DR. SAMUEL L DANDAR (M.D.) – Family Medicine Physician, NPI 1306840012

DR. SAMUEL L DANDAR (M.D.) is a healthcare provider. based in Leavenworth, Kansas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 35072819 (OH). The NPI Number for DR. SAMUEL L DANDAR (M.D.) is 1306840012

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMUEL L DANDAR (M.D.)
NPI
1306840012
Phone
(913) 651-6565
Address
1001 6TH AVE
Enumeration Date
9 June 2005
Last Update Date
18 February 2020

Doctor Profile

Medical School Name
UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Secondary Phone
8169324630
Graduation Year
1995 (31 years ago)
PAC ID
4789600388
Group Practice PAC ID
3577476894
Professional Enrollment ID
I20061228000193
Address ID
KS662074030OV4061XPKWY400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:21State licenses:2Digital endpointsOther names

1,421 FAMILY PRACTICE in KS

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Provider Addresses for DR. SAMUEL L DANDAR (M.D.)

  • 1001, 6th Avenue, Leavenworth, Leavenworth County, Kansas, 66048, United States

    STE 320

    LEAVENWORTH, KS 660483248

    Phone: (913) 651-6565

    Fax: (913) 772-8806

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-04-25 • Largest payer in this snapshot: ABBVIE INC. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$15
View all Open Payments →|Open Payments Risk Radar →

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: 2006-12-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061228000193IFamily PracticeKSTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes364232$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit157157$0
99215Established patient office or other outpatient visit, 40-54 minutes134104$0
G0444Annual depression screening, 5 to 15 minutes120120$0
83036Hemoglobin a1c level9585$0
View full utilization report →

Insurance plans in this area (ZIP 66048)

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Provider's Procedures

DR. SAMUEL L DANDAR (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEKS81002Urinalysis, manual test2820

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577476894View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineMO
Diagnostic RadiologyMO
Nurse PractitionerMO
Internal MedicineMO
Cardiovascular Disease (Cardiology)KS
Family PracticeMO
Hospitalist, Internal MedicineMO
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO
-MO

Reviews

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Frequently asked questions

Can I cross-check DR. SAMUEL L DANDAR (M.D.) using NPI 1306840012?
NPI 1306840012 belongs to DR. SAMUEL L DANDAR (M.D.); compare other details if you need extra assurance.
Is DR. SAMUEL L DANDAR (M.D.) still an active registrant?
DR. SAMUEL L DANDAR (M.D.) carries an active NPI according to the public dataset.
What kind of doctor is DR. SAMUEL L DANDAR (M.D.)?
DR. SAMUEL L DANDAR (M.D.) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. SAMUEL L DANDAR (M.D.) located near Leavenworth?
DR. SAMUEL L DANDAR (M.D.) currently maps to Leavenworth, Kansas in this extract.
When was this NPI issued?
Enumeration for DR. SAMUEL L DANDAR (M.D.) is noted as June 9, 2005 where the registry provides it.

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