SAMUEL BELKNAP – Urology Physician, NPI 1073957783
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
362 UROLOGY in GA
Provider Addresses for SAMUEL BELKNAP
2142 W BROAD ST BLDG 200
ATHENS, GA 306063509
Phone: (706) 612-9401
Fax: (706) 612-9420
Type: Mailing
2142 W BROAD ST STE 200
ATHENS, GA 30606
Phone: (706) 612-9401
Fax: (706) 612-9420
Type: Location
1150 GOLDEN WAY
WATKINSVILLE, GA 306777712
Phone: (706) 612-9401
Fax: (706) 612-9420
Type: Location
644 N Chase St Ste 105
Athens, GA 306011960
Phone: (706) 612-9401
Fax: (706) 612-9420
Type: Location
930 Franklin Springs St
Royston, GA 306623908
Phone: (706) 612-9401
Fax: (706) 612-9420
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 80 Open Payments records for all available years, with a total value of $1,884.
Total Amount is formed as General ($1,884) + Research ($0) + Ownership ($0) = $1,884.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Dendreon Pharmaceuticals LLC ($205).
Total Amount
$1,884
General + Research + Ownership
Payments
80
Total payment records
General Amount
$1,884
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dendreon Pharmaceuticals LLC | $205 |
| Teleflex LLC | $141 |
| Sumitomo Pharma America, Inc. | $141 |
| PROCEPT BioRobotics Corporation | $121 |
| ABBVIE INC. | $106 |
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: 2018-09-27
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 |
|---|---|---|---|---|
| I20180927002567 | I | Urology | GA | 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 |
|---|---|---|---|---|
| J9030 | Bcg live intravesical instillation, 1 mg | 1,445 | 11 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 523 | 358 | $0 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 492 | 286 | $0 |
| 81003 | Automated urinalysis test | 478 | 280 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 465 | 286 | $0 |
Insurance plans in this area (ZIP 30606)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| U R O L O G Y | GA | |
| Nurse Practitioner | GA | |
| U R O L O G Y | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| U R O L O G Y | GA | |
| U R O L O G Y | GA | |
| Nurse Practitioner | GA |
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