DR. HAZEM MAHMOUD SAMY MD
NPI 1376518399
Ophthalmology - Neuro-ophthalmology in Jacksonville, FL

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
13241 BARTRAM PARK BLVD UNIT 1505, JACKSONVILLE, FL 32258(904) 374-6899(904) 503-0039 Get Directions Write a Review

NPPES record last updated: April 19, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 19, 2019, Jun 27, 2018 (2 updates tracked since 2018).

About Dr. Hazem Mahmoud Samy Md NPPES

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

DR. HAZEM MAHMOUD SAMY MD (NPI 1376518399) is an individual neuro-ophthalmology provider in Jacksonville, Florida, licensed in Florida (ME105047) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1376518399
Entity TypeIndividualMale
Primary Taxonomy207WX0109X
Provider Legal NameDR. HAZEM MAHMOUD SAMYCredential: MD
Location Address13241 BARTRAM PARK BLVD UNIT 1505Jacksonville, FL 32258-5231
Mailing Address13241 Bartram Park Blvd Unit 1505Jacksonville, FL 32258-5231
Fax(904) 503-0039
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateFebruary 22, 2006
Last NPPES UpdateApril 19, 20192 updates tracked since enumeration
NPI 1376518399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyOphthalmology · Neuro-ophthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207WX0109X
License Licensed in FL · ME105047
Definition
A neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders.
Also ListedSpecialistTaxonomy 174400000X · License MD426523 (PA)
Also ListedOphthalmologyTaxonomy 207W00000X · License ME105047 (FL)
Also ListedOphthalmology · Glaucoma SpecialistTaxonomy 207WX0009X · License ME105047 (FL)
13241 BARTRAM PARK BLVD UNIT 1505, Jacksonville, FL 32258

Other Identifiers 1

Medicaid101294355PA

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. Hazem Mahmoud Samy 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 ID42201329
PECOS Enrollment IDI20091214000463
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 15

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.

Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
267 services227 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.
249 services178 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
220 services180 patients
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.
206 services169 patients
Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
150 services111 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.
107 services107 patients

Hospital Affiliations CMS Care Compare 5

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Baptist Medical Center - Nassau

Acute Care Hospitals · Fernandina Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100140
Location1250 S 18th StFernandina Beach, FL 32034 · Nassau County
Emergency services

Adventhealth Palm Coast Parkway

Acute Care Hospitals · Palm Coast, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100363
Location1 Adventhealth WayPalm Coast, FL 32137 · Flagler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32258 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
100%27 patients5/55-star benchmark: 100%
Diabetes: Eye Exam
100%247 patients5/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
16%101 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%2,590 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
98%131 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%156 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,006 patients
Patients totalRate: 0% · 1,006 patients
0%1,006 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Hazem Samy's NPI number?

The NPI number for Hazem Samy is 1376518399. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Hazem Samy located?

Hazem Samy practices at 13241 Bartram Park Blvd Unit 1505, Jacksonville, FL 32258. The listed phone number is (904) 374-6899.

What is Hazem Samy's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Neuro-ophthalmology, with taxonomy code 207WX0109X.

Is Hazem Samy enrolled in Medicare?

Yes. Hazem Samy 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 Hazem Samy accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Hazem Samy 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 Hazem Samy affiliated with any hospitals?

According to CMS data, Hazem Samy is affiliated with Baptist Health Medical Center - Jacksonville, Flagler Hospital, Baptist Medical Center Beaches, Baptist Medical Center - Nassau and Adventhealth Palm Coast Parkway.

When was this NPI record last updated?

The NPPES record for Hazem Samy was last updated on April 19, 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.