SAMEH N KHOUZAM (MD) – Clinical Cardiac Electrophysiology Physician, NPI 1881696060
Clinical Cardiac Electrophysiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
218 CARDIAC ELECTROPHYSIOLOGY in OH
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Provider Addresses for SAMEH N KHOUZAM (MD)
Little York Road, Miami Villa, Huber Heights, Montgomery County, Ohio, 45414, United States
DAYTON, OH 454145803
Phone: (937) 454-9527
Fax: (937) 454-9532
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $2,489.
Total Amount is formed as General ($2,489) + Research ($0) + Ownership ($0) = $2,489.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Medtronic, Inc. ($2,318).
Total Amount
$2,489
General + Research + Ownership
Payments
23
Total payment records
General Amount
$2,489
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $2,318 |
| Biosense Webster, Inc. | $132 |
| Cook Medical LLC | $26 |
| ATRICURE, INC. | $13 |
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: 2004-06-23
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 |
|---|---|---|---|---|
| I20040623001542 | I | Cardiac Electrophysiology | OH | 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 |
|---|---|---|---|---|
| 93296 | Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days | 705 | 288 | $0 |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec | 445 | 135 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 421 | 335 | $0 |
| 93294 | Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days | 395 | 178 | $0 |
| 93297 | Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days | 279 | 108 | $0 |
Insurance plans in this area (ZIP 45414)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIAC ELECTROPHYSIOLOGY | OH | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 73 | 72 |
| CARDIAC ELECTROPHYSIOLOGY | OH | 85610 | Blood test, clotting time | 553 | 49 |
| CARDIAC ELECTROPHYSIOLOGY | OH | 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 61 | 52 |
| CARDIAC ELECTROPHYSIOLOGY | OH | 93284 | Evaluation, testing and programming adjustment of defibrillator with analysis, review and report | 18 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Geriatric Medicine, Hematology/Oncology | IL | |
| Nurse Practitioner | OH | |
| Hematology/Oncology, Internal Medicine | OH | |
| Radiation Oncology | OH | |
| Nurse Practitioner | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Orthopedic Surgery | OH | |
| Pulmonary Disease, Critical Care (Intensivists), Sleep Medicine | OH | |
| Physician Assistant | OH | |
| Hospitalist, Emergency Medicine | OH |
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