DR. SAMUEL DEJESUS (MD) – Colon & Rectal Surgery Physician, NPI 1497757645
Colon & Rectal Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
208 COLORECTAL SURGERY (PROCTOLOGY) in FL
Provider Addresses for DR. SAMUEL DEJESUS (MD)
32 W GORE ST STE 204
ORLANDO, FL 328061134
Phone: (407) 649-6884
Fax: (407) 245-7059
Type: Mailing
Underwood Street, Orlando, Orange County, Florida, 32806, United States
STE A
ORLANDO, FL 328061139
Phone: (407) 422-3790
Fax: (407) 425-4358
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 $1,025.
Total Amount is formed as General ($1,025) + Research ($0) + Ownership ($0) = $1,025.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Medtronic, Inc. ($299).
Total Amount
$1,025
General + Research + Ownership
Payments
8
Total payment records
General Amount
$1,025
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $299 |
| Medical Device Business Services, Inc. | $183 |
| Stryker Corporation | $165 |
| Guard Medical Inc. | $163 |
| Cumberland Pharmaceuticals, Inc. | $122 |
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: 2004-09-13
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 |
|---|---|---|---|---|
| I20040913000433 | I | Colorectal Surgery (Proctology) | FL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 82 | 62 | $0 |
| 46600 | Diagnostic exam of anus using an endoscope | 47 | 42 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 38 | 38 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 34 | 26 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 27 | 14 | $0 |
Insurance plans in this area (ZIP 32806)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| - | FL | |
| Internal Medicine | FL | |
| Cardiovascular Disease (Cardiology) | FL | |
| Internal Medicine, Critical Care (Intensivists), Internal Medicine | FL | |
| Hand Surgery, Orthopedic Surgery, Sports Medicine | FL | |
| Physician Assistant | FL | |
| - | FL | |
| Critical Care (Intensivists), General Surgery | FL | |
| - | FL |
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