WILNER SAMSON (MD) – Internal Medicine Physician, NPI 1215934658

WILNER SAMSON (MD) is a healthcare provider. based in Southington, Connecticut. specializing in INTERNAL MEDICINE, NEPHROLOGY. They hold the professional credentials MD. They hold a License No. 041729 (CT). The NPI Number for WILNER SAMSON (MD) is 1215934658

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
WILNER SAMSON (MD)
NPI
1215934658
Phone
(860) 276-5144
Address
98 MAIN ST
Enumeration Date
30 June 2005
Last Update Date
26 February 2016

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
8606216704
Graduation Year
1997 (29 years ago)
PAC ID
8729261748
Group Practice PAC ID
1153573902
Professional Enrollment ID
I20110328000906
Address ID
CT064892500SO98XXXSTXX303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,448 INTERNAL MEDICINE in CT

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Provider Addresses for WILNER SAMSON (MD)

  • Main Street, Plantsville, Southington, Hartford County, Connecticut, 06479, United States

    SOUTHINGTON, CT 064892500

    Phone: (860) 276-5144

    Fax: (860) 276-5148

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-03-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110328000906IInternal MedicineCTTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0008Administration of influenza virus vaccine367366$0
90662Influenza vaccine split virus, preservative free331331$0
99214Established patient office or other outpatient visit, 30-39 minutes166101$0
83036Hemoglobin a1c level5734$0
99213Established patient office or other outpatient visit, 20-29 minutes5548$0
View full utilization report →

Insurance plans in this area (ZIP 06489)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153573902View full group profile

Reviews

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Frequently asked questions

Is there an official ID for WILNER SAMSON (MD) in U.S. healthcare records?
The official identifier for WILNER SAMSON (MD) is NPI 1215934658.
Is WILNER SAMSON (MD) still an active registrant?
WILNER SAMSON (MD) carries an active NPI according to the public dataset.
How would a patient describe WILNER SAMSON (MD)'s focus?
For WILNER SAMSON (MD), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is WILNER SAMSON (MD) located near Southington?
WILNER SAMSON (MD) currently maps to Southington, Connecticut in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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