Samir Derisavifard, MD
NPI 1477997690ActiveIndividual· Urology, Urogynecology and Reconstructive Pelvic Surgery· Poughkeepsie, NY
Urology, Urogynecology and Reconstructive Pelvic Surgery (MD) with Premier Medical Group of the Hudson Valley PC, practicing in Poughkeepsie, New York. In 2024 Medicare paid $110,229 for 261 patients, and Part D covered 836 of their prescriptions, 74% of them generic. Femselect Inc. was the largest of 4 companies reporting payments in 2025, $3,858 in all, mostly consulting fees. Lists Long Island Jewish Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1477997690 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 18, 2013 |
| Last updated in NPPES | Sep 1, 2026 |
| Certified by provider | Sep 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology, Urogynecology and Reconstructive Pelvic Surgery Primary | 2088F0040X | 282292-01 | NY |
| Urology | 208800000X | 282292-01 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Urology (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 261 |
|---|---|
| Services billed | 3,636 across 54 procedure codes |
| Paid by Medicare | $110,229 |
Part D prescriptions in 2024
| Prescriptions (claims) | 836 · 1,214 30-day fills |
|---|---|
| Patients | 272 |
| Total drug cost | $126,209 |
| Generic share | 74% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Urology |
| Telehealth | Offers telehealth |
Medical group
- Premier Medical Group of the Hudson Valley PCHopewell Jct, NY · 134 clinicians
Hospital affiliations
- Long Island Jewish Medical CenterNew Hyde Park, NY
- Northwell Hospital Glen CoveGlen Cove, NY
Industry payments (Open Payments)
- 2025$3,858 · 7 payments from 4 companies
- 2024$387.61 · 8 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Femselect Inc. | $3,500 | 1 |
| Medtronic, Inc. | $248.27 | 3 |
| Boston Scientific Corporation | $82.88 | 2 |
| Valencia Technologies Corporation | $27.12 | 1 |
What the 2025 payments were for
- Consulting Fee$3,500 · 1 payment
- Food and Beverage$358.27 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records