NEVINSON PRADEEP SAM (D.O.) – Pain Medicine (Anesthesiology) Physician, NPI 1497169213
Pain Medicine (Anesthesiology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
580 ANESTHESIOLOGY in OK
Provider Addresses for NEVINSON PRADEEP SAM (D.O.)
301 UNIVERSITY BLVD # 2-A
GALVESTON, TX 775550591
Phone: (409) 772-1221
Fax: (409) 772-1224
Type: Mailing
3957 E COVELL RD
EDMOND, OK 730346909
Phone: (405) 285-7246
Type: Location
10001 S WESTERN AVE STE 101
OKLAHOMA CITY, OK 731392993
Phone: (405) 286-2725
Fax: (405) 286-2724
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 153 Open Payments records for all available years, with a total value of $10,421.
Total Amount is formed as General ($10,421) + Research ($0) + Ownership ($0) = $10,421.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Boston Scientific Corporation ($3,245).
Total Amount
$10,421
General + Research + Ownership
Payments
153
Total payment records
General Amount
$10,421
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $3,245 |
| MML US, Inc. | $2,988 |
| Medtronic, Inc. | $1,467 |
| Relievant Medsystems, Inc. | $1,123 |
| Collegium Pharmaceutical, Inc. | $261 |
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: 2019-07-08
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 |
|---|---|---|---|---|
| I20190708002430 | I | Anesthesiology | OK | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 2,258 | 109 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 555 | 220 | $0 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 407 | 112 | $0 |
| J2704 | Injection, propofol, 10 mg | 296 | 43 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 225 | 134 | $0 |
Insurance plans in this area (ZIP 77555)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| - | OK | |
| - | OK | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Anesthesiology, Pain Management | OK | |
| Hand Surgery, General Surgery | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Internal Medicine, Gastroenterology | OK |
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