Samuel John Kjome, MD
NPI 1336110600ActiveIndividual· Family Medicine· Apo, AE
Family Medicine (MD) in Apo, Armed Forces Europe, trained at University of Minnesota Medical School (class of 2004). 217 Medicare patients in 2024, $17,498 paid; nearly all of their 527 Part D prescriptions were generic (90%).
Overview
| NPI | 1336110600 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jan 27, 2006 |
| Last updated in NPPES | Jun 10, 2021 |
| Certified by provider | Jun 10, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 59459 | MN |
| General Practice | 208D00000X | 10065 | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 217 |
|---|---|
| Services billed | 290 across 31 procedure codes |
| Paid by Medicare | $17,498 |
Part D prescriptions in 2024
| Prescriptions (claims) | 527 · 538 30-day fills |
|---|---|
| Patients | 353 |
| Total drug cost | $13,571 |
| Generic share | 90% of claims |
Education and affiliations
| Medical school | University of Minnesota Medical School |
|---|---|
| Graduation year | 2004 |
| Medicare specialty | Family Practice |
Medical group
- Park Nicollet ClinicSt Louis Park, MN · 1,787 clinicians
Hospital affiliation
- Park Nicollet Methodist HospitalSaint Louis Park, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Family Medicine providers in Apo
- 1790280683
- 1861498545
- 1588770051
- 1073506440
- 1912975020
- 1023076825
- 1952893968
- 1710568951
- 1194714576
- 1477900066
- 1316522626
- 1144856147