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DR. JEFFREY PETER SAM
NPI 1992499289
Dentist in New Haven, CT

Active since June 08, 2023PECOS Enrolled
122 AMITY RD, NEW HAVEN, CT 06515(203) 389-9600 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jeffrey Peter Sam NPPES

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

DR. JEFFREY PETER SAM (NPI 1992499289) is an individual dentist in New Haven, Connecticut, licensed in Connecticut (13806) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992499289
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JEFFREY PETER SAM
Location Address122 AMITY RDNew Haven, CT 06515-1405
Mailing Address22 September LnShelton, CT 06484-5753 · (203) 414-7782
Phone(203) 389-9600
Sole ProprietorYes
Enumeration DateJune 8, 2023
NPPES CertifiedJune 8, 2023
✔ NPI 1992499289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CT · 13806
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
122 AMITY RD, New Haven, CT 06515
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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 (PECOS)

Dr. Jeffrey Peter Sam 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06515 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

Other Providers at the Same Location NPPES 4

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

HAMDEN PLAZA FAMILY DENTAL, PC
Clinic/Center (Dental)
122 AMITY RD
NEW HAVEN, CT 06515
South Central Connecticut Planning Region (203) 389-9600
DR. JAEHAN PARK DDS
Dentist
122 AMITY RD
NEW HAVEN, CT 06515
South Central Connecticut Planning Region (404) 403-5321
DR. SADAF ELAHY DDS
Dentist (General Practice)
122 AMITY RD
NEW HAVEN, CT 06515
South Central Connecticut Planning Region (203) 389-9600
ROBIN KIM LOVECCHIO
Dentist (General Practice)
122 AMITY RD
NEW HAVEN, CT 06515
South Central Connecticut Planning Region (203) 389-9600

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 Jeffrey Sam's NPI number?

The NPI number for Jeffrey Sam is 1992499289. It was assigned to this individual provider in the NPPES registry on June 8, 2023.

Where is Jeffrey Sam located?

Jeffrey Sam practices at 122 Amity Rd, New Haven, CT 06515. The listed phone number is (203) 389-9600.

What is Jeffrey Sam's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jeffrey Sam enrolled in Medicare?

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

What insurance does Jeffrey Sam accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Jeffrey Sam 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 Jeffrey Sam was last updated on June 8, 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.