SAM AWAN (M.D.) – Dermatology Physician, NPI 1013322858

SAM AWAN (M.D.) is a healthcare provider. based in Mckinney, Texas. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. R8151 (TX). The NPI Number for SAM AWAN (M.D.) is 1013322858

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
SAM AWAN (M.D.)
NPI
1013322858
Phone
(972) 985-9003
Address
4701 Medical Center Dr Ste 1B
Enumeration Date
30 June 2014
Last Update Date
3 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9729859003
Graduation Year
2014 (12 years ago)
PAC ID
9436478716
Group Practice PAC ID
0042464125
Professional Enrollment ID
I20181016003674
Address ID
TX750691831MC4701XDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,284 DERMATOLOGY in TX

Provider Addresses for SAM AWAN (M.D.)

  • 4701 Medical Center Dr Ste 1B

    McKinney, TX 750691831

    Phone: (972) 985-9003

    Fax: (972) 985-1176

    Type: Location

  • 5310 HARVEST HILL RD STE 290

    DALLAS, TX 752305826

    Phone: (214) 420-0650

    Fax: (214) 736-0512

    Type: Mailing

  • 5030 TENNYSON PKWY STE 100

    PLANO, TX 75024

    Phone: (972) 985-9003

    Fax: (972) 985-1176

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 513 Open Payments records for all available years, with a total value of $189,099.

Total Amount is formed as General ($189,099) + Research ($0) + Ownership ($0) = $189,099.

Last reported payment date: 2024-12-21 • Largest payer in this snapshot: Lilly USA, LLC ($155,836).

Total Amount

$189,099

General + Research + Ownership

Payments

513

Total payment records

General Amount

$189,099

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-10-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181016003674IDermatologyTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths2,275331$0
99213Established patient office or other outpatient visit, 20-29 minutes759492$0
17000Destruction of precancer skin growth, 1 growth647397$0
11102Biopsy of related skin growth, first growth441356$0
17110Destruction of skin growth, 1-14 growths278217$0
View full utilization report →

Insurance plans in this area (ZIP 75069)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042464125View full group profile
NameSpecialtyState
D E R M A T O L O G YKY
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
Physician AssistantTX

Reviews

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Frequently asked questions

Does SAM AWAN (M.D.) have a public NPI I can cite?
Public records show SAM AWAN (M.D.) under NPI 1013322858.
Is SAM AWAN (M.D.)'s NPI status active today?
Active status means SAM AWAN (M.D.)'s NPI record is not deactivated in the public file.
How should patients interpret SAM AWAN (M.D.)'s specialty?
The extract shows Dermatology Physician for SAM AWAN (M.D.). Clinical services aligned with this taxonomy classification.
Which community is linked to SAM AWAN (M.D.)?
SAM AWAN (M.D.) shows a connection to Mckinney, Texas in registry-derived data.
Can I export SAM AWAN (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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