SAM SEUNGHAE AHN (MD) – Vascular Surgery Physician, NPI 1497783831
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
492 VASCULAR SURGERY in TX
Provider Addresses for SAM SEUNGHAE AHN (MD)
2801 Bolton Boone Dr Ste 105
DeSoto, TX 751152041
Phone: (214) 946-5165
Fax: (972) 296-2522
Type: Location
1082, Glendon Avenue, Westwood Village, Westwood, Los Angeles, Los Angeles County, California, 90024, United States
LOS ANGELES, CA 900242908
Phone: (310) 209-2011
Fax: (310) 209-2113
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $5,041.
Total Amount is formed as General ($5,041) + Research ($0) + Ownership ($0) = $5,041.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ASAHI INTECC USA, INC. ($2,696).
Total Amount
$5,041
General + Research + Ownership
Payments
26
Total payment records
General Amount
$5,041
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ASAHI INTECC USA, INC. | $2,696 |
| Koya Medical, Inc. | $608 |
| CORDIS US CORP. | $375 |
| Endologix LLC | $285 |
| ASAHI INTECC CO., LTD. | $216 |
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: 2006-10-03
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 |
|---|---|---|---|---|
| I20060328000465 | I | Vascular Surgery | CA | TBD |
| I20061003000206 | I | Vascular Surgery | TX | 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 |
|---|---|---|---|---|
| 37253 | Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel | 225 | 38 | $0 |
| 93925 | Ultrasound of leg arteries or artery grafts | 151 | 95 | $0 |
| 99153 | Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes | 150 | 27 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 135 | 88 | $0 |
| 93922 | Ultrasound study of arm and leg arteries | 134 | 101 | $0 |
Insurance plans in this area (ZIP 75115)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery, General Surgery | TX | |
| General Surgery | TX | |
| Internal Medicine, Vascular Surgery | TX | |
| Vascular Surgery, General Surgery | TX | |
| - | TX |
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