DR. BISHOY T SAMUEL MD
NPI 1659506624
Psychiatry & Neurology - Addiction Medicine in Center City, MN

Active since May 20, 2009PECOS EnrolledAccepts Medicare Assignment
76.23/100
CMS Quality Rating
15251 PLEASANT VALLEY RD, CENTER CITY, MN 55012(877) 793-5205 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2024, Aug 21, 2023, Oct 11, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Bishoy T Samuel Md NPPES

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

DR. BISHOY T SAMUEL MD (NPI 1659506624) is an individual addiction medicine provider in Center City, Minnesota, licensed in Minnesota (76576) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS and is a graduate of University Of South Florida College Of Medicine (2009).

NPPES Registry Identity

NPI1659506624
Entity TypeIndividualMale
Primary Taxonomy2084A0401X
Provider Legal NameDR. BISHOY T SAMUELCredential: MD
Location Address15251 PLEASANT VALLEY RDCenter City, MN 55012-9640
Mailing Address15251 Pleasant Valley RdCenter City, MN 55012-9640 · (877) 793-5205
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2009
Enumeration DateMay 20, 2009
Last NPPES UpdateJune 21, 20244 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
NPI 1659506624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084A0401X
License Licensed in MN · 76576
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X · License 0101274943 (VA)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 34453 (AL), A148818 (CA), T-3860 (MS)
15251 PLEASANT VALLEY RD, Center City, MN 55012

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. Bishoy T Samuel 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 ID4880902915
PECOS Enrollment IDI20260423002556
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55012 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

76.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.58
Promoting Interoperability100
Improvement Activities40
Cost56.18

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.

Student in an Organized Health Care Education/Training Program
15251 PLEASANT VALLEY RD
CENTER CITY, MN 55012
Nurse Practitioner (Psychiatric/Mental Health)
15251 PLEASANT VALLEY RD
CENTER CITY, MN 55012
Counselor (Addiction (Substance Use Disorder))
15251 PLEASANT VALLEY RD
CENTER CITY, MN 55012
Counselor (Mental Health)
15251 PLEASANT VALLEY RD
CENTER CITY, MN 55012
Dietitian, Registered
15251 PLEASANT VALLEY RD
CENTER CITY, MN 55012
Counselor (Mental Health)
15251 PLEASANT VALLEY RD
CENTER CITY, MN 55012
Psychiatry & Neurology (Psychiatry)
15251 PLEASANT VALLEY RD
CENTER CITY, MN 55012
Psychologist (Addiction (Substance Use Disorder))
15251 PLEASANT VALLEY RD
CENTER CITY, MN 55012

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 Bishoy Samuel's NPI number?

The NPI number for Bishoy Samuel is 1659506624. It was assigned to this individual provider in the NPPES registry on May 20, 2009.

Where is Bishoy Samuel located?

Bishoy Samuel practices at 15251 Pleasant Valley Rd, Center City, MN 55012. The listed phone number is (877) 793-5205.

What is Bishoy Samuel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Is Bishoy Samuel enrolled in Medicare?

Yes. Bishoy Samuel 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 Bishoy Samuel was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.