Samuel Devictor, MD
NPI 1619301884ActiveIndividual· Otolaryngology, Facial Plastic Surgery· Scottsdale, AZ
Otolaryngology, Facial Plastic Surgery (MD) in Scottsdale, Arizona, trained at Mercer University School of Medicine (class of 2017). In 2024 Medicare paid $143,011 for 189 patients, and Part D covered 160 of their prescriptions, 81% of them generic. Mimedx Group, Inc. was the largest of 4 companies reporting payments in 2025, $148.80 in all, mostly food and beverage.
Overview
| NPI | 1619301884 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Aug 23, 2013 |
| Last updated in NPPES | Feb 9, 2026 |
| Certified by provider | Feb 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology, Facial Plastic Surgery Primary | 207YS0123X | 68902 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Plastic and Reconstructive Surgery (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 189 |
|---|---|
| Services billed | 446 across 36 procedure codes |
| Paid by Medicare | $143,011 |
Part D prescriptions in 2024
| Prescriptions (claims) | 160 · 164 30-day fills |
|---|---|
| Patients | 76 |
| Total drug cost | $2,153 |
| Generic share | 81% of claims |
Education and affiliations
| Medical school | Mercer University School of Medicine |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | Plastic And Reconstructive Surgery |
| Secondary specialties | Dermatology |
Medical group
- Southwest Skin Specialists LLCScottsdale, AZ · 52 clinicians
Industry payments (Open Payments)
- 2025$148.80 · 6 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Mimedx Group, Inc. | $88.00 | 3 |
| Ethicon US, LLC | $32.50 | 1 |
| Reprise Biomedical, Inc. | $20.40 | 1 |
| Mayne Pharma Commercial LLC | $7.90 | 1 |
What the 2025 payments were for
- Food and Beverage$148.80 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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