Dr. Kenneth Jake Sample , MD
Internal Medicine β’ Gravette, AR
1101 Jackson St Sw
Gravette, AR 727369121
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Kenneth Sample is listed in NPPES under Internal Medicine.
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NPI assigned on May 4, 2021; this date does not establish years in practice.
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Published CMS data list 290 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium β 56 prescription fills, including refills.
- Amlodipine Besylate β 34 prescription fills, including refills.
- Lisinopril β 33 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 13 records in the table Β· Guide: How to read Medicare Part D prescriber data
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Close to the middle for Part D prescriptions among clinicians listed under Internal Medicine in Arkansas (2024, 511 clinicians with data). Median for this group: 433. Middle half: 90 to 6,639.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part D prescriptions went from 83 in 2022 to 290 in 2024.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2022β2024.
Practice Location & Contact Primary Location
1101 Jackson St Sw
Gravette, AR 727369121
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Decatur, AR; Memphis, TN. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Sgoh Acquisition Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2021
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
30-day fills
687 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$2,267 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $73.96 across 3 records.
By nature of payment
- Food and Beverage: $73.96 across 3 records.
Reporting-company totals
- VERTEX PHARMACEUTICALS INCORPORATED: $31.35 across 1 record.
- Inspire Medical Systems, Inc.: $22.03 across 1 record.
- Viatris Specialty LLC: $20.58 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
5 years (graduated 2021)
CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2021
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Sample has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Sample as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Gravette and Arkansas
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Internal Medicine in Arkansas (2024, 511 clinicians with data). Median for this group: 433. Middle half: 90 to 6,639.
Too few clinicians listed under Internal Medicine in Gravette have Medicare Part D data for 2024 to compare.
Part D drug cost
A lower Part D drug cost than 70% of clinicians listed under Internal Medicine in Arkansas (2024, 511 clinicians with data). Median for this group: $23,865. Middle half: $1,033 to $430,502.
Too few clinicians listed under Internal Medicine in Gravette have Medicare Part D data for 2024 to compare.
2 active clinicians are listed under Internal Medicine with a practice address in Gravette, AR (768 in Arkansas).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 249% from 83 in 2022 to 290 in 2024.
- 2022: 83
- 2023: 67
- 2024: 290
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30-day fills
30-day fills increased 221% from 214 in 2022 to 687 in 2024.
- 2022: 214
- 2023: 193
- 2024: 687
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Part D drug cost
Part D drug cost went from $890 in 2022 to $2,267 in 2024.
- 2022: $890
- 2023: $26,396
- 2024: $2,267
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $149.54 in 2024 to $73.96 in 2025.
- 2024: $149.54
- 2025: $73.96
Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 β December 31, 2025): fewer than 11 records totaling $73.96.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| VERTEX PHARMACEUTICALS INCORPORATED |
Food and Beverage
In-kind items and services
|
JOURNAVX | General | $31.35 |
| Inspire Medical Systems, Inc. |
Food and Beverage
In-kind items and services
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INSPIRE | General | $22.03 |
| Viatris Specialty LLC |
Food and Beverage
In-kind items and services
|
YUPELRI | General | $20.58 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 56 | 4,200 | $268.91 | 28 |
| Amlodipine Besylate | Amlodipine Besylate | 34 | 2,820 | $159.45 | 18 |
| Lisinopril | Lisinopril | 33 | 2,550 | $210.77 | 21 |
| Gabapentin | Gabapentin | 32 | 1,740 | $495.79 | 13 |
| Fluticasone Propionate | Fluticasone Propionate | 20 | 1,250 | $135.59 | 14 |
| Furosemide | Furosemide | 17 | 857 | $30.72 | β |
| Hydrochlorothiazide | Hydrochlorothiazide | 17 | 1,350 | $26.82 | β |
| Omeprazole | Omeprazole | 17 | 1,290 | $282.13 | 12 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 15 | 514 | $315.46 | 12 |
| Levothyroxine Sodium | Levothyroxine Sodium | 13 | 870 | $70.55 | β |
| Pantoprazole Sodium | Pantoprazole Sodium | 13 | 930 | $88.56 | β |
| Carvedilol | Carvedilol | 12 | 1,080 | $65.76 | β |
| Losartan Potassium | Losartan Potassium | 11 | 990 | $116.06 | β |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-08-05NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20240816001640
AR
0244630200
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Sgoh Acquisition Inc
155 Village Dr, Sparta, MO 657538104
Phone: 4176344203
Sgoh Acquisition Inc
102 Russell Rd, Rogers, AR 727569319
Phone: 4792787189
Sgoh Acquisition Inc
346 N Main St, Decatur, AR 727229732
Phone: 4797523233
Sgoh Acquisition Inc
346 N Main St, Decatur, AR 727229732
Phone: 4797523233
Secondary Practice Locations
920 Madison Ave Ste 447
Memphis, TN 381033438
Phone: 9014485814
346 N Main St
Decatur, AR 727229732
Phone: 4797523233
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner
Nurse Practitioner (Certified)
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner
Adult Nurse Practitioner
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Psychiatric/Mental Health
Advanced Practice Registered Nurse
Nurse Practitioner
Family Nurse Practitioner (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1101 JACKSON ST SW, GRAVETTE, AR 727369121 (Tel: 4797875221)
Internal Medicine (license number reported to NPPES: AR E-18299)
Registered at 1101 JACKSON ST SW, GRAVETTE, AR 727369121
NPI status registered as active in NPPES database
Registered at 920 MADISON AVE STE 447, MEMPHIS, TN 381033438 (Tel: 9014485814)
Registered at 956 COURT AVE # H314, MEMPHIS, TN 381032814
Recorded as KENNETH SAMPLE, MD
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
1101 Jackson St Sw
Gravette, AR 727369121