DR. SAMUEL WINFRED PERSON (D.P.M.) – Primary Podiatric Medicine Podiatrist, NPI 1154324879

DR. SAMUEL WINFRED PERSON (D.P.M.) is a healthcare provider. based in Petersburg, Virginia. specializing in Primary Podiatric Medicine Podiatrist. They hold the professional credentials D.P.M.. They hold a License No. 0103000377 (VA). The NPI Number for DR. SAMUEL WINFRED PERSON (D.P.M.) is 1154324879

Main info

Male
Sole Proprietor
57 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMUEL WINFRED PERSON (D.P.M.)
NPI
1154324879
Phone
(804) 732-1211
Address
2020 WAKEFIELD AVE
Enumeration Date
27 May 2005
Deactivation Date
17 March 2006
Reactivation Date
22 March 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
-
Graduation Year
1969 (57 years ago)
PAC ID
2163587262
Professional Enrollment ID
I20090224000119
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for DR. SAMUEL WINFRED PERSON (D.P.M.)

  • Peters Close, North Elmsall, Wakefield, West Yorkshire, Yorkshire and the Humber, England, WF9 1GH, United Kingdom

    PETERSBURG, VA 238052112

    Phone: (804) 732-1211

    Fax: (804) 733-5946

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-02-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090224000119IPodiatryVATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes974370$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes17683$0
11055Removal of noncancer thickened skin growth, 1 growth10462$0
99203New patient office or other outpatient visit, 30-44 minutes9696$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes8444$0
View full utilization report →

Insurance plans in this area (ZIP 23805)

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Reviews

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Frequently asked questions

What NPI should I save for DR. SAMUEL WINFRED PERSON (D.P.M.)?
Save NPI 1154324879 if you need a stable reference for DR. SAMUEL WINFRED PERSON (D.P.M.).
Is DR. SAMUEL WINFRED PERSON (D.P.M.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. SAMUEL WINFRED PERSON (D.P.M.)?
The page reflects Primary Podiatric Medicine Podiatrist for DR. SAMUEL WINFRED PERSON (D.P.M.). Clinical services aligned with this taxonomy classification.
Does DR. SAMUEL WINFRED PERSON (D.P.M.) practice in Virginia?
You will see Petersburg, Virginia on file for DR. SAMUEL WINFRED PERSON (D.P.M.) alongside any extra practice locations.
Is DR. SAMUEL WINFRED PERSON (D.P.M.) a real provider?
This page reflects official NPPES data for NPI 1154324879. Always confirm identity and privileges with the practice and licensing boards.

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