ANNA NIKOLAEVNA SAMEDOVA DO
NPI 1023546348
Family Medicine in Saugerties, NY

Active since May 31, 2017PECOS EnrolledAccepts Medicare Assignment
854 ROUTE 212, SAUGERTIES WELLNESS CENTER, SAUGERTIES, NY 12477(845) 246-2804 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2022, May 11, 2021, Sep 9, 2020 and 2 more (5 updates tracked since 2017).

About Anna Nikolaevna Samedova Do NPPES

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

ANNA NIKOLAEVNA SAMEDOVA DO (NPI 1023546348) is an individual family medicine provider in Saugerties, New York, licensed in New York (302842) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Columbia Memorial Hospital, and maintains a secondary practice location in Kingston.

NPPES Registry Identity

NPI1023546348
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANNA NIKOLAEVNA SAMEDOVACredential: DO
Location Address854 ROUTE 212, SAUGERTIES WELLNESS CENTERSaugerties, NY 12477-4619
Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634
Sole ProprietorNo
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2017
Enumeration DateMay 31, 2017
Last NPPES UpdateAugust 10, 20225 updates tracked since enumeration
NPPES CertifiedAugust 3, 2022
NPI 1023546348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 302842
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
854 ROUTE 212, Saugerties, NY 12477

Other Names 1

Former Name (1)Dr. Anna Sevilla Do

Secondary Practice Location 1

Location 11 Family Practice DrKingston, NY 12401-6449 · Phone (845) 338-6400 · Fax (845) 339-7288

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Anna Nikolaevna Samedova Do 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 ID547689549
PECOS Enrollment IDI20200924000936
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.

Areas of Expertise CMS Part B claims 14

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
263 services106 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
121 services39 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
85 services51 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
61 services35 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
57 services57 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
29 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Columbia Memorial Hospital

Acute Care Hospitals · Hudson, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330094
Location71 Prospect AvenueHudson, NY 12534 · Columbia County
Emergency services

Healthalliance Hospital Marys Avenue Campus

Acute Care Hospitals · Kingston, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330224
Location105 Mary's AvenueKingston, NY 12401 · Ulster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12477 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers12 claims26 services$3.65 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$5.89 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers16 claims3,093 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers19 claims19 services$20.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
854 ROUTE 212
SAUGERTIES, NY 12477
Nurse Practitioner (Family)
854 ROUTE 212
SAUGERTIES, NY 12477
Family Medicine
854 ROUTE 212, SAUGERTIES WELLNESS CENTER
SAUGERTIES, NY 12477
Internal Medicine (Cardiovascular Disease)
854 ROUTE 212
SAUGERTIES, NY 12477
Nurse Practitioner (Family)
854 ROUTE 212
SAUGERTIES, NY 12477
Internal Medicine (Cardiovascular Disease)
854 ROUTE 212
SAUGERTIES, NY 12477
Nurse Practitioner (Adult Health)
854 ROUTE 212
SAUGERTIES, NY 12477
Family Medicine
854 ROUTE 212, SAUGERTIES WELLNESS CENTER
SAUGERTIES, NY 12477

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 Anna Samedova's NPI number?

The NPI number for Anna Samedova is 1023546348. It was assigned to this individual provider in the NPPES registry on May 31, 2017. The provider is also known as Dr. Anna Sevilla Do.

Where is Anna Samedova located?

Anna Samedova practices at 854 Route 212 Saugerties Wellness Center, Saugerties, NY 12477. The listed phone number is (845) 246-2804.

What is Anna Samedova's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anna Samedova enrolled in Medicare?

Yes. Anna Samedova 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.

Is Anna Samedova affiliated with any hospitals?

According to CMS data, Anna Samedova is affiliated with Columbia Memorial Hospital and Healthalliance Hospital Marys Avenue Campus.

When was this NPI record last updated?

The NPPES record for Anna Samedova was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.