SAMUEL SCROGGINS (DMD) – Oral and Maxillofacial Surgery (Dentist), NPI 1487742375
Oral and Maxillofacial Surgery (Dentist)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
34 ORAL SURGERY in VA
Provider Addresses for SAMUEL SCROGGINS (DMD)
3580 KEAGY RD SW
ROANOKE, VA 240181152
Phone: (540) 989-5257
Fax: (540) 989-5259
Type: Mailing
54, South Medical Park Drive, Fishersville, Augusta County, Virginia, 22939, United States
FISHERSVILLE, VA 229392333
Phone: (540) 886-2956
Fax: (540) 886-2284
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $383.
Total Amount is formed as General ($383) + Research ($0) + Ownership ($0) = $383.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Keystone Dental Inc. ($344).
Total Amount
$383
General + Research + Ownership
Payments
6
Total payment records
General Amount
$383
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Keystone Dental Inc. | $344 |
| BioHorizons Implant Systems Inc. | $40 |
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: 2013-08-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1014 days ago).
Enrollment records
1
Earliest due date
2023-08-31
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 |
|---|---|---|---|---|
| I20130803000169 | I | Oral Surgery | VA | 2023-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 24018)
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