Doctor profile · Federal record
Dr. Kenneth Sample, MD
Internal Medicine Physician (CMS: Internal Medicine) · Gravette, AR
- NPI 1699358960
- Accepts Medicare
- 5 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
1101 Jackson St Sw
Gravette, AR 727369121
(479) 787-5221
fax (479) 787-5613 - Additional location
-
920 Madison Ave Ste 447
Memphis, TN 381033438
(901) 448-5814 - Additional location
-
346 N Main St
Decatur, AR 727229732
(479) 752-3233
fax (479) 752-3235
Credentials & registration
- NPI registered
- May 2021 — 5 yrs on file
- Profile last updated
- August 5, 2024
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Arkansas #E-18299
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1699358960. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$150
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Organon Llc | 1 | $149.54 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
67
Patients
17
Total drug cost
$26,396
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 24 | 17 | $460 |
| Amlodipine Besylate | Generic | 17 | 0 | $166 |
| Jardiance (Empagliflozin) | Brand | 14 | 0 | $25,727 |
| Hydrochlorothiazide | Generic | 12 | 0 | $43 |
Hospital affiliations
Frequently asked questions
What is Dr. Kenneth Sample's medical specialty?
Dr. Kenneth Sample practices Internal Medicine Physician in Gravette, AR.
Where does Dr. Kenneth Sample practice?
Dr. Kenneth Sample practices at 1101 Jackson St Sw, Gravette, AR 727369121. Office phone: 4797875221.
What is Dr. Kenneth Sample's NPI?
Dr. Kenneth Sample's National Provider Identifier (NPI) is 1699358960, issued by NPPES.
Does Dr. Kenneth Sample accept Medicare assignment?
Yes. Dr. Kenneth Sample accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.