JESSE D SAMMON (D.O.) – Urology Physician, NPI 1962639062
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
66 UROLOGY in ME
Loading map...
Provider Addresses for JESSE D SAMMON (D.O.)
Route 1, Oak Hill, Cumberland County, Maine, 04074, United States
SCARBOROUGH, ME 040749701
Phone: (207) 396-8600
Fax: (207) 396-8632
Type: Mailing
100, Brickhill Avenue, South Portland Gardens, South Portland, Cumberland County, Maine, 04106, United States
SOUTH PORTLAND, ME 041061999
Phone: (207) 773-1728
Fax: (207) 773-8153
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $371.
Total Amount is formed as General ($371) + Research ($0) + Ownership ($0) = $371.
Last reported payment date: 2024-03-01 • Largest payer in this snapshot: PROCEPT BioRobotics Corporation ($165).
Total Amount
$371
General + Research + Ownership
Payments
3
Total payment records
General Amount
$371
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PROCEPT BioRobotics Corporation | $165 |
| KOELIS Inc. | $141 |
| ABBVIE INC. | $65 |
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: 2016-09-19
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 |
|---|---|---|---|---|
| I20160919001550 | I | Urology | ME | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 60 | 56 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 54 | 46 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 38 | 38 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 32 | 31 | $0 |
| 76942 | Ultrasonic guidance for needle placement | 27 | 27 | $0 |
Insurance plans in this area (ZIP 04074)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| - | ME | |
| - | ME | |
| - | ME | |
| - | ME | |
| Family Practice, Hospice/Palliative Care | ME | |
| Pediatric Medicine, Endocrinology | MA | |
| - | ME | |
| Family Practice | ME | |
| Nurse Practitioner | ME |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.