DR. LYNNELY STACY SAM M.D.
NPI 1467785337
Family Medicine in Woodland Hills, CA

Active since September 10, 2009PECOS EnrolledAccepts Medicare Assignment
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367(818) 719-2000(818) 719-4282 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Lynnely Stacy Sam M.d. NPPES

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

DR. LYNNELY STACY SAM M.D. (NPI 1467785337) is an individual family medicine provider in Woodland Hills, California, licensed in California (A104063) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1467785337
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LYNNELY STACY SAMCredential: M.D.
Location Address5601 DE SOTO AVEWoodland Hills, CA 91367-6701
Mailing Address5601 De Soto AveWoodland Hills, CA 91367-6701 · (818) 719-2000 · Fax (818) 719-4282
Fax(818) 719-4282
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 10, 2009
Last NPPES UpdateDecember 1, 2021
NPI 1467785337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A104063
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5601 DE SOTO AVE, Woodland Hills, CA 91367

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. Lynnely Stacy Sam M.d. 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 ID244367571
PECOS Enrollment IDI20100419000636
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

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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91367 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

Physical Therapist (Orthopedic)
5601 DE SOTO AVE, PHYSICAL THERAPY DEPARTMENT
WOODLAND HILLS, CA 91367
Technician, Other
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367
Anesthesiology
5601 DE SOTO AVE, DEPT OF ANESTHESIA
WOODLAND HILLS, CA 91367
Nurse Anesthetist, Certified Registered
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367
Advanced Practice Midwife
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367
Surgery (Surgical Oncology)
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367
Pediatrics (Pediatric Infectious Diseases)
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367
Physician Assistant
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367

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 Lynnely Sam's NPI number?

The NPI number for Lynnely Sam is 1467785337. It was assigned to this individual provider in the NPPES registry on September 10, 2009.

Where is Lynnely Sam located?

Lynnely Sam practices at 5601 De Soto Ave, Woodland Hills, CA 91367. The listed phone number is (818) 719-2000.

What is Lynnely Sam's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lynnely Sam enrolled in Medicare?

Yes. Lynnely Sam 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.

When was this NPI record last updated?

The NPPES record for Lynnely Sam was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.