DR. BLAKE PATRICK SAMPSON (M.D.) – Dermatology Physician, NPI 1588007520
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
197 DERMATOLOGY in UT
Provider Addresses for DR. BLAKE PATRICK SAMPSON (M.D.)
UNIVERSITY OF UTAH DEPARTMENT OF DERMATOLOGY
30 N 1900 E
SALT LAKE CITY, UT 841320001
Phone: (801) 581-6465
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 46 Open Payments records for all available years, with a total value of $865.
Total Amount is formed as General ($865) + Research ($0) + Ownership ($0) = $865.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($193).
Total Amount
$865
General + Research + Ownership
Payments
46
Total payment records
General Amount
$865
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $193 |
| Lilly USA, LLC | $185 |
| E.R. Squibb & Sons, L.L.C. | $129 |
| Regeneron Healthcare Solutions, Inc. | $93 |
| UCB, Inc. | $75 |
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: 2021-09-30
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 |
|---|---|---|---|---|
| I20210930002159 | I | Dermatology | MT | 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 |
|---|---|---|---|---|
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 442 | 226 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 425 | 337 | $0 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 126 | 116 | $0 |
| 13121 | Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | 94 | 84 | $0 |
| 17313 | Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks | 85 | 65 | $0 |
Insurance plans in this area (ZIP 84132)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MT | |
| - | MT | |
| D E R M A T O L O G Y | MT | |
| Physician Assistant | HI | |
| D E R M A T O L O G Y | MT | |
| Physician Assistant | GA | |
| Physician Assistant | MT | |
| Physician Assistant | MT | |
| D E R M A T O L O G Y | MT |
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