ISIS SAMANTA MACIAS MORENO (M.D) – Family Medicine Physician, NPI 1720604853
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,706 FAMILY PRACTICE in TX
Provider Addresses for ISIS SAMANTA MACIAS MORENO (M.D)
2810 W. EXPRESSWAY 83
MERCEDES, TX 78570
Phone: (956) 296-1816
Type: Location
6700 Niles St
Bakersfield, CA 933064800
Phone: (866) 707-6664
Type: Location
4131 Ming Ave
Bakersfield, CA 933094994
Phone: (866) 707-6664
Type: Location
KNAPP MEDICAL CENTER 2810 W. EXPRESSWAY 83
MERCEDES, TX 78570
Phone: (956) 296-1816
Type: Mailing
655 S CENTRAL VALLEY HWY
SHAFTER, CA 932632790
Phone: (866) 707-6664
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $62.
Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.
Last reported payment date: 2024-10-14 • Largest payer in this snapshot: Exact Sciences Corporation ($26).
Total Amount
$62
General + Research + Ownership
Payments
3
Total payment records
General Amount
$62
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $26 |
| PFIZER INC. | $19 |
| GlaxoSmithKline, LLC. | $17 |
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: 2023-09-27
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 |
|---|---|---|---|---|
| I20230927001120 | I | Family Practice | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78570)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Family Practice | OH | |
| Physician Assistant | CA | |
| Internal Medicine | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Nurse Practitioner | CA | |
| P S Y C H I A T R Y | CA | |
| Nurse Practitioner | CA |
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