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SHOBA REDDY SAMA MD
NPI 1952601643
Family Medicine in Winter Haven, FL

Active since October 27, 2010PECOS EnrolledAccepts Medicare Assignment
1501 1ST ST S, STE B, WINTER HAVEN, FL 33880(863) 229-2540(863) 229-1230 Get Directions Write a Review

NPPES record last updated: October 10, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Shoba Reddy Sama Md NPPES

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

SHOBA REDDY SAMA MD (NPI 1952601643) is an individual family medicine provider in Winter Haven, Florida, licensed in Florida (ME108394) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS, is affiliated with Winter Haven Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1952601643
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHOBA REDDY SAMACredential: MD
Location Address1501 1ST ST S, STE BWinter Haven, FL 33880-4307
Mailing Address1501 1st Street South, Suite BWinter Haven, FL 33880 · (866) 229-2540 · Fax (863) 229-1230
Phone(863) 229-2540
Fax(863) 229-1230
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateOctober 27, 2010
Last NPPES UpdateOctober 10, 2013
✔ NPI 1952601643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME108394
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1501 1ST ST S, Winter Haven, FL 33880
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, 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

Shoba Reddy Sama 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 ID6800074832
PECOS Enrollment IDI20110622000484
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 4

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 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.
125 services27 patients
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.
68 services16 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.
21 services20 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.
20 services18 patients

Hospital Affiliations CMS Care Compare

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

Winter Haven Hospital

Acute Care Hospitals · Winter Haven, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100052
Location200 Ave F NEWinter Haven, FL 33881 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33880 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%7,980 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%453 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%964 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
52%964 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%964 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

MAKENZIE NELSON LCSW
Counselor (Mental Health)
1501 1ST ST S
WINTER HAVEN, FL 33880
Polk County (863) 291-3611
KATLYN MARIE EASTRIDGE LCSW
Social Worker (Clinical)
1501 1ST ST S
WINTER HAVEN, FL 33880
Polk County (863) 968-6678
GOOD HEALTH PHYSICIANS, LLC
Family Medicine
1501 1ST ST S
WINTER HAVEN, FL 33880
Polk County (800) 937-4616
OLIVIA LEVY LCSW
Counselor (Mental Health)
1501 1ST ST S
WINTER HAVEN, FL 33880
Polk County (863) 293-1121
TAMPA OBSTETRICS, PA
Obstetrics & Gynecology
1501 1ST ST S
WINTER HAVEN, FL 33880
Polk County (813) 654-2273
CAB PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
1501 1ST ST S, SUITE 1
WINTER HAVEN, FL 33880
Polk County (863) 229-5974
TAMARA FIELDS
Counselor (Mental Health)
1501 1ST ST S
WINTER HAVEN, FL 33880
Polk County (352) 205-2444
VALERIE KAUFFMAN LHMC
Counselor (Mental Health)
1501 1ST ST S
WINTER HAVEN, FL 33880
Polk County (863) 532-4185

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 Shoba Sama's NPI number?

The NPI number for Shoba Sama is 1952601643. It was assigned to this individual provider in the NPPES registry on October 27, 2010.

Where is Shoba Sama located?

Shoba Sama practices at 1501 1st St S Ste B, Winter Haven, FL 33880. The listed phone number is (863) 229-2540.

What is Shoba Sama's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shoba Sama enrolled in Medicare?

Yes. Shoba Sama 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 Shoba Sama accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Shoba Sama 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 Shoba Sama affiliated with any hospitals?

According to CMS data, Shoba Sama is affiliated with Winter Haven Hospital.

When was this NPI record last updated?

The NPPES record for Shoba Sama was last updated on October 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.