Kenneth M. Sample, M.D.
NPI 1205800596ActiveIndividual· Surgery· Camp Lejeune, NC
Surgery (M.D.) in Camp Lejeune, North Carolina, licensed in KY, IN and VA, with an NPI issued in February 2006.
Overview
| NPI | 1205800596 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Feb 14, 2006 |
| Last updated in NPPES | Feb 12, 2020 |
| Certified by provider | Feb 12, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 24465 | KY |
| Surgery | 208600000X | 01053054A | IN |
| Surgery | 208600000X | 0101253264 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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