DAVID J SAMARA (MD) – Geriatric Medicine (Family Medicine) Physician, NPI 1679513477

DAVID J SAMARA (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in GERIATRIC MEDICINE, UROLOGY. They hold the professional credentials MD. They hold a License No. ME31637 (FL). The NPI Number for DAVID J SAMARA (MD) is 1679513477

Main info

Male
Sole Proprietor
56 Years Of Experience
Accepts Medicare Assignment
Name
DAVID J SAMARA (MD)
NPI
1679513477
Phone
(904) 309-6504
Address
6555 CHESTER AVE STE 1
Enumeration Date
8 June 2006
Last Update Date
8 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3526933378
Graduation Year
1970 (56 years ago)
PAC ID
9032017694
Group Practice PAC ID
1759290992
Professional Enrollment ID
I20100108000542
Address ID
FL344809153OC3845XAVEX501
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

358 GERIATRIC MEDICINE in FL

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Provider Addresses for DAVID J SAMARA (MD)

  • Chester Avenue, San Jose Forest, Jacksonville, Duval County, Florida, 32217, United States

    JACKSONVILLE, FL 322172279

    Phone: (904) 309-6504

    Fax: (904) 503-3577

    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: 2010-01-08

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
I20100108000542IGeriatric MedicineFLTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes833346$0
99304Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4442$0
G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a3013$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes2525$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes2013$0
View full utilization report →

Insurance plans in this area (ZIP 32217)

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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: 1759290992View full group profile
NameSpecialtyState
Orthopedic SurgeryFL
Internal MedicineFL
Family PracticeFL
Physician AssistantVA
Physician AssistantFL
Family PracticeFL
Internal MedicineFL
Family PracticeFL
Physician AssistantFL
N E U R O S U R G E R YFL

Reviews

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Frequently asked questions

What NPI should I save for DAVID J SAMARA (MD)?
Save NPI 1679513477 if you need a stable reference for DAVID J SAMARA (MD).
Does this profile mean DAVID J SAMARA (MD) is currently active?
Yes — DAVID J SAMARA (MD) appears active in the national provider directory.
Does DAVID J SAMARA (MD) list a primary specialty?
If you are matching referrals, note Geriatric Medicine (Family Medicine) Physician for DAVID J SAMARA (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DAVID J SAMARA (MD)?
The page summarizes Jacksonville, Florida for DAVID J SAMARA (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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