Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMUEL KOGAN MD/PHD
NPI 1679100697
Plastic Surgery in Mooresville, NC

Q: What is Samuel Kogan's NPI number?

The NPI number for Samuel Kogan is 1679100697. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Q: What is Samuel Kogan's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Kogan was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 27, 2020PECOS Enrolled

170 MEDICAL PARK RD STE 210, MOORESVILLE, NC 28117(704) 663-0006 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2026, Mar 27, 2020 (2 updates tracked since 2020).

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About Samuel Kogan Md/phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL KOGAN MD/PHD (NPI 1679100697) is an individual plastic surgery provider in Mooresville, North Carolina, licensed in North Carolina (2026-01745) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679100697

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameSAMUEL KOGANCredential: MD/PHD

Location Address170 MEDICAL PARK RD STE 210Mooresville, NC 28117-8583

Mailing Address170 Medical Park Rd Ste 210Mooresville, NC 28117-8583 · (704) 663-0006

Phone(704) 663-0006

Sole ProprietorNo

Enumeration DateMarch 27, 2020

Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration

NPPES CertifiedAugust 5, 2026

✔ NPI 1679100697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in NC · 2026-01745

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X · License 2026-01745 (NC)

170 MEDICAL PARK RD STE 210, Mooresville, NC 28117

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Kogan Md/phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEVIN BRENT CRAFT DC

Chiropractor

170 MEDICAL PARK RD STE 210
MOORESVILLE, NC 28117

Iredell County (704) 905-0938

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Kogan's NPI number?

The NPI number for Samuel Kogan is 1679100697. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Samuel Kogan located?

Samuel Kogan practices at 170 Medical Park Rd Ste 210, Mooresville, NC 28117. The listed phone number is (704) 663-0006.

What is Samuel Kogan's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Samuel Kogan enrolled in Medicare?

Yes. Samuel Kogan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Kogan was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.