SAMUEL MAYO FNP
NPI 1033769872
Nurse Practitioner - Family in Falls Church, VA

Q: What is Samuel Mayo's NPI number?

The NPI number for Samuel Mayo is 1033769872. It was assigned to this individual provider in the NPPES registry on September 13, 2019.

Q: What is Samuel Mayo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Mayo was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 13, 2019PECOS EnrolledAccepts Medicare Assignment

81.28/100

CMS Quality Rating

3300 GALLOWS RD, FALLS CHURCH, VA 22042(703) 776-4001(703) 776-7113 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2021, Sep 22, 2019, Sep 13, 2019 (3 updates tracked since 2019).

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About Samuel Mayo Fnp NPPES

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

SAMUEL MAYO FNP (NPI 1033769872) is an individual family provider in Falls Church, Virginia, licensed in Virginia (0024180697) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1033769872

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameSAMUEL MAYOCredential: FNP

Location Address3300 GALLOWS RDFalls Church, VA 22042-3307

Mailing AddressPo Box 37174Baltimore, MD 21297-3174 · (571) 423-5699 · Fax (571) 423-5698

Phone(703) 776-4001

Fax(703) 776-7113

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 13, 2019

Last NPPES UpdateAugust 5, 20213 updates tracked since enumeration

NPPES CertifiedAugust 5, 2021

✔ NPI 1033769872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in VA · 0024180697

Also ListedRegistered NurseTaxonomy 163W00000X · License RN2312854 (MA)

3300 GALLOWS RD, Falls Church, VA 22042

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Secondary Practice Locations 7

Location 18081 Innovation Park Dr Ste 900Fairfax, VA 22031-4867 · Phone (571) 472-4200 · Fax (571) 472-4201

Location 210 Bellamy StBrighton, MA 02135-1502 · Phone (617) 782-8113

Location 34320 Seminary RdAlexandria, VA 22304-1535 · Phone (703) 504-3000 · Fax (703) 504-3388

Location 43600 Joseph Siewick DrFairfax, VA 22033-1709 · Phone (703) 391-3600 · Fax (703) 391-3414

Location 57051 Heathcote Village Way Ste 230Gainesville, VA 20155-3266 · Phone (703) 391-4500 · Fax (703) 391-4590

Location 63580 Joseph Siewick Dr Ste 206Fairfax, VA 22033-1764 · Phone (703) 391-4500 · Fax (703) 391-4590

Location 71500 N Beauregard St Ste 300Alexandria, VA 22311-1715 · Phone (703) 845-1500 · Fax (703) 845-1300

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

Samuel Mayo Fnp 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 ID941604060

PECOS Enrollment IDI20210811000634, I20210811002260

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 2

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.

351 services238 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

83 services74 patients

Hospital Affiliations CMS Care Compare 3

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

Inova Alexandria Hospital

Acute Care Hospitals · Alexandria, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490040

Location4320 Seminary RdAlexandria, VA 22304 · Alexandria City County

Emergency services Birthing friendly

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490063

Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County

Emergency services Birthing friendly

Inova Fair Oaks Hospital

Acute Care Hospitals · Fairfax, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490101

Location3600 Joseph Siewick DriveFairfax, VA 22033 · Fairfax County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22042 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

81.28/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

70.77

Promoting Interoperability

100

Improvement Activities

Cost

66.84

Referred Medical Equipment & Supplies CMS DME claims 13

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

13 suppliers93 claims93 services$33.78 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

8 suppliers50 claims50 services$80.22 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

8 suppliers56 claims115 services$29.54 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

4 suppliers43 claims179 services$15.69 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

6 suppliers12 claims57 services$12.87 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

9 suppliers45 claims47 services$48.29 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 20

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

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