ASHWATH JONATHAN SAMPATH (MD) – Dermatology Physician, NPI 1003470832
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
337 DERMATOLOGY in MO
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Provider Addresses for ASHWATH JONATHAN SAMPATH (MD)
12, South Grand Boulevard, Midtown, City of Saint Louis, Missouri, 63103, United States
SAINT LOUIS, MO 631041004
Phone: (314) 577-8762
Fax: (314) 268-5108
Type: Mailing
3660, Vista Avenue, Tiffany, City of Saint Louis, Missouri, 63110, United States
SAINT LOUIS, MO 631102540
Phone: (314) 977-6100
Fax: (314) 977-6164
Type: Location
3660 Vista Ave
Saint Louis, MO 631102540
Phone: (314) 977-6100
Fax: (314) 977-6164
Type: Location
14343 White Birch Valley Ln
Chesterfield, MO 630172413
Phone: (314) 809-7028
Type: Location
410 MARKET ST STE 400
CHAPEL HILL, NC 275164061
Phone: (984) 974-3839
Fax: (984) 974-3692
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 44 Open Payments records for all available years, with a total value of $1,358.
Total Amount is formed as General ($1,358) + Research ($0) + Ownership ($0) = $1,358.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Janssen Biotech, Inc. ($317).
Total Amount
$1,358
General + Research + Ownership
Payments
44
Total payment records
General Amount
$1,358
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $317 |
| Janssen Scientific Affairs, LLC | $262 |
| UCB, Inc. | $146 |
| PFIZER INC. | $132 |
| Lilly USA, LLC | $101 |
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: 2025-07-08
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 |
|---|---|---|---|---|
| I20240729003683 | I | Dermatology | IL | TBD |
| I20250708001779 | I | Dermatology | MO | 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 63104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | DC | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| Internal Medicine | MO | |
| - | MO | |
| P S Y C H I A T R Y | MO | |
| P S Y C H I A T R Y | MO | |
| Orthopedic Surgery | MO | |
| Orthopedic Surgery | PA | |
| P S Y C H I A T R Y | MO | |
| Orthopedic Surgery | TN |
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