MRS. ELLEN ANN SAM (PA) – Physician Assistant, NPI 1740379825
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
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Provider Addresses for MRS. ELLEN ANN SAM (PA)
Southwest 40th Street, Miami, Miami-Dade County, Florida, 33133, United States
SUITE 304
MIAMI, FL 331753584
Phone: (305) 223-8808
Fax: (305) 223-8974
Type: Mailing
21150, Biscayne Boulevard, Aventura, Miami-Dade County, Florida, 33180, United States
SUITE 408
AVENTURA, FL 331801226
Phone: (305) 932-3252
Fax: (305) 932-2798
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 44 Open Payments records for all available years, with a total value of $1,262.
Total Amount is formed as General ($1,262) + Research ($0) + Ownership ($0) = $1,262.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($371).
Total Amount
$1,262
General + Research + Ownership
Payments
44
Total payment records
General Amount
$1,262
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $371 |
| Regeneron Healthcare Solutions, Inc. | $192 |
| GENZYME CORPORATION | $171 |
| Optinose US, Inc. | $114 |
| Amgen Inc. | $59 |
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: 2008-04-26
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 |
|---|---|---|---|---|
| I20080426000057 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 1,089 | 14 | $0 |
| 95024 | Test for allergy using allergenic extract injected into skin | 480 | 12 | $0 |
| 95117 | Professional service for multiple injections of allergen | 253 | 102 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 70 | 53 | $0 |
| 94010 | Test to measure expiratory airflow and volume | 31 | 22 | $0 |
Insurance plans in this area (ZIP 33175)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | FL | 95117 | Injection of incremental dosages of allergen, 2 or more injections | 34 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| A L L E R G Y/ I M M U N O L O G Y | FL | |
| Allergy/Immunology, Internal Medicine | FL | |
| Allergy/Immunology, Internal Medicine | FL | |
| Physician Assistant | FL | |
| Allergy/Immunology, Pediatric Medicine | NJ | |
| Nurse Practitioner | FL | |
| - | FL | |
| Allergy/Immunology, Pediatric Medicine | FL | |
| Allergy/Immunology, Pediatric Medicine | FL |
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