HAKEEM SAM (MD, PHD) – Dermatology Physician, NPI 1134315971
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
808 DERMATOLOGY in PA
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Provider Addresses for HAKEEM SAM (MD, PHD)
Meadville Medical Center Grove Street, 1034, Grove Street, Neason Hill, Meadville, Crawford County, Pennsylvania, 16335, United States
MEADVILLE, PA 163352945
Phone: (814) 333-3939
Fax: (814) 333-5640
Type: Mailing
Shadyside Place, 580, South Aiken Avenue, Shadyside, Pittsburgh, Allegheny County, Pennsylvania, 15232, United States
PITTSBURGH, PA 152321531
Phone: (412) 681-1072
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $440.
Total Amount is formed as General ($440) + Research ($0) + Ownership ($0) = $440.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Organogenesis Inc. ($79).
Total Amount
$440
General + Research + Ownership
Payments
17
Total payment records
General Amount
$440
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $79 |
| ABBVIE INC. | $75 |
| Janssen Biotech, Inc. | $72 |
| Kerecis Limited | $45 |
| Novartis Pharmaceuticals Corporation | $44 |
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: 2007-10-10
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 |
|---|---|---|---|---|
| I20071010000028 | I | Dermatology | PA | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 194 | 162 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 92 | 60 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 67 | 67 | $0 |
| 12052 | Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm | 31 | 29 | $0 |
| 12051 | Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less | 24 | 23 | $0 |
Insurance plans in this area (ZIP 16335)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | PA | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | PA | |
| Clinical Psychologist | PA | |
| Nurse Practitioner | PA | |
| Family Practice | PA | |
| Diagnostic Radiology | PA | |
| Medical Oncology, Hematology, Internal Medicine | PA | |
| H E M A T O L O G Y | PA | |
| Nurse Practitioner | PA | |
| Clinical Social Worker | PA | |
| Hospitalist, Internal Medicine | NY |
Reviews
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