MS. TRACY E SAMBO (MD) – Surgery Physician, NPI 1497094569
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
300 GENERAL SURGERY in KS
Provider Addresses for MS. TRACY E SAMBO (MD)
629 S. PLUMMER AVE., P.O. BOX 426
CHANUTE, KS 667200426
Phone: (620) 431-4000
Fax: (620) 431-7556
Type: Mailing
629 S. PLUMMER AVE.
CHANUTE, KS 667200426
Phone: (620) 431-4000
Fax: (620) 431-7556
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $153.
Total Amount is formed as General ($153) + Research ($0) + Ownership ($0) = $153.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Medtronic, Inc. ($112).
Total Amount
$153
General + Research + Ownership
Payments
3
Total payment records
General Amount
$153
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $112 |
| Ethicon US, LLC | $41 |
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: 2021-05-12
PECOS data refreshed: 2026-05-27
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 |
|---|---|---|---|---|
| I20171101003587 | I | General Surgery | NC | TBD |
| I20210512002084 | I | General Surgery | TX | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 29 | 29 | $0 |
Insurance plans in this area (ZIP 66720)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Pediatric Medicine | TX | |
| Family Practice, Obstetrics/Gynecology | TX | |
| Orthopedic Surgery | MS |
Reviews
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