SAM N. KUCHINKA (M.D.) – Ophthalmology Physician, NPI 1639412000
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
444 OPHTHALMOLOGY in MO
Provider Addresses for SAM N. KUCHINKA (M.D.)
1755 S Grand Blvd
Saint Louis, MO 631041540
Phone: (314) 256-3240
Type: Location
MEMORIAL MEDICAL CENTER
1615 MAPLE LANE
ASHLAND, WI 54806
Phone: (715) 685-5500
Fax: (715) 682-4022
Type: Mailing
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 $43.
Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.
Last reported payment date: 2024-01-31 • Largest payer in this snapshot: ABBVIE INC. ($25).
Total Amount
$43
General + Research + Ownership
Payments
2
Total payment records
General Amount
$43
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $25 |
| Alcon Vision LLC | $19 |
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: 2025-11-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20170718001568 | I | Ophthalmology | WI | TBD |
| I20231006002512 | I | Ophthalmology | MI | TBD |
| I20251120002701 | I | Ophthalmology | 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.
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 | 38 | 35 | $0 |
| 92134 | Imaging of retina | 36 | 27 | $0 |
| 92133 | Imaging of optic nerve | 16 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 14 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 63104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MN | |
| O P H T H A L M O L O G Y | MI | |
| O P H T H A L M O L O G Y | MN | |
| - | MN | |
| O P T O M E T R Y | MN |
Reviews
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