DR. MITZI JEAN SAMPSON (M.D.) – Family Medicine Physician, NPI 1548256472
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,174 FAMILY PRACTICE in VA
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Provider Addresses for DR. MITZI JEAN SAMPSON (M.D.)
2301, Fall Hill Avenue, Elmhurst, Fredericksburg, Virginia, 22401, United States
SUITE 302
FREDERICKSBURG, VA 224013349
Phone: (540) 370-4370
Type: Mailing
211 PARK HILL DR STE B
FREDERICKSBURG, VA 224013361
Phone: (540) 370-4370
Fax: (549) 370-4331
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $435.
Total Amount is formed as General ($435) + Research ($0) + Ownership ($0) = $435.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Astellas Pharma US Inc ($125).
Total Amount
$435
General + Research + Ownership
Payments
17
Total payment records
General Amount
$435
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $125 |
| PFIZER INC. | $62 |
| Lilly USA, LLC | $53 |
| ABBVIE INC. | $28 |
| E.R. Squibb & Sons, L.L.C. | $25 |
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: 2010-07-06
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 |
|---|---|---|---|---|
| I20100706000035 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 224 | 90 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 116 | 73 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 45 | 31 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 41 | 41 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 34 | 34 | $0 |
Insurance plans in this area (ZIP 22401)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | VA | 81002 | Urinalysis, manual test | 35 | 20 |
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