JONMICHAEL SAMSEL (DO) – Dermatology Physician, NPI 1003492653
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
293 DERMATOLOGY in TN
Provider Addresses for JONMICHAEL SAMSEL (DO)
2300 W STONE DR
KINGSPORT, TN 376602360
Phone: (423) 246-4961
Fax: (423) 245-3136
Type: Mailing
2885 Boones Creek Rd
Johnson City, TN 376158002
Phone: (423) 928-9014
Fax: (423) 245-3136
Type: Location
3700 S MAIN ST
BLACKSBURG, VA 240607017
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 87 Open Payments records for all available years, with a total value of $2,162.
Total Amount is formed as General ($2,162) + Research ($0) + Ownership ($0) = $2,162.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($783).
Total Amount
$2,162
General + Research + Ownership
Payments
87
Total payment records
General Amount
$2,162
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $783 |
| Lilly USA, LLC | $247 |
| Janssen Biotech, Inc. | $202 |
| UCB, Inc. | $106 |
| SANOFI-AVENTIS U.S. LLC | $90 |
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: 2025-06-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230314001853 | I | General Practice | VA | TBD |
| I20250605002161 | I | Dermatology | TN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 37660)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | VA | |
| D E R M A T O L O G Y | TN | |
| D E R M A T O L O G Y | TN | |
| - | TN | |
| D E R M A T O L O G Y | TN | |
| D E R M A T O L O G Y | TN | |
| Nurse Practitioner | TN | |
| D E R M A T O L O G Y | TN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.