SAMUEL J W CERIDON M.D. NPI 1679800247

NPI Information

  • NPI: 1679800247
  • Provider Name: SAMUEL J W CERIDON, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1095 MARSHALL WAY
    PLACERVILLE, CA
    ZIP 95667
  • Phone: (530) 626-2920

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NPI Details

Samuel J W Ceridon, M.D. is a family medicine in Placerville, CA with 17 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Samuel J W Ceridon, M.D. NPI is 1679800247. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduation Year:2009

The provider's business location address is:

1095 MARSHALL WAY
PLACERVILLE, CA
ZIP 95667-722
Phone: (530) 626-2920
Fax: (530) 748-0328

The NPI 1679800247 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow (HCPCS:G0181)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Removal of tissue from wound, each additional 20.0 sq cm (HCPCS:97598)
  • Established patient home visit, typically 1 hour (HCPCS:99350)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination (HCPCS:G0405)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)

The enumeration date for this NPI number is 11/3/2009 and was last updated on 9/17/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineA116725CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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