MICHAEL A SAMOTOWKA (MD) – Surgery Physician, NPI 1437124021
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,092 GENERAL SURGERY in GA
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Provider Addresses for MICHAEL A SAMOTOWKA (MD)
Columbus Post Office, 5th Street, Columbus, Bartholomew County, Indiana, 47201, United States
COLUMBUS, GA 319021038
Phone: (706) 649-6600
Fax: (706) 649-6614
Type: Mailing
McDonald's, 1000, Johnson Ferry Road Northeast, Ridgeview Forest, Atlanta, Fulton County, Georgia, 30346, United States
ATLANTA, GA 303421606
Phone: (404) 851-8000
Fax: (404) 303-3759
Type: Location
300 N Graham St Ste 125
Portland, OR 972271683
Phone: (503) 413-3714
Type: Location
1000 N Oak Ave
Marshfield, WI 544495703
Phone: (715) 387-5511
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-12-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20120525000456 | I | Critical Care (Intensivists) | AL | TBD |
| I20151229001823 | I | General Surgery | GA | TBD |
| I20180215000051 | I | Critical Care (Intensivists) | FL | TBD |
| I20240510000926 | I | General Surgery | NC | TBD |
| I20251006002877 | I | General Surgery | ND | TBD |
| I20251217001614 | I | General Surgery | OR | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31902)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | MT | |
| Internal Medicine | OR | |
| Internal Medicine | OR | |
| Hospitalist, Family Practice, Family Practice | CO | |
| Psychiatry, Neurology | NH | |
| Internal Medicine | FL | |
| - | NY | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | OR | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | CA | |
| Internal Medicine | OR |
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