SAMUEL PASSI M.D.
NPI 1609250497
Ophthalmology in Salt Lake City, UT

Q: What is Samuel Passi's NPI number?

The NPI number for Samuel Passi is 1609250497. It was assigned to this individual provider in the NPPES registry on July 12, 2015.

Q: What is Samuel Passi's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Passi was last updated on July 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 July 12, 2015PECOS EnrolledAccepts Medicare Assignment

94.22/100

CMS Quality Rating

755 E 3900 S, SALT LAKE CITY, UT 84107(801) 266-2283(801) 268-6151 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2020, May 5, 2020, Apr 25, 2019 (3 updates tracked since 2019).

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About Samuel Passi M.d. NPPES

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

SAMUEL PASSI M.D. (NPI 1609250497) is an individual ophthalmology provider in Salt Lake City, Utah, licensed in Utah (11727694-1205) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Spartanburg, and is a graduate of University Of Utah School Of Medicine (2015).

NPPES Registry Identity

NPI1609250497

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameSAMUEL PASSICredential: M.D.

Location Address755 E 3900 SSalt Lake City, UT 84107-2176

Mailing Address755 E 3900 SSalt Lake City, UT 84107-2176 · (801) 263-5757 · Fax (801) 263-5758

Phone(801) 266-2283

Fax(801) 268-6151

Sole ProprietorNo

Medical School CMSUniversity Of Utah School Of MedicineGraduated 2015

Enumeration DateJuly 12, 2015

Last NPPES UpdateJuly 14, 20203 updates tracked since enumeration

NPPES CertifiedJuly 14, 2020

✔ NPI 1609250497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in UT · 11727694-1205✔ Licensed in MN · 65283

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedInternal MedicineTaxonomy 207R00000X · License LL38491 (SC)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

755 E 3900 S, Salt Lake City, UT 84107

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Secondary Practice Location 1

Location 1101 E Wood StSpartanburg, SC 29303-3040 · Phone (864) 560-6000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare and more.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

Samuel Passi 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 ID2961719968

PECOS Enrollment IDI20200528003065

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 11

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.

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

279 services171 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

249 services144 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.

138 services138 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.

116 services107 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

103 services101 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

102 services100 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84107 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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.

94.22/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

80.73

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEAN PATRICK CUSHMAN OD

Optometrist