SAMUEL V LEWIS (M.D.) – Obstetrics & Gynecology Physician, NPI 1386649119
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
898 OBSTETRICS/GYNECOLOGY in TN
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Provider Addresses for SAMUEL V LEWIS (M.D.)
Johnson City Pediatrics, 301, Med Tech Parkway, Johnson City, Washington County, Tennessee, 37604, United States
STE 200
JOHNSON CITY, TN 376042364
Phone: (423) 794-1300
Fax: (423) 794-1820
Type: Location
PO BOX 632476
CINCINNATI, OH 452632476
Phone: (423) 794-1300
Fax: (423) 794-1820
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 55 Open Payments records for all available years, with a total value of $1,057.
Total Amount is formed as General ($1,057) + Research ($0) + Ownership ($0) = $1,057.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Astellas Pharma US Inc ($300).
Total Amount
$1,057
General + Research + Ownership
Payments
55
Total payment records
General Amount
$1,057
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $300 |
| Sumitomo Pharma America, Inc. | $194 |
| Daiichi Sankyo Inc. | $112 |
| MAYNE PHARMA COMMERCIAL LLC | $103 |
| Axonics, Inc. | $77 |
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: 2004-07-16
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 |
|---|---|---|---|---|
| I20040716000373 | I | Obstetrics/Gynecology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 166 | 166 | $0 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 159 | 159 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 87 | 68 | $0 |
| 76830 | Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | 32 | 29 | $0 |
| 81002 | Urinalysis, manual test | 24 | 22 | $0 |
Insurance plans in this area (ZIP 37604)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OBSTETRICS/GYNECOLOGY | TN | 76830 | Ultrasound pelvis through vagina | 22 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| Nurse Practitioner | VA | |
| Internal Medicine | OH | |
| Internal Medicine | OH | |
| - | TN | |
| - | TN | |
| - | TN | |
| Diagnostic Radiology | TN | |
| - | TN | |
| - | TN |
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