KEITH PHILLIPS SAMUELS (M.D.) – Obstetrics & Gynecology Physician, NPI 1144264243
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KEITH PHILLIPS SAMUELS (M.D.)
Avon Post Office, 80, Prospect Street, Village of Avon, Town of Avon, Livingston County, New York, 14414, United States
AVON, CO 816204330
Phone: (970) 926-6340
Fax: (970) 926-6348
Type: Mailing
Buck Creek Medical Center, 50, Buck Creek Road, Avon, Eagle County, Colorado, 81620, United States
SUITE 200
AVON, CO 81620
Phone: (970) 926-6340
Fax: (970) 926-6348
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $40.
Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.
Last reported payment date: 2023-10-31 • Largest payer in this snapshot: PFIZER INC. ($21).
Total Amount
$40
General + Research + Ownership
Payments
2
Total payment records
General Amount
$40
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $21 |
| Bayer Healthcare Pharmaceuticals Inc. | $19 |
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: 2006-01-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20060105000772 | I | Obstetrics/Gynecology | CO | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25 | 24 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 14 | 13 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 11 | 11 | $0 |
Insurance plans in this area (ZIP 81620)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Family Practice, Emergency Medicine | CO | |
| - | CO | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| Physician Assistant | WI | |
| Emergency Medicine, Preventive Medicine | CO | |
| Registered Dietitian Or Nutrition Professional | CO | |
| - | CO | |
| - | CO |
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