ERIC B SAMUEL (MD) – Family Medicine Physician, NPI 1013941939
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ERIC B SAMUEL (MD)
3 WOODLAND RD STE 119
STONEHAM, MA 021801710
Phone: (603) 422-8208
Fax: (603) 422-8218
Type: Location
Woburn Post Office, 1, Abbott Street, Woburn, Middlesex County, Massachusetts, 01801, United States
WOBURN, MA 018883237
Phone: (781) 338-7170
Fax: (781) 338-7173
Type: Mailing
330 MOUNT AUBURN ST
CAMBRIDGE, MA 021385502
Phone: (617) 499-5488
Fax: (617) 499-5578
Type: Mailing
355 WAVERLEY OAKS RD STE 200
WALTHAM, MA 024528478
Phone: (781) 647-6920
Fax: (781) 891-0056
Type: Location
3840 COCONUT CREEK PKWY
COCONUT CREEK, FL 330661617
Phone: (954) 580-8867
Fax: (545) 808-9679
Type: Mailing
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: 2018-12-20
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20181220002466 | I | Family Practice | MA | 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 | 107 | 75 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 33 | 28 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 26 | 26 | $0 |
| 83036 | Hemoglobin a1c level | 15 | 11 | $0 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 14 | 12 | $0 |
Insurance plans in this area (ZIP 02180)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | NH | 81002 | Urinalysis, manual test | 35 | 30 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| Nurse Practitioner | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| Family Practice | NM | |
| - | MA | |
| - | MA | |
| Family Practice | MA | |
| - | MA | |
| Physician Assistant | MA | |
| - | MA |
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