DR. GINA SAM (MD) – Gastroenterology Physician, NPI 1134387822
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,043 GASTROENTEROLOGY in NY
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Provider Addresses for DR. GINA SAM (MD)
2300 MANCHESTER EXPY STE A201
COLUMBUS, GA 319046856
Phone: (917) 513-9410
Type: Mailing
2015, Grand Concourse, The Bronx, Bronx County, New York, 10453, United States
BRONX, NY 104534303
Phone: (718) 299-7295
Type: Location
633 3rd Ave Rm 9B
New York, NY 100170091
Phone: (917) 513-9410
Type: Location
Grand Avenue, The Bronx, Bronx County, New York, 10453, United States
BRONX, NY 104534611
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $375.
Total Amount is formed as General ($375) + Research ($0) + Ownership ($0) = $375.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($232).
Total Amount
$375
General + Research + Ownership
Payments
19
Total payment records
General Amount
$375
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-04-01
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20090804000439 | I | Gastroenterology | NY | TBD |
| I20240401000213 | I | Gastroenterology | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 28 | 26 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 26 | 26 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 20 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 17 | 17 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 12 | 12 | $0 |
Insurance plans in this area (ZIP 31904)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | GA | |
| P S Y C H I A T R Y | GA | |
| - | WI | |
| Physician Assistant | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| N E U R O L O G Y | GA | |
| - | GA | |
| P S Y C H I A T R Y | GA | |
| Physician Assistant | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA |
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