DR. PRAVEEN KUMAR SAMPATH (MD) – Gastroenterology Physician, NPI 1023348299
Gastroenterology Physician
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Profile Insights
NPPES metrics only — not quality of care.
978 GASTROENTEROLOGY in IL
Provider Addresses for DR. PRAVEEN KUMAR SAMPATH (MD)
4101 PERCHERON BND
CEDAR PARK, TX 786137881
Phone: (716) 907-1096
Fax: (512) 324-4332
Type: Mailing
2160 S 1ST AVE
MAYWOOD, IL 601533328
Phone: (708) 216-9000
Type: Location
PO BOX 80032
AUSTIN, TX 787080032
Phone: (512) 837-6000
Fax: (512) 837-6001
Type: Mailing
12201 RENFERT WAY STE 315
AUSTIN, TX 78758
Phone: (512) 837-6000
Fax: (512) 837-6001
Type: Location
810 Ainsworth Dr Ste A
Prescott, AZ 863011612
Phone: (928) 771-5548
Fax: (928) 771-5549
Type: Location
404 Lincoln Dr
Herrin, IL 629483789
Phone: (618) 993-0056
Fax: (618) 993-0752
Type: Location
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 $111.
Total Amount is formed as General ($111) + Research ($0) + Ownership ($0) = $111.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Boston Scientific Corporation ($86).
Total Amount
$111
General + Research + Ownership
Payments
5
Total payment records
General Amount
$111
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $86 |
| ABBVIE INC. | $25 |
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: 2023-06-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20140204000528 | I | Gastroenterology | FL | TBD |
| I20150609001266 | I | Gastroenterology | TX | TBD |
| I20180814003958 | I | Gastroenterology | AZ | TBD |
| I20230630002034 | I | Gastroenterology | IL | 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 |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 148 | 144 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 131 | 122 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 95 | 95 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 83 | 65 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 57 | 47 | $0 |
Insurance plans in this area (ZIP 78613)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Family Practice | IL | |
| Internal Medicine | IL | |
| Hospitalist, Gastroenterology, Gastroenterology | TX | |
| General Surgery | IL | |
| - | IL | |
| General Surgery | IL | |
| Family Practice | IL | |
| - | IL | |
| - | IL |
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