1. Home
  2. Directory
  3. New York
  4. Flushing
  5. Surgery
  6. NPI Profile

JASON M SAMPLE M.D.
NPI 1912968298
Surgery in Flushing, NY

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
56-45 MAIN STREET, W-LL300, FLUSHING, NY 11355(718) 445-0220(718) 939-1167 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jason M Sample M.d. NPPES

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

JASON M SAMPLE M.D. (NPI 1912968298) is an individual surgery provider in Flushing, New York, licensed in New York (215514) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian/queens, and is a graduate of Johns Hopkins University School Of Medicine (1997).

NPPES Registry Identity

NPI1912968298
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJASON M SAMPLECredential: M.D.
Location Address56-45 MAIN STREET, W-LL300Flushing, NY 11355-5045
Mailing Address56-45 Main Street, W-ll300Flushing, NY 11355-5045 · (718) 445-0220 · Fax (718) 939-1167
Phone(718) 445-0220
Fax(718) 939-1167
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1997
Enumeration DateMarch 28, 2006
Last NPPES UpdateSeptember 26, 2024
NPPES CertifiedSeptember 26, 2024
✔ NPI 1912968298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 215514
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
56-45 MAIN STREET, Flushing, NY 11355
Open in Google Maps ↗

Other Identifiers 1

Medicaid02427085NY

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

Jason M Sample M.d. 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 ID3577557628
PECOS Enrollment IDI20040412001122
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 6

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
49 services30 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
43 services43 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.
39 services38 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
20 services20 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
20 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian/Queens

Acute Care Hospitals · Flushing, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330055
Location56-45 Main StreetFlushing, NY 11355 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11355 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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.

DANIELLE GELB MS, CGC
Genetic Counselor, MS
56-45 MAIN STREET, NEW YORK PRESBYTERIAN/QUEENS
FLUSHING, NY 11355
Queens County (718) 661-7042
MS. GURLIN KAUR-SINGH PA-C
Physician Assistant
56-45 MAIN STREET, NEW YORK HOSPITAL QUEENS
FLUSHING, NY 11355
Queens County (718) 670-2000
DR. JAMIE ALISON EDELSTEIN M.D.
Emergency Medicine
56-45 MAIN STREET
FLUSHING, NY 11355
Queens County (718) 670-1100
BRENDA LEE-HAO LIU MD
Emergency Medicine
56-45 MAIN STREET, NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS - EMERGENCY
FLUSHING, NY 11355
Queens County (718) 670-1231
DAVID BARLAS MD
Emergency Medicine
56-45 MAIN STREET, NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS - EMERGENCY
FLUSHING, NY 11355
Queens County (718) 670-1231
MITCHELL MELIKHOV-SOSIN MD
Emergency Medicine
56-45 MAIN STREET
FLUSHING, NY 11355
Queens County (718) 661-7305
CHRISTINE MATHEW MD
Student in an Organized Health Care Education/Training Program
56-45 MAIN STREET
FLUSHING, NY 11355
Queens County (718) 670-1347
DR. GALAL ASHRAF ELSAYED MD
Neurological Surgery
56-45 MAIN STREET, DEPARTMENT OF NEUROSURGERY
FLUSHING, NY 11355
Queens County (718) 670-0002

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 Jason Sample's NPI number?

The NPI number for Jason Sample is 1912968298. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Jason Sample located?

Jason Sample practices at 56-45 Main Street W-Ll300, Flushing, NY 11355. The listed phone number is (718) 445-0220.

What is Jason Sample's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jason Sample enrolled in Medicare?

Yes. Jason Sample 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.

Is Jason Sample affiliated with any hospitals?

According to CMS data, Jason Sample is affiliated with New York-Presbyterian/Queens.

When was this NPI record last updated?

The NPPES record for Jason Sample was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.