Medicare billing address
CMS Medicare provider billing file
30 N 1900 ESom4C104
Salt Lake City, UT 84132
CMS public data · NPI 1962793802
CMS public files list billing, prescribing, location, and participation fields for this NPI. Current plan networks, appointment availability, clinical outcomes, and patient-specific medical advice require separate verification.
CMS display name
Samuel Hayes, M.D.
Specialty
Credential
M.D.
NPI
1962793802
Primary source state
UT
Data retrieval date
July 28, 2026
Where these numbers come from, and what they cannot tell you
Public CMS records, 2024 reporting year. These are historical Medicare fields, not proof of current coverage, appointment availability, quality, or what someone will pay.
This page shows Medicare billing and Part D prescribing data for Samuel Hayes, M.D. from CMS public files. It covers 2024 claims data: services billed, the beneficiary panel, and the most-prescribed Part D drugs. It does not show current coverage, appointment availability, or quality ratings.
A licensed agent, not a call center
Peter Abilla, Licensed Medicare Insurance Sales Agent, NPN 22265186. Bring the doctors and prescriptions that matter to you, then check the details before you enroll.
Medicare participating
Yes
Individual assignment
Yes
Group assignment
Yes
CMS opt-out records
0
When CMS files list more than one address for the same NPI, each address stays tied to the CMS file that reported it.
CMS Medicare provider billing file
30 N 1900 ECMS Doctors & Clinicians file
1400 E BoulderCMS Doctors & Clinicians file
1400 E Boulder StCMS Doctors & Clinicians file
16222 W Us Hwy 24In the 2024 CMS provider billing file, this NPI had 1,131 Medicare beneficiaries and 5,494 total services. The average beneficiary age was 75, and the average HCC risk score was 1.4.
Total Medicare allowed amount
$166,057.02
Total Medicare payment amount
$117,896.82
Medicare beneficiaries
1,131
Total services
5,494
These percentages describe the Medicare beneficiary panel in the CMS utilization file. They are not a diagnosis for any individual patient and are not a quality score.
Hyperlipidemia
75%
CMS beneficiary-panel share
Hypertension
75%
CMS beneficiary-panel share
Ischemic heart disease
50%
CMS beneficiary-panel share
Atrial fibrillation
34%
CMS beneficiary-panel share
Heart failure
29%
CMS beneficiary-panel share
Chronic kidney disease
27%
CMS beneficiary-panel share
Where these service numbers come from, and what they cannot tell you
Amounts shown are average Medicare-approved amounts per billed unit in CMS records. What a person pays depends on current coverage and cannot be read from this table alone.
| CMS service description | Services | Avg allowed |
|---|---|---|
| Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 2,950 | $0.13 |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 501 | $128.68 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 421 | $14.46 |
| Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 340 | $67.27 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 207 | $7.97 |
| Anticoagulant management of patient taking warfarin | 171 | $11.43 |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 105 | $168.14 |
| Blood test, clotting time | 79 | $4.20 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician | 63 | $13.67 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 52 | $7.99 |
Where these Part D numbers come from, and what they cannot tell you
CMS data reports historical prescription drug events attributed to NPI 1962793802. Formularies, copays, prior authorization, and step therapy rules vary by current coverage.
| Rank | Drug | Generic name | Total claims | 30-day fills | Total drug cost |
|---|---|---|---|---|---|
| 1 | Rosuvastatin Calcium | Rosuvastatin Calcium | 413 | 1,234.1 | $4,897.31 |
| 2 | Metoprolol Succinate | Metoprolol Succinate | 407 | 1,168 | $5,301.90 |
| 3 | Atorvastatin Calcium | Atorvastatin Calcium | 399 | 1,162 | $3,903.72 |
| 4 | Carvedilol | Carvedilol | 230 | 625.1 | $1,823.44 |
| 5 | Lisinopril | Lisinopril | 211 | 571.3 | $1,294.42 |
| 6 | Ezetimibe | Ezetimibe | 206 | 622 | $4,805.64 |
| 7 | Eliquis | Apixaban | 181 | 500.7 | $285,995.84 |
| 8 | Furosemide | Furosemide | 170 | 461.4 | $909.34 |
| 9 | Spironolactone | Spironolactone | 170 | 513.3 | $1,144.85 |
| 10 | Losartan Potassium | Losartan Potassium | 154 | 459.8 | $1,557.08 |
CMS Part D records are historical aggregate claims data. They do not include current formulary status, pharmacy price, prior-authorization rules, network-directory status, or clinical-outcome data.
Medical school
Brody School Of Medicine At East Carolina University
Graduation year
2011
Group/practice field
Poudre Valley Medical Group Llc
Telehealth reported
Not reported
Verify plan-directory status, drug formulary rules, pharmacy pricing, appointment availability, and clinical questions against current plan documents and the relevant provider or care team.
The numbers above come from CMS public-use files for this NPI. Each link identifies the CMS release used and the retrieval date.