Doctor profile · Federal record
Dr. Ellis Sampram, M.D, PHD
General Practice Physician (CMS: General Surgery) · Surgery Physician · Toledo, OH
- NPI 1174769186
- Accepts Medicare
- 14 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3000 Arlington Ave, MS 1095
Toledo, OH 436142595
(419) 383-6462
Credentials & registration
- NPI registered
- December 2008 — 18 yrs on file
- Profile last updated
- July 23, 2025
- Year of graduation
- 2012 — 14 yrs since
- Specialty taxonomy
- 208D00000X — NUCC code
- State license (1)
- Ohio #35-093533
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1174769186. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,956
Distinct HCPCS
10
Medicare allowed
$340,006
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99308 |
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 480 | 134 | $71 | |
11043 |
Removal of muscle and/or tissue, 20.0 sq cm or less | 451 | 87 | $219 | |
99309 |
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 430 | 137 | $102 | |
11042 |
Removal of skin and tissue, 20.0 sq cm or less | 307 | 79 | $100 | |
11043 |
Removal of muscle and/or tissue, 20.0 sq cm or less | 197 | 59 | $148 | |
99308 |
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 180 | 80 | $71 | |
11042 |
Removal of skin and tissue, 20.0 sq cm or less | 160 | 61 | $45 | |
99309 |
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 159 | 88 | $102 | |
99307 |
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 108 | 82 | $38 | |
97597 |
Removal of tissue from wound, 20.0 sq cm or less | 97 | 36 | $94 |
In context: peer comparison
Among 2 peers in Toledo General Practice Physician, average services per provider: 130. This provider delivers 23× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
102
Patients
0
Total drug cost
$8,526
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Santyl (Collagenase Clostridium Hist.) | Brand | 16 | 0 | $4,967 |
| Metoprolol Succinate | Generic | 14 | 0 | $291 |
| Amlodipine Besylate | Generic | 12 | 0 | $293 |
| Clopidogrel (Clopidogrel Bisulfate) | Brand | 12 | 0 | $710 |
| Donepezil Hcl | Generic | 12 | 0 | $847 |
| Memantine Hcl | Generic | 12 | 0 | $641 |
| Pantoprazole Sodium | Generic | 12 | 0 | $574 |
| Potassium Chloride | Generic | 12 | 0 | $203 |
Frequently asked questions
What is Dr. Ellis Sampram's medical specialty?
Dr. Ellis Sampram practices General Practice Physician in Toledo, OH.
Where does Dr. Ellis Sampram practice?
Dr. Ellis Sampram practices at 3000 Arlington Ave, Toledo, OH 436142595. Office phone: 4193836462.
What is Dr. Ellis Sampram's NPI?
Dr. Ellis Sampram's National Provider Identifier (NPI) is 1174769186, issued by NPPES.
Does Dr. Ellis Sampram accept Medicare assignment?
Yes. Dr. Ellis Sampram accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Ellis Sampram commonly perform?
Top Medicare-reported procedures in 2023: Subsequent nursing facility care with straightforward level of medical decision making (HCPCS 99308); Removal of muscle and/or tissue, 20.0 sq cm or less (HCPCS 11043); Subsequent nursing facility care with moderate level of medical decision making (HCPCS 99309). Source: CMS Medicare Physician & Other Practitioners file.