SAMUEL FISK DESTEFANO (MD) – Epilepsy Physician, NPI 1114260619
Epilepsy Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
505 NEUROLOGY in CO
Provider Addresses for SAMUEL FISK DESTEFANO (MD)
PO BOX 110429
AURORA, CO 800420429
Phone:
Type: Mailing
13001 E 17TH PL
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE GME
AURORA, CO 80045
Phone: (303) 724-4330
Type: Location
7780 S BROADWAY STE 350
LITTLETON, CO 801222641
Phone: (303) 730-4400
Fax: (303) 730-4401
Type: Mailing
4440 W 95th St
Oak Lawn, IL 604532600
Phone: (303) 436-2727
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $393.
Total Amount is formed as General ($393) + Research ($0) + Ownership ($0) = $393.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: SK Life Science, Inc. ($213).
Total Amount
$393
General + Research + Ownership
Payments
8
Total payment records
General Amount
$393
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SK Life Science, Inc. | $213 |
| LivaNova USA, Inc. | $120 |
| CATALYST PHARMACEUTICALS, INC. | $33 |
| Medtronic, Inc. | $27 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-10-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180831000218 | I | Neurology | CO | TBD |
| I20251006000164 | I | Neurology | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95720 | Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional | 19 | 11 | $0 |
| 95819 | Measurement of brain wave activity (eeg), awake and asleep | 13 | 13 | $0 |
| 95816 | Measurement of brain wave activity (eeg), awake and drowsy | 11 | 11 | $0 |
Insurance plans in this area (ZIP 80042)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CO | |
| Nurse Practitioner | CO | |
| Internal Medicine | CO | |
| Physician Assistant | CO | |
| Family Practice | CO | |
| Physician Assistant | CO | |
| - | CO | |
| Internal Medicine | CO | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | CO |
Reviews
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