshot: Integra LifeSciences Corporation ($279).
Total Amount
$370
General + Research + Ownership
Payments
5
Total payment records
General Amount
$370
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 |
|---|---|
| Integra LifeSciences Corporation | $279 |
| ABBVIE INC. | $75 |
| KLS-Martin L.P. | $15 |
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: 2022-09-07
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 |
|---|---|---|---|---|
| I20160708001923 | I | Plastic And Reconstructive Surgery | CA | TBD |
| I20220907002290 | I | Plastic And Reconstructive Surgery | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92123)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | TX | |
| U R O L O G Y | TX | |
| General Surgery | OK | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| - | TX | |
| Anesthesiology Assistant | TX | |
| - | TX | |
| - | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| - | TX |
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