Active NPI 1619982014 Individual Practitioner Female Practitioner

Dr. Ruby J Sampson , MD

Internal Medicine - Gastroenterology • So Orange, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Ruby Sampson, MD is a registered healthcare professional specializing in Internal Medicine - Gastroenterology in So Orange, NJ. Practice services are available at 106 VALLEY STREET under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

106 Valley Street
1st Floor

So Orange, NJ 07079

Telephone 9733139300

Fax 9733132313

Associated Practice Facility / Clinic

🏢 Dr Ruby J Sampson Inc Facility NPI 1922316090

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Gastroenterology in So Orange, NJ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 29.8 Yrs

Regional Practice Density

1 Specialists

Practicing in So Orange, NJ (764 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.8% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	41	$200.00	$141.05
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$1255.00	$197.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	94	$200.00	$143.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$350.00	$186.33
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	20	20	$1200.00	$201.07
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	19	19	$1255.00	$201.36
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	12	$1600.00	$277.97
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$2100.00	$201.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	109	$200.00	$144.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$350.00	$188.21
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	22	22	$1255.00	$205.76
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$1200.00	$205.42
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	15	15	$1200.00	$198.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	95	$200.00	$121.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$350.00	$183.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$275.00	$163.49
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$1200.00	$208.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	123	$200.00	$121.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$350.00	$182.15
45378 Diagnostic exam of large bowel using a flexible endoscope	37	37	$1200.00	$208.73
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	20	20	$1600.00	$287.09
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	16	16	$1200.00	$208.00
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	13	$875.00	$145.44
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$1255.00	$208.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	208	149	$190.14	$118.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$320.21	$179.01
45378 Diagnostic exam of large bowel using a flexible endoscope	58	58	$1101.72	$207.48
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	22	$856.82	$151.80
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	17	17	$1196.53	$206.13
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	16	$1525.00	$285.11
45380 Biopsy of large bowel using an endoscope	12	12	$1208.33	$225.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$227.27	$160.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	168	133	$175.00	$118.60
45378 Diagnostic exam of large bowel using a flexible endoscope	93	93	$1000.00	$207.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$275.00	$180.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	39	$200.00	$159.37
99213 Established patient office or other outpatient visit, typically 15 minutes	34	20	$125.00	$81.05
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	24	24	$1300.00	$286.03
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	20	$825.00	$156.46

Medical Specialties & State Licenses

Internal Medicine - Gastroenterology Primary Specialty

NUCC Taxonomy Code: 207RG0100X

State License NJ 45315

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3357805 (NJ)

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 106 VALLEY STREET, 1ST FLOOR, SO ORANGE, NJ 07079 (Tel: 9733139300)

📍

Updated Business Mailing Address July 08, 2007

Registered at 106 VALLEY STREET, 1ST FLOOR, SO ORANGE, NJ 07079 (Tel: 9733139300)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as RUBY SAMPSON, MD

🎓

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

Internal Medicine (License #45315 in NJ)

🟢

Initial NPI Registration & Enumeration July 31, 2006

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: 1619982014

Entity Type:

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

Enumeration Date: July 31, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

106 Valley Street, 1st Floor

So Orange, NJ 07079

Phone: 9733139300

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.