JEUNIECE SAMPSON (MD) – Family Medicine Physician, NPI 1174016372
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,100 FAMILY PRACTICE in PA
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Provider Addresses for JEUNIECE SAMPSON (MD)
1125, 7th Avenue, Mount Washington, Beaver Falls, Beaver County, Pennsylvania, 15010, United States
BEAVER FALLS, PA 150104426
Phone: (724) 773-8900
Fax: (724) 770-7947
Type: Mailing
2180 MAIN ST
WAILUKU, HI 967931625
Phone: (808) 242-6464
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $100.
Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.
Last reported payment date: 2023-09-01 • Largest payer in this snapshot: Novo Nordisk Inc ($63).
Total Amount
$100
General + Research + Ownership
Payments
5
Total payment records
General Amount
$100
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $63 |
| Horizon Therapeutics plc | $19 |
| Amgen Inc. | $18 |
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: 2021-11-16
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 |
|---|---|---|---|---|
| I20211116001714 | I | Family Practice | HI | 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 | 262 | 95 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 42 | 42 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 34 | 28 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 30 | 23 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 18 | 17 | $0 |
Insurance plans in this area (ZIP 15010)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | HI | |
| Nurse Practitioner | HI | |
| - | AR | |
| Nurse Practitioner | HI | |
| Nurse Practitioner | HI | |
| Internal Medicine, Pediatric Medicine | CA | |
| Nurse Practitioner | MA | |
| Family Practice | HI | |
| Nurse Practitioner | IL | |
| Family Practice | HI |
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