BRANDON SAM KAKOS (M.D.) – Sports Medicine (Internal Medicine) Physician, NPI 1366677437

BRANDON SAM KAKOS (M.D.) is a healthcare provider. based in Cincinnati, Ohio. specializing in SPORTS MEDICINE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 35098143 (OH). The NPI Number for BRANDON SAM KAKOS (M.D.) is 1366677437

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
BRANDON SAM KAKOS (M.D.)
NPI
1366677437
Phone
(513) 753-7488
Address
4440 Glen Este Withamsville Rd
Enumeration Date
19 May 2009
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
5991946857
Group Practice PAC ID
8921289760
Professional Enrollment ID
I20161103000893
Address ID
MI482012119DE3901XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:17State licenses:2Digital endpointsOther names

341 SPORTS MEDICINE in OH

Provider Addresses for BRANDON SAM KAKOS (M.D.)

  • 4440 Glen Este Withamsville Rd

    Cincinnati, OH 452451318

    Phone: (513) 753-7488

    Type: Location

  • Orchard Lake Road, Farmington Hills, Oakland County, Michigan, 48334, United States

    FARMINGTON HILLS, MI 483343704

    Phone: (248) 539-8638

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $129.

Total Amount is formed as General ($129) + Research ($0) + Ownership ($0) = $129.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: SPR Therapeutics, Inc ($129).

Total Amount

$129

General + Research + Ownership

Payments

1

Total payment records

General Amount

$129

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
SPR Therapeutics, Inc$129
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: 2016-11-03

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
I20161103000893ISports MedicineMITBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg22135$0
99214Established patient office or other outpatient visit, 30-39 minutes13764$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance11642$0
99213Established patient office or other outpatient visit, 20-29 minutes5541$0
99204New patient office or other outpatient visit, 45-59 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 45245)

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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: 8921289760View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YMI
-MI
Nurse PractitionerMI
Physician AssistantMI
Clinical PsychologistMI
Physician AssistantMI
-MI
Diagnostic RadiologyMI
Vascular Surgery, General SurgeryMI
Orthopedic SurgeryMI

Reviews

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Frequently asked questions

Is there an official ID for BRANDON SAM KAKOS (M.D.) in U.S. healthcare records?
The official identifier for BRANDON SAM KAKOS (M.D.) is NPI 1366677437.
Would BRANDON SAM KAKOS (M.D.) appear as active to a payer?
You can treat BRANDON SAM KAKOS (M.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with BRANDON SAM KAKOS (M.D.)?
BRANDON SAM KAKOS (M.D.)'s record emphasizes Sports Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is BRANDON SAM KAKOS (M.D.) located near Cincinnati?
BRANDON SAM KAKOS (M.D.) currently maps to Cincinnati, Ohio in this extract.
When was this NPI issued?
Enumeration for BRANDON SAM KAKOS (M.D.) is noted as May 19, 2009 where the registry provides it.

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