SAMUEL GRADY PUTNAM (MD) – Vascular & Interventional Radiology Physician, NPI 1023066404
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
43 INTERVENTIONAL RADIOLOGY in DE
Provider Addresses for SAMUEL GRADY PUTNAM (MD)
4755 OGLETOWN SANTON ROAD
SUITE 1E20
NEWARK, DE 19718
Phone: (302) 733-5625
Fax: (302) 733-5665
Type: Mailing
26500 AGOURA RD STE 102-587
CALABASAS, CA 913021952
Phone: (818) 880-8605
Fax: (818) 579-7916
Type: Mailing
55 PHYSICIANS LN
SOUTHAVEN, MS 386719569
Phone: (662) 655-2136
Fax: (662) 996-2214
Type: Location
1120 15th St
Augusta, GA 309129569
Phone: (706) 721-8623
Type: Location
750 Brunswick Ave
Trenton, NJ 086384143
Phone: (609) 394-6000
Type: Location
1 Capital Way
Pennington, NJ 085342520
Phone: (609) 303-4000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $6,288.
Total Amount is formed as General ($6,288) + Research ($0) + Ownership ($0) = $6,288.
Last reported payment date: 2024-09-09 • Largest payer in this snapshot: AngioDynamics, Inc. ($5,735).
Total Amount
$6,288
General + Research + Ownership
Payments
29
Total payment records
General Amount
$6,288
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AngioDynamics, Inc. | $5,735 |
| Boston Scientific Corporation | $281 |
| Terumo Medical Corporation | $143 |
| Penumbra, Inc. | $111 |
| Inari Medical, Inc. | $17 |
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: 2025-12-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 16 Medicare enrollment records; no due dates published yet.
Enrollment records
16
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 |
|---|---|---|---|---|
| I20040212000699 | I | Interventional Radiology | PA | TBD |
| I20151022000580 | I | Interventional Radiology | NJ | TBD |
| I20160120002511 | I | Interventional Radiology | DE | TBD |
| I20210525000896 | I | Interventional Radiology | MS | TBD |
| I20210730000083 | I | Interventional Radiology | CO | TBD |
| I20211011001834 | I | Interventional Radiology | TN | TBD |
| I20220526002842 | I | Interventional Radiology | IN | TBD |
| I20221028002650 | I | Interventional Radiology | TX | TBD |
| I20221129003181 | I | Interventional Radiology | AZ | TBD |
| I20230403002219 | I | Interventional Radiology | SD | TBD |
| I20230517002017 | I | Interventional Radiology | ND | TBD |
| I20231103001307 | I | Diagnostic Radiology | CO | TBD |
| I20241016001457 | I | Interventional Radiology | IL | TBD |
| I20250121000454 | I | Interventional Radiology | GA | TBD |
| I20250519002445 | I | Interventional Radiology | HI | TBD |
| I20251212003249 | I | Interventional Radiology | AL | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,200 | 11 | $0 |
| 75774 | Review by radiologist of additional artery image | 77 | 11 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 73 | 73 | $0 |
| 36248 | Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond | 69 | 14 | $0 |
| 99153 | Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes | 44 | 14 | $0 |
Insurance plans in this area (ZIP 19718)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NJ | |
| Emergency Medicine | PA | |
| N E U R O L O G Y | NJ | |
| Certified Nurse Midwife (Cnm) | NJ | |
| Internal Medicine | NJ | |
| Physician Assistant | NJ | |
| Emergency Medicine | NJ | |
| Internal Medicine, Emergency Medicine | NJ | |
| Physician Assistant | NJ | |
| Internal Medicine | NJ |
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