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SAMUEL E TRIPP MD
NPI 1336177195
Obstetrics & Gynecology in Rochester, NY

Active since June 29, 2006PECOS Enrolled
1561 LONG POND RD, STE #404, ROCHESTER, NY 14626(585) 225-7550(585) 225-7719 Get Directions Write a Review

NPPES record last updated: February 11, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samuel E Tripp Md NPPES

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

SAMUEL E TRIPP MD (NPI 1336177195) is an individual obstetrics & gynecology provider in Rochester, New York, licensed in New York (214688) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336177195
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameSAMUEL E TRIPPCredential: MD
Location Address1561 LONG POND RD, STE #404Rochester, NY 14626
Mailing Address1561 Long Pond Rd, Ste #404Rochester, NY 14626 · (585) 225-7550 · Fax (585) 225-7719
Phone(585) 225-7550
Fax(585) 225-7719
Sole ProprietorNo
Enumeration DateJune 29, 2006
Last NPPES UpdateFebruary 11, 2015
✔ NPI 1336177195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 214688
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1561 LONG POND RD, Rochester, NY 14626
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Other Identifiers 3

Medicare PINBB6662-GRP:70008ANY
Medicaid01982269NY
Medicare PINRA0140-GRP:BA0017NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel E Tripp Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Samuel Tripp reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Unity Hospital Of Rochester
0.1 mi
General Acute Care Hospital
1555 LONG POND RD
Rochester, NY 14626
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
NPI 1760421713 (585) 723-7000
Trillium Health, Inc
6.0 mi
Federally Qualified Health Center (FQHC)
259 MONROE AVENUE
Rochester, NY 14607
  • Reassigned Medicare billing, New York enrollment
  • 34 clinicians in this Medicare group
NPI 1861496358 (585) 545-7200

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14626 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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.

ALLISON E. CLAR RPAC
Physician Assistant (Medical)
1561 LONG POND RD, INTERLAKES ONCOLOGY & HEMATOLOGY PC
ROCHESTER, NY 14626
Monroe County (585) 453-2700
DR. ALA DAHHAN M.D
Internal Medicine (Nephrology)
1561 LONG POND RD, SUITE 302
ROCHESTER, NY 14626
Monroe County (585) 723-1120
REKHI & REKHI PHYSICIANS PC
Internal Medicine
1561 LONG POND RD, SUITE 411
ROCHESTER, NY 14626
Monroe County (585) 426-9930
JAMES ANDREW MURRAY D.O.
Internal Medicine (Pulmonary Disease)
1561 LONG POND RD, SUITE 408
ROCHESTER, NY 14626
Monroe County (585) 723-7575
LAUREN MARIE NEWSON FNP-C
Nurse Practitioner (Family)
1561 LONG POND RD, SUITE 408
ROCHESTER, NY 14626
Monroe County (585) 442-4141
JASON J LYONS M.D.
Internal Medicine (Pulmonary Disease)
1561 LONG POND RD, SUITE 406
ROCHESTER, NY 14626
Monroe County (585) 723-7575
DR. SHEHARYAR S KHOKHAR MD
Internal Medicine (Nephrology)
1561 LONG POND RD, SUITE 302
ROCHESTER, NY 14626
Monroe County (585) 723-1120
DR. ZESHMA DURRANI DO
Family Medicine
1561 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7778

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 Tripp's NPI number?

The NPI number for Samuel Tripp is 1336177195. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Samuel Tripp located?

Samuel Tripp practices at 1561 Long Pond Rd Ste #404, Rochester, NY 14626. The listed phone number is (585) 225-7550.

What is Samuel Tripp's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Samuel Tripp enrolled in Medicare?

Yes. Samuel Tripp is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samuel Tripp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Tripp reassigns Medicare benefits to 2 organizations: The Unity Hospital Of Rochester (Rochester, NY) and Trillium Health, Inc (Rochester, NY). 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 Samuel Tripp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samuel Tripp was last updated on February 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.