Samir Derisavifard, MD
NPI 1477997690 · Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician · Rego Park, NY
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samir Derisavifard, MD is a Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician provider in Rego Park, NY (NPI 1477997690).
Provider details
- NPI number
- 1477997690
- Entity type
- Individual
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- S5157 (TX)
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianPrimary2088F0040XLicense 282292-01 (NY)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
13 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,036 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 284 | $18 |
| Ultrasound Measurement of Bladder Capacity After Voiding51798 | 155 | $13 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 150 | $144 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 81 | $103 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 64 | $190 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tamsulosin Hcl | 190 | 70 |
| Mirabegronbrand: Myrbetriq | 134 | 36 |
| Estradiol | 120 | 57 |
| Oxybutynin Chloridebrand: Oxybutynin Chloride Er | 78 | 28 |
| Vibegronbrand: Gemtesa | 78 | 33 |
| Finasteride | 43 | 18 |
| Solifenacin Succinate | 30 | 12 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$388 across 8 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-04-18
- Last updated
- 2024-06-12
- Certified
- 2024-06-12
Frequently asked questions
- What is Samir Derisavifard's NPI number?
- Samir Derisavifard's National Provider Identifier (NPI) is 1477997690, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samir Derisavifard's specialty?
- Samir Derisavifard is listed in the NPPES registry with a primary specialty of Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician (Allopathic & Osteopathic Physicians).
- Where is Samir Derisavifard located?
- Samir Derisavifard's practice location on file with NPPES is 9225 Queens Blvd Fl 2, Rego Park, NY 11374.
- What is Samir Derisavifard's phone number?
- The practice phone number listed in the NPPES registry for Samir Derisavifard is (817) 925-6200.
- Does Samir Derisavifard accept Medicare?
- Samir Derisavifard is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samir Derisavifard's NPI active?
- Yes — Samir Derisavifard's NPI (1477997690) is active in the NPPES registry as of the last update on 2024-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.