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YELENA SAMOFALOV M.D.
NPI 1780798686
Pediatrics in Southbridge, MA

Active since August 18, 2006PECOS Enrolled
100 SOUTH ST STE 102, SOUTHBRIDGE, MA 01550(508) 765-7860(508) 765-7861 Get Directions Write a Review

NPPES record last updated: January 4, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Yelena Samofalov M.d. NPPES

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

YELENA SAMOFALOV M.D. (NPI 1780798686) is an individual pediatrics provider in Southbridge, Massachusetts, licensed in Massachusetts (223642) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780798686
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameYELENA SAMOFALOVCredential: M.D.
Location Address100 SOUTH ST STE 102Southbridge, MA 01550-4051
Mailing AddressPo Box 40Southbridge, MA 01550-0040 · (508) 909-7799
Phone(508) 765-7860
Fax(508) 765-7861
Sole ProprietorNo
Enumeration DateAugust 18, 2006
Last NPPES UpdateJanuary 4, 2019
✔ NPI 1780798686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 223642
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
100 SOUTH ST STE 102, Southbridge, MA 01550
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yelena Samofalov M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Yelena Samofalov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Umass Memorial Medical Group, Inc.
10 mi
Urgent Care
78 SUTTON AVE
Oxford, MA 01540
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group
NPI 1982381018 (508) 499-1760

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01550 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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

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

ARIEL JANE BULLOCK APRN
Nurse Practitioner (Family)
100 SOUTH ST STE 102
SOUTHBRIDGE, MA 01550
Worcester County (508) 765-7860

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 Yelena Samofalov's NPI number?

The NPI number for Yelena Samofalov is 1780798686. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Yelena Samofalov located?

Yelena Samofalov practices at 100 South St Ste 102, Southbridge, MA 01550. The listed phone number is (508) 765-7860.

What is Yelena Samofalov's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Yelena Samofalov enrolled in Medicare?

Yes. Yelena Samofalov is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Yelena Samofalov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yelena Samofalov reassigns Medicare benefits to Umass Memorial Medical Group, Inc. (Oxford, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Yelena Samofalov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yelena Samofalov accept?

Health plans from Oscar Health and Taro Health list Yelena Samofalov 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 Yelena Samofalov was last updated on January 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.