DR. SAM B BHAYANI MD
NPI 1376569509
Urology in Saint Louis, MO

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
4500 FOREST PARK AVE, DIV SURG UROLOGY, 5TH FL, SAINT LOUIS, MO 63108(314) 362-8200(888) 425-8245 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 15, 2021 and 2 more (5 updates tracked since 2016).

About Dr. Sam B Bhayani Md NPPES

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

DR. SAM B BHAYANI MD (NPI 1376569509) is an individual urology provider in Saint Louis, Missouri, licensed in Missouri (110662) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and is a graduate of Washington University School Of Medicine (1996).

NPPES Registry Identity

NPI1376569509
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. SAM B BHAYANICredential: MD
Location Address4500 FOREST PARK AVE, DIV SURG UROLOGY, 5TH FLSaint Louis, MO 63108-2114
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-8200 · Fax (888) 425-8245
Fax(888) 425-8245
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1996
Enumeration DateJuly 14, 2006
Last NPPES UpdateApril 15, 20255 updates tracked since enumeration
NPI 1376569509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in MO · 110662
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

4500 FOREST PARK AVE, Saint Louis, MO 63108

Other Identifiers 1

Medicaid208422204MO

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. Sam B Bhayani 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 ID244203487
PECOS Enrollment IDI20040817000197
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 7

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 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.
78 services75 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.
70 services65 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.
44 services44 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
12 services12 patients
Surgical removal of prostate and surrounding lymph nodes using an endoscope 55866
This is a minimally invasive procedure where a small camera (endoscope) is used to remove a gland located in the lower body and nearby small filtering structures. It's done to prevent the spread of unwanted cells and improve overall health.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140002
LocationOne Memorial DriveAlton, IL 62002 · Madison County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Barnes-Jewish West County Hospital

Acute Care Hospitals · Creve Coeur, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260162
Location12634 Olive BoulevardCreve Coeur, MO 63141 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63108 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

Referred Medical Equipment & Supplies CMS DME claims 2

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers16 claims2,520 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers16 claims2,520 services$5.84 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.

Nurse Practitioner
4500 FOREST PARK AVE, DIV IM HEMATOLOGY, 6TH FL
SAINT LOUIS, MO 63108
Internal Medicine (Medical Oncology)
4500 FOREST PARK AVE, DIV IM BONE MARROW TRANSPLANT, 5TH, 6TH, 8TH FL
SAINT LOUIS, MO 63108
Pharmacist
4500 FOREST PARK AVE
SAINT LOUIS, MO 63108
Nurse Practitioner (Family)
4500 FOREST PARK AVE, DIV SURG ONCOLOGY, 5TH FL
SAINT LOUIS, MO 63108
Nurse Practitioner (Adult Health)
4500 FOREST PARK AVE, DIV IM HEMATOLOGY, 6TH FL
SAINT LOUIS, MO 63108
Urology
4500 FOREST PARK AVE, DIV SURG UROLOGY, 5TH FL
SAINT LOUIS, MO 63108
Nurse Practitioner
4500 FOREST PARK AVE, DIV IM BONE MARROW TRANSPLANT, 5TH, 6TH, 8TH FL
SAINT LOUIS, MO 63108
Physician Assistant
4500 FOREST PARK AVE, DEPT NEUROLOGICAL SURGERY, STE 1B
SAINT LOUIS, MO 63108

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 Sam Bhayani's NPI number?

The NPI number for Sam Bhayani is 1376569509. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Sam Bhayani located?

Sam Bhayani practices at 4500 Forest Park Ave Div Surg Urology, 5th Fl, Saint Louis, MO 63108. The listed phone number is (314) 362-8200.

What is Sam Bhayani's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Sam Bhayani enrolled in Medicare?

Yes. Sam Bhayani 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 Sam Bhayani accept?

Health plans from Cox HealthPlans list Sam Bhayani 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 Sam Bhayani affiliated with any hospitals?

According to CMS data, Sam Bhayani is affiliated with Alton Memorial Hospital, Memorial Hospital, Barnes Jewish Hospital, Missouri Baptist Medical Center and Barnes-Jewish West County Hospital.

When was this NPI record last updated?

The NPPES record for Sam Bhayani was last updated on April 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.