PRIYAN SAMARAKOON MD
NPI 1356395941
Internal Medicine - Pulmonary Disease in Cary, NC

Q: What is Priyan Samarakoon's NPI number?

The NPI number for Priyan Samarakoon is 1356395941. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Q: What is Priyan Samarakoon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Priyan Samarakoon was last updated on September 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 May 19, 2006PECOS EnrolledAccepts Medicare Assignment

570 NEW WAVERLY PL STE 140, CARY, NC 27518(919) 439-8580(919) 463-5600 Get Directions Write a Review

NPPES record last updated: September 9, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Priyan Samarakoon Md NPPES

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

PRIYAN SAMARAKOON MD (NPI 1356395941) is an individual pulmonary disease provider in Cary, North Carolina, licensed in North Carolina (2009-01120) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and maintains a secondary practice location in Fayetteville.

NPPES Registry Identity

NPI1356395941

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NamePRIYAN SAMARAKOONCredential: MD

Location Address570 NEW WAVERLY PL STE 140Cary, NC 27518-7405

Mailing Address570 New Waverly Pl Ste 140Cary, NC 27518-7405 · (919) 439-8580 · Fax (919) 463-5600

Phone(919) 439-8580

Fax(919) 463-5600

Sole ProprietorYes

Medical School CMSOtherGraduated 1991

Enumeration DateMay 19, 2006

Last NPPES UpdateSeptember 9, 2019

✔ NPI 1356395941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in NC · 2009-01120✔ Licensed in SC · 28542

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2009-01120 (NC)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 28542 (SC), 2009-01120 (NC)

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 28542 (SC), 2009-01120 (NC)

570 NEW WAVERLY PL STE 140, Cary, NC 27518

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Secondary Practice Location 1

Location 14140 Ferncreek Dr Ste 501Fayetteville, NC 28314-2568 · Phone (919) 439-8580

Other Identifiers 10

Other1356395941SC · Medcost

Other1356395941SC · Wellpath

Other273038SC · Unison

Medicaid285426SC

Medicaid5905335NC

Other7398806SC · Cigna Healthcare

Other7462841SC · Aetna

OtherP00353038SC · Rr Medicare

Other20088388SC · Select Health

Other593303026005SC · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, UnitedHealthcare.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

Priyan Samarakoon 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 ID2163427154

PECOS Enrollment IDI20100908000379

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

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

Unc Physicians Network, LLC

2.0 mi

Family Medicine

114 BRADY CT
Cary, NC 27511

Reassigned Medicare billing, North Carolina enrollment
1,337 clinicians in this Medicare group

NPI 1326313321 (919) 469-1252

Carolina Pulmonary & Sleep Clinic PLLC

4.6 mi

Pulmonary Disease

3750 NW CARY PKWY STE 120
Cary, NC 27513

Reassigned Medicare billing, North Carolina enrollment

NPI 1780980219 (919) 439-8580

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.

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.

126 services67 patients

Face-to-face behavioral counseling for obesity, 15 minutes G0447

This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.

55 services33 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

49 services41 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.

20 services20 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number340114

Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27518 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 29

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

18 suppliers165 claims165 services$36.35 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

4 suppliers30 claims60 services$1.58 avg. paid by Medicare

Small volume nonfiltered pneumatic nebulizer, disposable A7004

DME-Other DME · category DE000N

1 supplier12 claims24 services$1.32 avg. paid by Medicare

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

DME-Other DME · category DE001N

20 suppliers147 claims147 services$91.00 avg. paid by Medicare

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

DME-Other DME · category DE001N

19 suppliers138 claims369 services$34.46 avg. paid by Medicare

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

DME-Other DME · category DE001N

6 suppliers36 claims201 services$18.99 avg. paid by Medicare

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

DME-Other DME · category DE001N

6 suppliers28 claims150 services$14.46 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

8 suppliers66 claims66 services$56.49 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

21 suppliers124 claims124 services$17.78 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

8 suppliers13 claims13 services$10.29 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

10 suppliers39 claims39 services$16.48 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

20 suppliers184 claims1,017 services$2.28 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

17 suppliers101 claims101 services$12.27 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

7 suppliers79 claims79 services$16.32 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$784.18 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

3 suppliers44 claims44 services$105.95 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

8 suppliers23 claims23 services$139.64 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers34 claims34 services$5.51 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

11 suppliers162 claims162 services$36.48 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

14 suppliers221 claims222 services$89.22 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

6 suppliers80 claims80 services$35.28 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

2 suppliers11 claims660 services$5.15 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

4 suppliers35 claims2,100 services$6.49 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

13 suppliers54 claims11,118 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

9 suppliers36 claims3,510 services$0.10 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

8 suppliers84 claims4,812 services$0.80 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

3 suppliers39 claims204,750 services$0.15 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

3 suppliers43 claims43 services$34.79 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

17 suppliers148 claims148 services$25.49 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 Priyan Samarakoon's NPI number?

The NPI number for Priyan Samarakoon is 1356395941. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Priyan Samarakoon located?

Priyan Samarakoon practices at 570 New Waverly Pl Ste 140, Cary, NC 27518. The listed phone number is (919) 439-8580.

What is Priyan Samarakoon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Priyan Samarakoon enrolled in Medicare?

Yes. Priyan Samarakoon 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 Priyan Samarakoon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priyan Samarakoon reassigns Medicare benefits to 2 organizations: Unc Physicians Network, LLC (Cary, NC) and Carolina Pulmonary & Sleep Clinic PLLC (Cary, NC). 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 Priyan Samarakoon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Priyan Samarakoon accept?

Health plans from Cigna Healthcare and UnitedHealthcare list Priyan Samarakoon 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 Priyan Samarakoon affiliated with any hospitals?

According to CMS data, Priyan Samarakoon is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Priyan Samarakoon was last updated on September 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.