DR. SAMUEL V JR. PELLEGRINO (MD) – Trauma Surgery Physician, NPI 1447210042

DR. SAMUEL V JR. PELLEGRINO (MD) is a healthcare provider. based in Melbourne, Florida. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. ME84614 (FL). The NPI Number for DR. SAMUEL V JR. PELLEGRINO (MD) is 1447210042

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMUEL V JR. PELLEGRINO (MD)
NPI
1447210042
Phone
(321) 434-1401
Address
1350 Hickory St Ste 101
Enumeration Date
27 March 2006
Last Update Date
6 March 2020

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
3214347000
Graduation Year
1999 (27 years ago)
PAC ID
8820057490
Group Practice PAC ID
9537229646
Professional Enrollment ID
I20041008000271
Address ID
FL329013224ME1350XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,163 GENERAL SURGERY in FL

Provider Addresses for DR. SAMUEL V JR. PELLEGRINO (MD)

  • 1350 Hickory St Ste 101

    Melbourne, FL 329013224

    Phone: (321) 434-1401

    Fax: (321) 434-1667

    Type: Location

  • Health First Business Center (Bldg A), 3300, South Fiske Boulevard, Rockledge, Brevard County, Florida, 32955, United States

    ROCKLEDGE, FL 329554306

    Phone:

    Type: Mailing

  • 1350, Hickory Street, Melbourne, Brevard County, Florida, 32901, United States

    MELBOURNE, FL 329013224

    Phone: (321) 434-1401

    Fax: (321) 434-1667

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-01-22 • Largest payer in this snapshot: CSL Behring ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CSL Behring$20
View all Open Payments →|Open Payments Risk Radar →

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: 2004-10-08

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
I20041008000271IGeneral SurgeryFLTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4733$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3433$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2626$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2414$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2215$0
View full utilization report →

Insurance plans in this area (ZIP 32901)

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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: 9537229646View full group profile
NameSpecialtyState
Nurse PractitionerFL
Physician AssistantFL
O T O L A R Y N G O L O G YFL
General Surgery, Critical Care (Intensivists)AZ
General SurgeryFL
Physician AssistantFL
Nurse PractitionerFL
Physician AssistantFL
General SurgeryFL
Orthopedic Surgery, Sports MedicineFL

Reviews

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Frequently asked questions

What number should I use to identify DR. SAMUEL V JR. PELLEGRINO (MD) for billing?
Administrative and clinical systems typically use NPI 1447210042 for DR. SAMUEL V JR. PELLEGRINO (MD).
Does the public listing show DR. SAMUEL V JR. PELLEGRINO (MD) as active?
DR. SAMUEL V JR. PELLEGRINO (MD)'s NPI record reflects an active status in NPPES.
What type of care does DR. SAMUEL V JR. PELLEGRINO (MD) provide?
DR. SAMUEL V JR. PELLEGRINO (MD)'s profile centers on Trauma Surgery Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. SAMUEL V JR. PELLEGRINO (MD)?
The directory associates DR. SAMUEL V JR. PELLEGRINO (MD) with Melbourne, Florida. Check all listed addresses for suites or satellite offices.
Who maintains DR. SAMUEL V JR. PELLEGRINO (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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