DR. SAMUEL K. CAUGHRON (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1538216353

DR. SAMUEL K. CAUGHRON (MD) is a healthcare provider. based in Lenexa, Kansas. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 11434 (MT). The NPI Number for DR. SAMUEL K. CAUGHRON (MD) is 1538216353

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMUEL K. CAUGHRON (MD)
NPI
1538216353
Phone
(816) 241-3338
Address
9705 LENEXA DR
Enumeration Date
4 January 2007
Last Update Date
25 August 2020

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9133968509
Graduation Year
2002 (24 years ago)
PAC ID
2062511124
Group Practice PAC ID
2668421389
Professional Enrollment ID
I20091001000253
Address ID
MO641163220KA2800XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness75
Years active:19State licenses:3Digital endpointsOther names

406 PATHOLOGY in MO

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Provider Addresses for DR. SAMUEL K. CAUGHRON (MD)

  • Brown Mackie College, 9705, Lenexa Drive, Century Estates, Lenexa, Johnson County, Kansas, 66215, United States

    LENEXA, KS 662151345

    Phone: (816) 241-3338

    Fax: (816) 936-8118

    Type: Mailing

  • 2750, Clay Edwards Drive, North Kansas City, Clay County, Missouri, 64116, United States

    SUITE 420

    N KANSAS CITY, MO 641163237

    Phone: (816) 241-3338

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 138 Open Payments records for all available years, with a total value of $114,228.

Total Amount is formed as General ($114,228) + Research ($0) + Ownership ($0) = $114,228.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Lilly USA, LLC ($40,011).

Total Amount

$114,228

General + Research + Ownership

Payments

138

Total payment records

General Amount

$114,228

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2009-10-01

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091001000253IPathologyMOTBD
I20091001000269IPathologyKSTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66215)

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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: 2668421389View full group profile
NameSpecialtyState
P A T H O L O G YMO
P A T H O L O G YNC
P A T H O L O G YMO
P A T H O L O G YTX
P A T H O L O G YMO
P A T H O L O G YLA
Pathology, HematologyNC
P A T H O L O G YMO
P A T H O L O G YTX
P A T H O L O G YKS

Reviews

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Frequently asked questions

How do payers reference DR. SAMUEL K. CAUGHRON (MD)?
For DR. SAMUEL K. CAUGHRON (MD), use NPI 1538216353 as the unique 10-digit identifier.
Is DR. SAMUEL K. CAUGHRON (MD) still an active registrant?
DR. SAMUEL K. CAUGHRON (MD) carries an active NPI according to the public dataset.
How would a patient describe DR. SAMUEL K. CAUGHRON (MD)'s focus?
For DR. SAMUEL K. CAUGHRON (MD), the primary taxonomy reads as Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. SAMUEL K. CAUGHRON (MD)?
Directory geography for DR. SAMUEL K. CAUGHRON (MD) centers on Lenexa, Kansas.
When was this NPI issued?
Enumeration for DR. SAMUEL K. CAUGHRON (MD) is noted as January 4, 2007 where the registry provides it.

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