DR. IVAN ALFONSO SAMCAM (MD) – Interventional Pain Medicine Physician, NPI 1194131730
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
671 PAIN MANAGEMENT in FL
Provider Addresses for DR. IVAN ALFONSO SAMCAM (MD)
1600 SW ARCHER RD #100186
GAINESVILLE, FL 326103001
Phone: (352) 265-5911
Type: Mailing
6640 78TH AVE N STE A
PINELLAS PARK, FL 33781
Phone: (727) 518-8662
Fax: (727) 518-8662
Type: Location
3451 PINE RIDGE RD BLDG 601
NAPLES, FL 341093922
Phone: (239) 449-3072
Fax: (877) 334-1886
Type: Mailing
877 111TH AVE N STE 1
NAPLES, FL 341081853
Phone: (239) 594-8002
Fax: (877) 334-1886
Type: Location
6101 PINE RIDGE RD STE 101
NAPLES, FL 341193900
Phone: (239) 449-3072
Fax: (877) 334-1886
Type: Mailing
6770 IMMOKALEE ROAD
SUITE 111
NAPLES, FL 34119
Phone: (239) 594-8002
Fax: (877) 334-1886
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 258 Open Payments records for all available years, with a total value of $6,731.
Total Amount is formed as General ($6,731) + Research ($0) + Ownership ($0) = $6,731.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: ABBVIE INC. ($659).
Total Amount
$6,731
General + Research + Ownership
Payments
258
Total payment records
General Amount
$6,731
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $659 |
| PAINTEQ LLC | $647 |
| Eisai Inc. | $311 |
| Octapharma USA, Inc. | $305 |
| Medtronic, Inc. | $297 |
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: 2017-07-27
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 |
|---|---|---|---|---|
| I20170727001246 | I | Pain Management | FL | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 4,096 | 263 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 673 | 114 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 576 | 334 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 460 | 460 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 337 | 228 | $0 |
Insurance plans in this area (ZIP 32610)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | FL | |
| Internal Medicine | MA | |
| Family Practice | MN | |
| Family Practice | GA | |
| - | CA | |
| Pain Management | GA | |
| Internal Medicine | MA | |
| - | OH | |
| Internal Medicine | MA | |
| Orthopedic Surgery | FL |
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