ALEXIS RUFFOLO SAMPATH (MD) – Plastic Surgery Physician, NPI 1639738644
Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
282 PLASTIC AND RECONSTRUCTIVE SURGERY in IL
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Provider Addresses for ALEXIS RUFFOLO SAMPATH (MD)
PO BOX 19653
SPRINGFIELD, IL 627949653
Phone:
Type: Mailing
747, North Rutledge Street, Springfield, Sangamon County, Illinois, 62702, United States
SPRINGFIELD, IL 627026700
Phone: (217) 545-6112
Type: Location
4801 W 135TH ST
LEAWOOD, KS 662248901
Phone: (913) 663-3838
Fax: (913) 663-4434
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $476.
Total Amount is formed as General ($476) + Research ($0) + Ownership ($0) = $476.
Last reported payment date: 2024-09-26 • Largest payer in this snapshot: ABBVIE INC. ($312).
Total Amount
$476
General + Research + Ownership
Payments
8
Total payment records
General Amount
$476
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $312 |
| Endo Pharmaceuticals Inc. | $123 |
| DePuy Synthes Sales Inc. | $30 |
| Kerecis Limited | $11 |
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: 2026-01-13
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 |
|---|---|---|---|---|
| I20260113003644 | I | Plastic And Reconstructive Surgery | KS | 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 62794)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Plastic And Reconstructive Surgery | KS | |
| Hand Surgery, Plastic And Reconstructive Surgery | KS | |
| General Surgery, Plastic And Reconstructive Surgery | PA | |
| Plastic And Reconstructive Surgery | KS | |
| Plastic And Reconstructive Surgery, Hand Surgery | KS | |
| Plastic And Reconstructive Surgery, General Surgery | KS |
Reviews
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