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DR. SAM SAWAYA M.D.
NPI 1023264298
Internal Medicine in Austin, TX

Active since August 07, 2008PECOS EnrolledAccepts Medicare Assignment
6003 BON TERRA DR, AUSTIN, TX 78731(512) 981-8051(888) 616-1651 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Sam Sawaya M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAM SAWAYA M.D. (NPI 1023264298) is an individual internal medicine provider in Austin, Texas, licensed in Texas (N2780) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Temple, and maintains a secondary practice location in Temple.

NPPES Registry Identity

NPI1023264298
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SAM SAWAYACredential: M.D.
Location Address6003 BON TERRA DRAustin, TX 78731-3803
Mailing Address6003 Bon Terra DrAustin, TX 78731-3803 · (512) 981-8051 · Fax (888) 616-1651
Phone(512) 981-8051
Fax(888) 616-1651
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2006
Enumeration DateAugust 7, 2008
Last NPPES UpdateOctober 14, 2020
NPPES CertifiedOctober 14, 2020
✔ NPI 1023264298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · N2780✔ Licensed in DC · 136829
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6003 BON TERRA DR, Austin, TX 78731
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Secondary Practice Location 1

Location 12401 S 31st StTemple, TX 76508-3803 · Phone (254) 724-2111

Other Identifiers 2

Medicaid204062801TX
OtherP00787831TX · Rrmcr

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sam Sawaya M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294888145
PECOS Enrollment IDI20090724000689
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

7

Medicare enrollment records show Sam Sawaya reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lonestar Pat Associates PA
12 mi
Hospitalist
2400 ROUND ROCK AVE
Round Rock, TX 78681
  • Reassigned Medicare billing, Texas enrollment
  • 206 clinicians in this Medicare group
NPI 1811594203 (512) 341-1000
Scott & White Clinic
12 mi
Internal Medicine
1701 E PFLUGERVILLE PKWY
Pflugerville, TX 78660
  • Reassigned Medicare billing, Texas enrollment
  • 2,795 clinicians in this Medicare group
NPI 1679691729 (512) 259-6000
Ipc Healthcare Services Of Texas, PLLC
72 mi
Hospitalist
7330 SAN PEDRO AVE, STE 540
San Antonio, TX 78216
  • Reassigned Medicare billing, Texas enrollment
  • 688 clinicians in this Medicare group
NPI 1023403011 (210) 344-7287
Hospitalist Medicine Physicians Of Texas, PLLC
151 mi
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Texas enrollment
  • 2,009 clinicians in this Medicare group
NPI 1629307095 (281) 540-7700
Lonestar Hospital Medicine Associates, PA
158 mi
Hospitalist
2700 E BROAD ST
Mansfield, TX 76063
  • Reassigned Medicare billing, Texas enrollment
  • 994 clinicians in this Medicare group
NPI 1518237429 (682) 622-2000
Cogent Healthcare Of Texas, PA
184 mi
Internal Medicine
8200 WALNUT HILL LN
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 1,208 clinicians in this Medicare group
NPI 1992722953 (214) 345-7585
Southwest Medical Associates, Inc.
262 mi
Emergency Medicine
1207 S BAILEY ST
Electra, TX 76360
  • Reassigned Medicare billing, Texas enrollment
  • 155 clinicians in this Medicare group
NPI 1831299122 (940) 495-3981

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
229 services129 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
155 services100 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
57 services57 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
32 services32 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450054
Location2401 S 31st StTemple, TX 76508 · Bell County
Emergency services Birthing friendly

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Baylor Scott & White Medical Center- College Stati

Acute Care Hospitals · College Station, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670088
Location700 Scott & White DriveCollege Station, TX 77845 · Brazos County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78731 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%115 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers47 claims48 services$16.04 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers49 claims50 services$68.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sam Sawaya's NPI number?

The NPI number for Sam Sawaya is 1023264298. It was assigned to this individual provider in the NPPES registry on August 7, 2008.

Where is Sam Sawaya located?

Sam Sawaya practices at 6003 Bon Terra Dr, Austin, TX 78731. The listed phone number is (512) 981-8051.

What is Sam Sawaya's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sam Sawaya enrolled in Medicare?

Yes. Sam Sawaya is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sam Sawaya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sam Sawaya reassigns Medicare benefits to 7 organizations: Lonestar Pat Associates PA (Round Rock, TX), Scott & White Clinic (Pflugerville, TX), Ipc Healthcare Services Of Texas, PLLC (San Antonio, TX), Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX), Lonestar Hospital Medicine Associates, PA (Mansfield, TX) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sam Sawaya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sam Sawaya accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Oscar Insurance Company list Sam Sawaya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sam Sawaya affiliated with any hospitals?

According to CMS data, Sam Sawaya is affiliated with Baylor Scott & White Medical Center - Temple, St David's Medical Center and Baylor Scott & White Medical Center- College Stati.

When was this NPI record last updated?

The NPPES record for Sam Sawaya was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.