SAMUEL J. LIN (M.D.) – Plastic Surgery Physician, NPI 1710088026

SAMUEL J. LIN (M.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY, OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 231557 (MA). The NPI Number for SAMUEL J. LIN (M.D.) is 1710088026

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL J. LIN (M.D.)
NPI
1710088026
Phone
(617) 632-7827
Address
110 FRANCIS ST STE 5A
Enumeration Date
26 September 2006
Last Update Date
25 July 2025

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
6177835200
Graduation Year
1998 (28 years ago)
PAC ID
7719089671
Group Practice PAC ID
4486567104
Professional Enrollment ID
I20070719000139
Address ID
MA021352011BR116XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

210 PLASTIC AND RECONSTRUCTIVE SURGERY in MA

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Provider Addresses for SAMUEL J. LIN (M.D.)

  • 110 FRANCIS ST STE 5A

    BOSTON, MA 022155566

    Phone: (617) 632-7827

    Type: Mailing

  • 3, Sunset Road, Needham Heights, Needham, Norfolk County, Massachusetts, 02404, United States

    NEEDHAM, MA 024941417

    Phone: (312) 933-9294

    Type: Mailing

  • Beth Israel Deaconess Medical Center East Campus, 330, Brookline Avenue, Audubon Square, Boston, Suffolk County, Massachusetts, 02215, United States

    BIDMC/STONEMAN 9TH FLOOR

    BOSTON, MA 022155400

    Phone: (617) 667-0444

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $39,763.

Total Amount is formed as General ($39,763) + Research ($0) + Ownership ($0) = $39,763.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Mentor Worldwide LLC ($33,416).

Total Amount

$39,763

General + Research + Ownership

Payments

46

Total payment records

General Amount

$39,763

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-07-19

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
I20070719000139IPlastic And Reconstructive SurgeryMATBD

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
99203New patient office or other outpatient visit, 30-44 minutes2424$0
99213Established patient office or other outpatient visit, 20-29 minutes1715$0
99212Established patient office or other outpatient visit, 10-19 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 02215)

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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: 4486567104View full group profile

Reviews

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Frequently asked questions

Is there an official ID for SAMUEL J. LIN (M.D.) in U.S. healthcare records?
The official identifier for SAMUEL J. LIN (M.D.) is NPI 1710088026.
Is SAMUEL J. LIN (M.D.) still an active registrant?
SAMUEL J. LIN (M.D.) carries an active NPI according to the public dataset.
What area of care is associated with SAMUEL J. LIN (M.D.)?
SAMUEL J. LIN (M.D.)'s record emphasizes Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is SAMUEL J. LIN (M.D.) registered?
Use Boston, Massachusetts as the headline location for SAMUEL J. LIN (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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