DR. ALBERT D II SAM (MD) – Vascular Surgery Physician, NPI 1396736971
Vascular Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
179 VASCULAR SURGERY in VA
Provider Addresses for DR. ALBERT D II SAM (MD)
2921 Telestar Ct Ste 140
Falls Church, VA 220421205
Phone: (301) 486-4690
Fax: (301) 441-8809
Type: Location
8316 Arlington Blvd Ste 515
Fairfax, VA 220315216
Phone: (301) 486-4690
Fax: (301) 441-8809
Type: Location
501 Park Hill Dr Ste 104
Fredericksburg, VA 224013377
Phone: (301) 486-4690
Fax: (301) 441-8809
Type: Location
PO BOX 37174
BALTIMORE, MD 212973174
Phone: (571) 423-5699
Fax: (571) 423-5698
Type: Mailing
1800 N BEAUREGARD ST STE 50
ALEXANDRIA, VA 223111735
Phone: (703) 205-7330
Fax: (703) 205-7331
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $216.
Total Amount is formed as General ($216) + Research ($0) + Ownership ($0) = $216.
Last reported payment date: 2023-06-28 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($132).
Total Amount
$216
General + Research + Ownership
Payments
2
Total payment records
General Amount
$216
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $132 |
| Cook Medical LLC | $85 |
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: 2020-05-07
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 |
|---|---|---|---|---|
| I20200309000277 | I | Vascular Surgery | DC | TBD |
| I20200507002014 | I | Vascular Surgery | VA | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 177 | 148 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 99 | 98 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 80 | 80 | $0 |
| 93922 | Ultrasound study of arm and leg arteries | 57 | 48 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 55 | 52 | $0 |
Insurance plans in this area (ZIP 22042)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | HI | |
| H E M A T O L O G Y | WA | |
| - | VIR | |
| - | IL | |
| Orthopedic Surgery | VA | |
| - | VA | |
| Diagnostic Radiology | VA | |
| General Surgery | CT | |
| - | VA | |
| N E U R O S U R G E R Y | VA |
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