JAY K SAMAK (PA-C) – Physician Assistant, NPI 1922593367
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for JAY K SAMAK (PA-C)
700 1st St S
Winter Haven, FL 338803605
Phone: (863) 858-8000
Type: Location
1429 Lakeland Hills Blvd
Lakeland, FL 338053206
Phone: (863) 687-0200
Type: Location
101 Magnolia Ave
Auburndale, FL 338234201
Phone: (863) 858-8000
Type: Location
602 US Highway 17 92 N
Haines City, FL 338449461
Phone: (863) 858-8000
Type: Location
1045 US Highway 17 S
Bartow, FL 338306027
Phone: (863) 858-8000
Type: Location
3810 S Florida Ave
Lakeland, FL 338131105
Phone: (863) 619-5100
Type: Location
4435 US HIGHWAY 98 N
LAKELAND, FL 33809
Phone: (863) 858-8000
Type: Location
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: 2023-03-31
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 |
|---|---|---|---|---|
| I20230331002221 | I | Physician Assistant | NC | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 20 | 12 | $0 |
Insurance plans in this area (ZIP 33880)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NC | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | NC | |
| Nurse Practitioner | NC | |
| Nurse Practitioner | NC | |
| P S Y C H I A T R Y | NC | |
| P S Y C H I A T R Y | NC | |
| - | MO | |
| Nurse Practitioner | NC | |
| Nurse Practitioner | NC |
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