DR. SAM M ELGHOR (M.D.) – Interventional Pain Medicine Physician, NPI 1679513923

DR. SAM M ELGHOR (M.D.) is a healthcare provider. based in Sartell, Minnesota. specializing in INTERVENTIONAL PAIN MANAGEMENT. They hold the professional credentials M.D.. They hold a License No. 42871 (MN). The NPI Number for DR. SAM M ELGHOR (M.D.) is 1679513923

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAM M ELGHOR (M.D.)
NPI
1679513923
Phone
(320) 230-7788
Address
166 19TH ST SOUTH
Enumeration Date
7 June 2006
Last Update Date
28 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2182703111
Graduation Year
1983 (43 years ago)
PAC ID
0446260467
Group Practice PAC ID
8820008832
Professional Enrollment ID
I20060504000326
Address ID
MN564016984BA15620DRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

38 INTERVENTIONAL PAIN MANAGEMENT in MN

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Provider Addresses for DR. SAM M ELGHOR (M.D.)

  • 19th Street South, Sartell, Stearns County, Minnesota, 56395, United States

    #101

    SARTELL, MN 563772154

    Phone: (320) 230-7788

    Fax: (320) 230-7789

    Type: Mailing

  • 804 23RD ST S

    SARTELL, MN 563774705

    Phone: (320) 230-7788

    Fax: (320) 230-7789

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Boston Scientific Corporation ($20).

Total Amount

$37

General + Research + Ownership

Payments

2

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2006-05-04

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
I20060504000326IInterventional Pain ManagementMNTBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml31955$0
J2704Injection, propofol, 10 mg27031$0
J3010Injection, fentanyl citrate, 0.1 mg8131$0
J2250Injection, midazolam hydrochloride, per 1 mg6530$0
J1030Injection, methylprednisolone acetate, 40 mg6451$0
View full utilization report →

Insurance plans in this area (ZIP 56377)

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Provider's Procedures

DR. SAM M ELGHOR (M.D.) performs procedures in INTERVENTIONAL PAIN MANAGEMENT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL PAIN MANAGEMENTMN20610Aspiration and/or injection of large joint or joint capsule2011
INTERVENTIONAL PAIN MANAGEMENTMN64493Injections of lower or sacral spine facet joint using imaging guidance1614

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: 8820008832View full group profile
NameSpecialtyState
Pain ManagementMN
Physical Medicine And RehabilitationMN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Nurse PractitionerSD
Physician AssistantMN
Certified Registered Nurse Anesthetist (Crna)MN
Nurse PractitionerMN
-MN
Pain Management, Physical Medicine And RehabilitationMN

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. SAM M ELGHOR (M.D.)?
DR. SAM M ELGHOR (M.D.) — NPI 1679513923 — is the standard way to identify this listing.
Does the file indicate DR. SAM M ELGHOR (M.D.) is practicing under active NPI?
Directory data currently reports DR. SAM M ELGHOR (M.D.) as active.
What is DR. SAM M ELGHOR (M.D.)'s specialty?
The listing groups DR. SAM M ELGHOR (M.D.) with Interventional Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. SAM M ELGHOR (M.D.) list a practice location?
Patients near Sartell, Minnesota may find DR. SAM M ELGHOR (M.D.) in results; validate coverage separately.
Is the information about DR. SAM M ELGHOR (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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