DR. SAMUEL I SAMUEL (MD) – Psychiatry Physician, NPI 1992833099
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,022 PSYCHIATRY in NY
Provider Addresses for DR. SAMUEL I SAMUEL (MD)
1 CHIMNEY POINT DR
OGDENSBURG, NY 136692212
Phone:
Type: Mailing
2400 Northside Xing
Macon, GA 312102252
Phone: (478) 474-6584
Fax: (478) 474-6585
Type: Location
1 Chimney Point Dr
Ogdensburg, NY 136692212
Phone: (541) 541-2001
Type: Location
1500 N Wilmot Rd Ste A200
Tucson, AZ 857124416
Phone: (520) 873-8562
Fax: (888) 851-7021
Type: Location
PO BOX 6250
SALINAS, CA 939126250
Phone: (865) 765-8224
Type: Mailing
1519 CONSTITUTION BLVD APT 201
SALINAS, CA 939063150
Phone: (865) 765-8224
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: 2025-10-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20230501000375 | I | Psychiatry | NY | TBD |
| I20250904001804 | I | Psychiatry | CA | TBD |
| I20251001002707 | I | Psychiatry | AZ | 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 | 106 | 17 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 17 | 15 | $0 |
Insurance plans in this area (ZIP 13669)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | GA | 90792 | Psychiatric diagnostic evaluation with medical services | 119 | 115 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | AZ | |
| Nurse Practitioner | TX | |
| - | AZ | |
| Nurse Practitioner | AZ | |
| P S Y C H I A T R Y | AZ |
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