SAMUEL B PEGRAM (MD) – Rheumatology Physician, NPI 1528043130
Rheumatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
504 RHEUMATOLOGY in TX
Provider Addresses for SAMUEL B PEGRAM (MD)
2000 S Mays St Ste 300
Round Rock, TX 786647580
Phone: (512) 244-4272
Fax: (512) 244-2895
Type: Location
201, South Mays Street, Mercer, Round Rock, Williamson County, Texas, 78664, United States
ROUND ROCK, TX 786647580
Phone: (512) 244-4272
Fax: (512) 244-2895
Type: Mailing
3316 WILLIAMS DR STE 150
GEORGETOWN, TX 786282891
Phone: (512) 244-4272
Fax: (512) 244-2895
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 368 Open Payments records for all available years, with a total value of $7,693.
Total Amount is formed as General ($7,693) + Research ($0) + Ownership ($0) = $7,693.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Amgen Inc. ($976).
Total Amount
$7,693
General + Research + Ownership
Payments
368
Total payment records
General Amount
$7,693
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $976 |
| ABBVIE INC. | $825 |
| Aurinia Pharma U.S., Inc. | $608 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $590 |
| UCB, Inc. | $335 |
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: 2010-12-07
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 |
|---|---|---|---|---|
| I20101207000847 | I | Rheumatology | 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 |
|---|---|---|---|---|
| J0717 | Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 49,200 | 16 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 280 | 34 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 255 | 172 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 227 | 48 | $0 |
| J3489 | Injection, zoledronic acid, 1 mg | 155 | 31 | $0 |
Insurance plans in this area (ZIP 78664)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| RHEUMATOLOGY | TX | 20610 | Aspiration and/or injection of large joint or joint capsule | 606 | 268 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| Interventional Pain Management, Anesthesiology | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| N E U R O S U R G E R Y | LA | |
| Nurse Practitioner | TX |
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