Active NPI 1396730180 Individual Practitioner Male Practitioner

Sam Moussa

Specialist • Tucson, AZ

Professional Overview & Biography Verified Profile Summary

Sam Moussa is a registered healthcare professional specializing in Specialist in Tucson, AZ. Practice services are available at 2585 N WYATT DR under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, removal of polyps or growths of large bowel using an endoscope with mechanical snare. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2585 N Wyatt Dr

Tucson, AZ 857126104

Telephone 5207212728

Fax 5207210179

Associated Practice Facility / Clinic

🏢 Adobe Surgery Center, Pc Facility NPI 1205821097

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Tucson, AZ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 29.7 Yrs

State Avg: 35.9 Yrs

Regional Practice Density

89 Specialists

Practicing in Tucson, AZ (826 Statewide)

Telehealth Adoption Rate

2.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$352.00	$161.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$352.00	$161.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	49	49	$765.00	$81.02
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	37	37	$1400.00	$249.10
45378 Diagnostic exam of large bowel using a flexible endoscope	36	36	$950.00	$180.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$352.00	$163.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$228.00	$125.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$229.00	$81.44
45381 Injection beneath lining of large bowel using a flexible endoscope	20	20	$1020.00	$15.43
43249 Balloon dilation of esophagus using an endoscope	15	15	$900.00	$115.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	123	122	$1400.00	$250.59
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	106	104	$765.00	$79.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$352.00	$165.70
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	55	55	$877.00	$184.12
45381 Injection beneath lining of large bowel using a flexible endoscope	45	44	$1020.00	$23.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	33	$228.00	$127.91
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	34	34	$660.00	$96.55
45380 Biopsy of large bowel using an endoscope	26	26	$1048.00	$135.71
43249 Balloon dilation of esophagus using an endoscope	25	23	$900.00	$127.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$229.00	$110.67
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	21	21	$877.00	$180.02
45378 Diagnostic exam of large bowel using a flexible endoscope	19	18	$950.00	$162.13
91200 Measurement of liver stiffness	15	15	$150.00	$31.58
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$153.00	$90.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$352.00	$163.91
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	59	59	$765.00	$95.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	44	$228.00	$106.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$229.00	$107.14
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	45	45	$1400.00	$261.03
99213 Established patient office or other outpatient visit, typically 15 minutes	26	24	$153.00	$74.40
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	25	25	$877.00	$185.95
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$660.00	$108.37
91200 Measurement of liver stiffness	15	15	$150.00	$36.89
43249 Balloon dilation of esophagus using an endoscope	15	15	$900.00	$125.13
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$877.00	$190.67
45380 Biopsy of large bowel using an endoscope	13	13	$1048.00	$147.32
45381 Injection beneath lining of large bowel using a flexible endoscope	11	11	$1020.00	$15.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	78	77	$765.00	$106.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$352.00	$160.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	51	$228.00	$107.40
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	47	47	$1400.00	$260.02
99213 Established patient office or other outpatient visit, typically 15 minutes	27	27	$153.00	$73.27
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	25	25	$877.00	$184.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$229.00	$106.71
45381 Injection beneath lining of large bowel using a flexible endoscope	17	17	$1020.00	$16.20
91200 Measurement of liver stiffness	17	17	$150.00	$38.30
43249 Balloon dilation of esophagus using an endoscope	16	14	$900.00	$146.85
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$660.00	$99.88
45380 Biopsy of large bowel using an endoscope	13	13	$1048.00	$132.25
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$439.00	$203.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$306.00	$143.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	106	104	$765.00	$96.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$352.00	$161.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	70	$228.00	$105.90
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	59	59	$1400.00	$259.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$229.00	$104.98
99213 Established patient office or other outpatient visit, typically 15 minutes	40	40	$153.00	$71.70
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	28	28	$877.00	$187.12
45381 Injection beneath lining of large bowel using a flexible endoscope	25	25	$1020.00	$46.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	23	$306.00	$142.69
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$880.65	$171.02
43249 Balloon dilation of esophagus using an endoscope	19	17	$900.00	$147.89
45380 Biopsy of large bowel using an endoscope	17	17	$1048.00	$138.43
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$660.00	$110.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	118	117	$765.00	$102.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	89	$228.00	$105.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$352.00	$161.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$229.00	$106.57
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	53	53	$1400.00	$260.41
99213 Established patient office or other outpatient visit, typically 15 minutes	52	50	$153.00	$72.15
45378 Diagnostic exam of large bowel using a flexible endoscope	34	34	$950.00	$182.29
45380 Biopsy of large bowel using an endoscope	31	31	$1048.00	$138.08
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$439.00	$203.63
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$660.00	$105.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$306.00	$142.63
45381 Injection beneath lining of large bowel using a flexible endoscope	18	18	$1020.00	$16.16
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	17	17	$877.00	$187.50
43249 Balloon dilation of esophagus using an endoscope	14	14	$900.00	$117.00
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$877.00	$171.35

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AZ 19323

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

295198 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Richard Sampliner , MD

Internal Medicine - Gastroenterology

NPI 1306801303

Doctor of Medicine (M.D.)

Dr. Douglas Peterson , MD

Specialist

NPI 1831185040

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 2585 N WYATT DR, TUCSON, AZ 857126104 (Tel: 5207212728)

📍

Updated Business Mailing Address July 08, 2007

Registered at 2585 N WYATT DR, TUCSON, AZ 857126104 (Tel: 5207212728)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as SAM MOUSSA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #19323 in AZ)

🟢

Initial NPI Registration & Enumeration September 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1396730180

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 16, 2005

Last Update: July 13, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2585 N Wyatt Dr

Tucson, AZ 857126104

Phone: 5207212728

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.