1. Home
  2. Directory
  3. Georgia
  4. Lawrenceville
  5. Internal Medicine
  6. NPI Profile

SAMUEL ELLIOT SHAPIRO D.O.
NPI 1851754519
Internal Medicine in Lawrenceville, GA

Active since March 31, 2016PECOS EnrolledAccepts Medicare Assignment
665 DULUTH HWY, 401, LAWRENCEVILLE, GA 30046(678) 312-0450 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 5, 2023, Jun 11, 2019, Mar 31, 2016 (3 updates tracked since 2016).

About Samuel Elliot Shapiro D.o. NPPES

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

SAMUEL ELLIOT SHAPIRO D.O. (NPI 1851754519) is an individual internal medicine provider in Lawrenceville, Georgia, licensed in Georgia (83247) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of Philadelphia College Of Osteopathic Medicine (2016).

NPPES Registry Identity

NPI1851754519
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSAMUEL ELLIOT SHAPIROCredential: D.O.
Location Address665 DULUTH HWY, 401Lawrenceville, GA 30046-3328
Mailing Address655 Duluth Hwy Ste 401Lawrenceville, GA 30046-7672 · (678) 312-0450
Phone(678) 312-0450
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2016
Enumeration DateMarch 31, 2016
Last NPPES UpdateJuly 5, 20233 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
✔ NPI 1851754519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 83247
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
665 DULUTH HWY, Lawrenceville, GA 30046
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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 Elliot Shapiro D.o. 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 ID6103111364
PECOS Enrollment IDI20190906002400
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
134 services50 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.
33 services23 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
27 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
2 suppliers30 claims30 services$29.24 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers30 claims30 services$7.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

ADAM M ALTENBERN
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0450
TAYLOR SHAUN PHELPS MD
Ophthalmology (Glaucoma Specialist)
665 DULUTH HWY, SUITE 401
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-4077
STEPHANIE ANNE JONES APRN
Nurse Practitioner (Family)
665 DULUTH HWY, STE 401
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0450
OMAR AJHAR MD
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0450
SANG DAO
Family Medicine
665 DULUTH HWY, SUITE 501
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0400
TAYLOR MATTHEW JUSON MD
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0400
KRISTINA TORRES-DIAZ D.O.
Internal Medicine
665 DULUTH HWY, SUITE 401
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0450
DR. AMIMI SANDRA OSAYANDE M.D.
Family Medicine
665 DULUTH HWY, SUITE 501
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0400

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 Shapiro's NPI number?

The NPI number for Samuel Shapiro is 1851754519. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Where is Samuel Shapiro located?

Samuel Shapiro practices at 665 Duluth Hwy 401, Lawrenceville, GA 30046. The listed phone number is (678) 312-0450.

What is Samuel Shapiro's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Samuel Shapiro enrolled in Medicare?

Yes. Samuel Shapiro 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 Shapiro accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Samuel Shapiro 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.

Is Samuel Shapiro affiliated with any hospitals?

According to CMS data, Samuel Shapiro is affiliated with Northside Hospital Gwinnett.

When was this NPI record last updated?

The NPPES record for Samuel Shapiro was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.