DR. SAMANTHA LUCI LEONARD-NDOMB (M.D.) – Surgery Physician, NPI 1689016354
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,444 GENERAL SURGERY in MI
Provider Addresses for DR. SAMANTHA LUCI LEONARD-NDOMB (M.D.)
715 S HEALTH PKWY
THREE RIVERS, MI 490938352
Phone: (269) 273-8471
Fax: (269) 273-9680
Type: Mailing
555 Linn St
Allegan, MI 490101524
Phone: (269) 686-4907
Type: Location
400 E 3RD ST
DULUTH, MN 558051951
Phone: (218) 786-8364
Type: Mailing
4572 COUNTY ROAD 61
MOOSE LAKE, MN 557679401
Phone: (218) 485-2015
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $11,660.
Total Amount is formed as General ($11,660) + Research ($0) + Ownership ($0) = $11,660.
Last reported payment date: 2024-10-18 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($11,218).
Total Amount
$11,660
General + Research + Ownership
Payments
16
Total payment records
General Amount
$11,660
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $11,218 |
| Davol Inc. | $442 |
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: 2023-06-07
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 |
|---|---|---|---|---|
| I20230607003212 | I | General Surgery | MN | 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 49093)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Family Practice | MN | |
| Family Practice | MN | |
| Family Practice | WI | |
| Family Practice | AK | |
| General Surgery | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Nurse Practitioner | MN | |
| Family Practice | ID | |
| Family Practice | NE |
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