DR. SAMUEL COOPER PHINNEY MD
NPI 1164564837
Surgery in Highlands Ranch, CO

Active since February 12, 2007PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
9330 S UNIVERSITY BLVD, HIGHLANDS RANCH, CO 80126(719) 364-6487 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2024, Dec 2, 2022, Apr 12, 2017 (3 updates tracked since 2017).

About Dr. Samuel Cooper Phinney Md NPPES

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

DR. SAMUEL COOPER PHINNEY MD (NPI 1164564837) is an individual surgery provider in Highlands Ranch, Colorado, licensed in Colorado (1164564837) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Washington, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (2006).

NPPES Registry Identity

NPI1164564837
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. SAMUEL COOPER PHINNEYCredential: MD
Location Address9330 S UNIVERSITY BLVDHighlands Ranch, CO 80126-5065
Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071 · (970) 624-2409
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2006
Enumeration DateFebruary 12, 2007
Last NPPES UpdateMay 16, 20243 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
NPI 1164564837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in CO · 1164564837 Licensed in VA · 0101252439
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
9330 S UNIVERSITY BLVD, Highlands Ranch, CO 80126

Secondary Practice Location 1

Location 16900 Georgia Ave NW, Wramc, Bldg 2, Dept of General SurgeryWashington, DC 20307-0001 · Phone (202) 782-6542

Accepted Insurance

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

Dr. Samuel Cooper Phinney Md 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 ID8123305877
PECOS Enrollment IDI20190507002669
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 8

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
44 services44 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
33 services26 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
31 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients
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.
24 services24 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.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80126 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

Ophthalmology
9330 S UNIVERSITY BLVD, STE 220
HIGHLANDS RANCH, CO 80126
Nurse Practitioner (Family)
9330 S UNIVERSITY BLVD, SUITE #250
HIGHLANDS RANCH, CO 80126
Physical Therapist
9330 S UNIVERSITY BLVD, #140
HIGHLANDS RANCH, CO 80126
Emergency Medicine
9330 S UNIVERSITY BLVD
HIGHLANDS RANCH, CO 80126
Clinic/Center (Occupational Medicine)
9330 S UNIVERSITY BLVD, STE 100, 120, & 150
HIGHLANDS RANCH, CO 80126
Family Medicine
9330 S UNIVERSITY BLVD, STE 100
HIGHLANDS RANCH, CO 80126
Ophthalmology
9330 S UNIVERSITY BLVD, SUITE 220
HIGHLANDS RANCH, CO 80126
Optometrist
9330 S UNIVERSITY BLVD, SUITE 220
HIGHLANDS RANCH, CO 80126

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 Samuel Phinney's NPI number?

The NPI number for Samuel Phinney is 1164564837. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Samuel Phinney located?

Samuel Phinney practices at 9330 S University Blvd, Highlands Ranch, CO 80126. The listed phone number is (719) 364-6487.

What is Samuel Phinney's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Samuel Phinney enrolled in Medicare?

Yes. Samuel Phinney 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.

What insurance does Samuel Phinney accept?

Health plans from Medica list Samuel Phinney 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.

When was this NPI record last updated?

The NPPES record for Samuel Phinney was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.