DR. DENNIS JR. SAMUEL (MD) – Obstetrics & Gynecology Physician, NPI 1932102944
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 DR. DENNIS JR. SAMUEL (MD)
Kingsport, Sullivan County, Tennessee, United States of America
KINGSPORT, TN 376620009
Phone: (423) 857-2066
Fax: (423) 857-2070
Type: Mailing
Steeles Road, Bristol, Sullivan County, Tennessee, 37620, United States of America
BRISTOL, TN 376209532
Phone: (423) 844-4925
Fax: (423) 844-4933
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $748.
Total Amount is formed as General ($748) + Research ($0) + Ownership ($0) = $748.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($234).
Total Amount
$748
General + Research + Ownership
Payments
41
Total payment records
General Amount
$748
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $234 |
| Astellas Pharma US Inc | $145 |
| PFIZER INC. | $63 |
| ABBVIE INC. | $61 |
| SHIELD THERAPEUTICS INC | $52 |
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: 2023-09-19
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 |
|---|---|---|---|---|
| I20040902000536 | I | Obstetrics/Gynecology | TN | TBD |
| I20230919001087 | I | Obstetrics/Gynecology | VA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 66 | 55 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 35 | 35 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 29 | 29 | $0 |
| 81003 | Automated urinalysis test | 15 | 14 | $0 |
| 76830 | Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | 13 | 13 | $0 |
Insurance plans in this area (ZIP 37662)
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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 | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TN | |
| G A S T R O E N T E R O L O G Y | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Physician Assistant | TN | |
| Family Practice | VA | |
| - | TN |
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