DR. SAM EDWIN SATO M.D.
NPI 1831196427
Ophthalmology in Tucson, AZ

Q: What is Sam Sato's NPI number?

The NPI number for Sam Sato is 1831196427. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Q: What is Sam Sato'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 Sam Sato was last updated on June 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 June 28, 2005PECOS Enrolled

88.48/100

CMS Quality Rating

3910 N CAMPBELL AVE, TUCSON, AZ 85719(520) 323-2466(520) 323-2968 Get Directions Write a Review

NPPES record last updated: June 27, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Sam Edwin Sato M.d. NPPES

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

DR. SAM EDWIN SATO M.D. (NPI 1831196427) is an individual ophthalmology provider in Tucson, Arizona, licensed in Arizona (14758) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831196427

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. SAM EDWIN SATOCredential: M.D.

Location Address3910 N CAMPBELL AVETucson, AZ 85719-1428

Mailing Address6440 N Thimble PassTucson, AZ 85750-1321 · (520) 529-1917

Phone(520) 323-2466

Fax(520) 323-2968

Sole ProprietorYes

Enumeration DateJune 28, 2005

Last NPPES UpdateJune 27, 2012

✔ NPI 1831196427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in AZ · 14758

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.

3910 N CAMPBELL AVE, Tucson, AZ 85719

Open in Google Maps ↗

Other Identifiers 8

Medicare ID-Type UnspecifiedBCPGFAZ · Medicare Id

Other02719AZ · Tricare

Other005302638AZ · Cigna

Other02719AZ · United Healthcare

Other1Z2321AZ · Healthnet

Medicare UPIND37582AZ

Medicaid247751AZ

OtherAZ0181600AZ · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna HealthCare of Arizona, Inc.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sam Edwin Sato 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 Sam Sato reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sean J. Mccafferty, MD, PC

5.1 mi

Ophthalmology

2177 W ORANGE GROVE RD
Tucson, AZ 85741

Reassigned Medicare billing, Arizona enrollment
26 clinicians in this Medicare group

NPI 1316146574 (520) 327-3487

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

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 complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85719 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

88.48/100

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

Scored as part of a group practice

Quality

88.53

Promoting Interoperability

Improvement Activities

Cost

80.57

Other Providers at the Same Location NPPES

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

SAM E SATO, MD,PC

Ophthalmology

3910 N CAMPBELL AVE
TUCSON, AZ 85719

Pima County (520) 323-2466

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 Sam Sato's NPI number?

The NPI number for Sam Sato is 1831196427. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is Sam Sato located?

Sam Sato practices at 3910 N Campbell Ave, Tucson, AZ 85719. The listed phone number is (520) 323-2466.

What is Sam Sato's specialty?

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

Is Sam Sato enrolled in Medicare?

Yes. Sam Sato is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sam Sato's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sam Sato reassigns Medicare benefits to Sean J. Mccafferty, MD, PC (Tucson, AZ). 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 Sam Sato's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sam Sato accept?

Health plans from Cigna HealthCare of Arizona, Inc list Sam Sato 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 Sam Sato was last updated on June 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.