XAVIER JIMENEZ SAMAYOA M.D.
NPI 1467870931
Internal Medicine - Critical Care Medicine in New York, NY

Active since April 02, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
525 E 68TH ST, NEW YORK, NY 10065(646) 962-2746 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 19, 2022, Aug 25, 2017 (2 updates tracked since 2017).

About Xavier Jimenez Samayoa M.d. NPPES

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

XAVIER JIMENEZ SAMAYOA M.D. (NPI 1467870931) is an individual critical care medicine provider in New York, New York, licensed in New York (312823) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1467870931
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameXAVIER JIMENEZ SAMAYOACredential: M.D.
Location Address525 E 68TH STNew York, NY 10065-4870
Mailing Address525 E 68th StNew York, NY 10065-4870
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 2, 2014
Last NPPES UpdateApril 19, 20222 updates tracked since enumeration
NPPES CertifiedApril 19, 2022
NPI 1467870931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in NY · 312823
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedHospitalistTaxonomy 208M00000X · License MD462190 (PA)
525 E 68TH ST, New York, NY 10065

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

Xavier Jimenez Samayoa 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 ID7214201581
PECOS Enrollment IDI20240812001273
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.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Logan Regional Hospital

Acute Care Hospitals · Logan, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460015
Location1400 North 500 EastLogan, UT 84341 · Cache County
Emergency services Birthing friendly

American Fork Hospital

Acute Care Hospitals · American Fork, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460023
Location170 North 1100 EastAmerican Fork, UT 84003 · Utah County
Emergency services Birthing friendly

Intermountain Health Alta View Hospital

Acute Care Hospitals · Sandy, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460044
Location9660 South 1300 EastSandy, UT 84094 · Salt Lake County
Emergency services Birthing friendly

Spanish Fork Hospital

Acute Care Hospitals · Spanish Fork, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460062
Location765 East Market Place DriveSpanish Fork, UT 84660 · Utah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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.

Surgery
525 E 68TH ST
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
525 E 68TH ST
NEW YORK, NY 10065
Hospitalist
525 E 68TH ST
NEW YORK, NY 10065
Physical Medicine & Rehabilitation (Sports Medicine)
525 E 68TH ST
NEW YORK, NY 10065
Specialist
525 E 68TH ST
NEW YORK, NY 10065
Physician Assistant
525 E 68TH ST
NEW YORK, NY 10065
Psychiatry & Neurology (Psychiatry)
525 E 68TH ST, MAIL SLOT 140
NEW YORK, NY 10065
Student in an Organized Health Care Education/Training Program
525 E 68TH ST
NEW YORK, NY 10065

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 Xavier Jimenez Samayoa's NPI number?

The NPI number for Xavier Jimenez Samayoa is 1467870931. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Where is Xavier Jimenez Samayoa located?

Xavier Jimenez Samayoa practices at 525 E 68th St, New York, NY 10065. The listed phone number is (646) 962-2746.

What is Xavier Jimenez Samayoa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Xavier Jimenez Samayoa enrolled in Medicare?

Yes. Xavier Jimenez Samayoa 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 Xavier Jimenez Samayoa accept?

Health plans from Select Health list Xavier Jimenez Samayoa 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 Xavier Jimenez Samayoa affiliated with any hospitals?

According to CMS data, Xavier Jimenez Samayoa is affiliated with Intermountain Medical Center, Logan Regional Hospital, American Fork Hospital, Intermountain Health Alta View Hospital and Spanish Fork Hospital.

When was this NPI record last updated?

The NPPES record for Xavier Jimenez Samayoa was last updated on April 19, 2022. 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.