SAMUEL DEVICTOR MD
NPI 1619301884
Otolaryngology - Facial Plastic Surgery in Scottsdale, AZ

Active since August 23, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
8994 E DESERT COVE AVE, SCOTTSDALE, AZ 85260(480) 551-2040 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 24, 2023, Jul 12, 2022, Jul 6, 2022 (3 updates tracked since 2022).

About Samuel Devictor Md NPPES

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

SAMUEL DEVICTOR MD (NPI 1619301884) is an individual facial plastic surgery provider in Scottsdale, Arizona, licensed in Arizona (68902) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS and is a graduate of Mercer University School Of Medicine (2017).

NPPES Registry Identity

NPI1619301884
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameSAMUEL DEVICTORCredential: MD
Location Address8994 E DESERT COVE AVEScottsdale, AZ 85260-7901
Mailing Address8994 E Desert Cove AveScottsdale, AZ 85260-7901 · (480) 551-2040
Sole ProprietorYes
Medical School CMSMercer University School Of MedicineGraduated 2017
Enumeration DateAugust 23, 2013
Last NPPES UpdateFebruary 9, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2026
NPI 1619301884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License Licensed in AZ · 68902
Definition
An otolaryngologist who specializes in facial plastic surgery.
8994 E DESERT COVE AVE, Scottsdale, AZ 85260

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

Samuel Devictor 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 ID5597004010
PECOS Enrollment IDI20230419002820
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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
85 services69 patients
Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less 15004
This procedure involves preparing a specific area of your body, such as the face, scalp, neck, or extremities, for a skin graft. A skin graft is a surgical procedure where healthy skin is transferred to an area of the body that has lost skin. This preparation ensures the graft will take hold effectively.
61 services58 patients
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060
This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.
39 services37 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
31 services18 patients
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm 14041
This procedure involves repairing a wound on specified body areas by transferring skin from another part of the body. The transferred skin, measuring between 10.1 to 30.0 square cm, aids in healing the wound and restoring the skin's normal function.
26 services24 patients
Injection into skin growth, 1-7 growths 11900
This procedure involves injecting medication into 1-7 skin growths. The medication helps to reduce the size of the growths or completely eliminate them. It's a simple, quick, and usually painless process performed by a medical professional.
25 services17 patients

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 as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Plastic Surgery
8994 E DESERT COVE AVE
SCOTTSDALE, AZ 85260
Family Medicine
8994 E DESERT COVE AVE
SCOTTSDALE, AZ 85260
Anesthesiology
8994 E DESERT COVE AVE
SCOTTSDALE, AZ 85260
Plastic Surgery
8994 E DESERT COVE AVE
SCOTTSDALE, AZ 85260
Clinic/Center (Ambulatory Surgical)
8994 E DESERT COVE AVE
SCOTTSDALE, AZ 85260
Orthopaedic Surgery
8994 E DESERT COVE AVE
SCOTTSDALE, AZ 85260

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 Samuel Devictor's NPI number?

The NPI number for Samuel Devictor is 1619301884. It was assigned to this individual provider in the NPPES registry on August 23, 2013.

Where is Samuel Devictor located?

Samuel Devictor practices at 8994 E Desert Cove Ave, Scottsdale, AZ 85260. The listed phone number is (480) 551-2040.

What is Samuel Devictor's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Samuel Devictor enrolled in Medicare?

Yes. Samuel Devictor 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 Samuel Devictor accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and UnitedHealthcare list Samuel Devictor 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.

When was this NPI record last updated?

The NPPES record for Samuel Devictor was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.