Deactivated NPI 1700887734 Deactivated / Inactive NPI Male Practitioner

Dr. Samuel P Pejo , MD

Plastic Surgery • Binghamton, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Samuel Pejo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 01, 2005

NPI Deactivation Date October 10, 2019

Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Pejo, MD was a registered Plastic Surgery practicing in Binghamton, NY. Throughout an active medical career spanning 14 years, Dr. Pejo provided care at the practice location at 27 PARK AVE until profile deactivation on 2019-10-10.

Historical Medicare Part B clinical services included established patient outpatient office visit, repair of wound by transferring skin, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

27 Park Ave
Second Floor

Binghamton, NY 139031605

Telephone 6077726266

Fax 6077728567

Associated Practice Facility / Clinic

🏢 Vestal Healthcare, Llc Facility NPI 1801101522

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Binghamton, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 33.0 Yrs

State Avg: 30.6 Yrs

Regional Practice Density

7 Specialists

Practicing in Binghamton, NY (476 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

46.2% 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 (2019)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	59	47	$93.14	$50.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	21	$46.38	$24.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$143.70	$77.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	105	90	$92.50	$48.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	71	$45.82	$23.89
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	53	11	$651.84	$206.74
99201 New patient office or other outpatient visit, typically 10 minutes	44	44	$48.10	$25.06
17003 Destruction of precancer skin growth, 2-14 growths	42	14	$5.66	$2.23
17000 Destruction of skin growth	26	26	$118.80	$37.03
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	19	17	$1980.34	$802.33
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	15	15	$1753.77	$681.09
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$90.94	$47.36
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	12	$440.03	$129.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	143	120	$92.74	$47.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	70	$46.26	$23.91
17003 Destruction of precancer skin growth, 2-14 growths	63	13	$5.76	$2.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	58	$143.01	$74.10
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	25	23	$1981.76	$812.93
17000 Destruction of skin growth	20	20	$118.74	$42.30
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$91.78	$47.35
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	16	15	$438.28	$126.33
99201 New patient office or other outpatient visit, typically 10 minutes	15	15	$48.60	$25.10
17110 Destruction of up to 14 skin growths	13	13	$156.13	$60.51
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	12	11	$1874.29	$687.10
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	12	12	$459.60	$160.34
11100 Biopsy of single growth of skin and/or tissue	12	12	$110.26	$42.57

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License NY 117149

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. Lawrence Kerr , MD

Plastic Surgery

NPI 1013918044

Doctor of Medicine (M.D.)

Tiffini Kalt , PA

Physician Assistant

NPI 1033899943

Physician Assistant

Dr. Alexander Kaminsky , MD, MPH

Plastic Surgery

NPI 1093036386

Doctor of Medicine (M.D.), Master of Public Health

Dr. Lucia Collar Yagas , MD

Plastic Surgery

NPI 1770842510

Doctor of Medicine (M.D.)

Dr. Omotinuwe Adepoju , MD

Surgery

NPI 1780834499

Doctor of Medicine (M.D.)

Dr. Eric Odessey , MD

Plastic Surgery

NPI 1811143316

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

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NPI Profile Deactivated October 10, 2019

Record deactivated on October 10, 2019

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NPI Profile Active November 19, 2011

NPI status registered as active in NPPES database

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Updated Practice Location November 19, 2011

Registered at 27 PARK AVE, SECOND FLOOR, BINGHAMTON, NY 139031605 (Tel: 6077726266)

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Updated Business Mailing Address November 19, 2011

Registered at 346 GRAND AVE, JOHNSON CITY, NY 137902558 (Tel: 6077700025)

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Provider Name / Credentials Updated November 19, 2011

Recorded as SAMUEL PEJO, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2011

Plastic Surgery (License #117149 in NY)

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Initial NPI Registration & Enumeration August 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700887734

Entity Type:

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

Enumeration Date: August 01, 2005

Last Update: November 19, 2011

Deactivation Date: October 10, 2019

Update or Correct Profile

Mailing Address

346 Grand Ave

Johnson City, NY 137902558

Phone: 6077700025

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.