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SAMUEL TYLER ANDERSON MD
NPI 1013545367
Internal Medicine in Knoxville, TN

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment
220 FORT SANDERS WEST BLVD STE 301, KNOXVILLE, TN 37922(865) 690-3003(865) 374-2143 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2024, Aug 21, 2024, Apr 30, 2024 and 2 more (5 updates tracked since 2020).

About Samuel Tyler Anderson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL TYLER ANDERSON MD (NPI 1013545367) is an individual internal medicine provider in Knoxville, Tennessee, licensed in Tennessee (70430) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and is a graduate of Brody School Of Medicine At East Carolina University (2020).

NPPES Registry Identity

NPI1013545367
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSAMUEL TYLER ANDERSONCredential: MD
Location Address220 FORT SANDERS WEST BLVD STE 301Knoxville, TN 37922-3398
Mailing Address9330 Park West Blvd Ste 402Knoxville, TN 37923-4312 · (865) 690-3003
Phone(865) 690-3003
Fax(865) 374-2143
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2020
Enumeration DateMarch 31, 2020
Last NPPES UpdateSeptember 10, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
✔ NPI 1013545367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 70430
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
220 FORT SANDERS WEST BLVD STE 301, Knoxville, TN 37922
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Other Identifiers 1

MedicaidQ091640TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel Tyler Anderson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375966823
PECOS Enrollment IDI20240813002788
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Samuel Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Covenant Medical Group, Inc.
3.0 mi
Family Medicine
1420 CENTERPOINT BLVD
Knoxville, TN 37932
  • Reassigned Medicare billing, Tennessee enrollment
  • 504 clinicians in this Medicare group
NPI 1457302010 (865) 374-5200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
77 services57 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
68 services45 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
49 services35 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
41 services34 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services37 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
25 services22 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440009
Location421 S Main StCrossville, TN 38555 · Cumberland County
Emergency services Birthing friendly

Fort Loudoun Medical Center

Acute Care Hospitals · Lenoir City, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440110
Location550 Fort Loudon Medical Center DrLenoir City, TN 37772 · Loudon County
Emergency services

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440173
Location9352 Park West BlvdKnoxville, TN 37923 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37922 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW DAVID GOINS DO
Internal Medicine
220 FORT SANDERS WEST BLVD STE 301
KNOXVILLE, TN 37922
Knox County (865) 690-3003
RASMI AJIT MD
Internal Medicine
220 FORT SANDERS WEST BLVD STE 301
KNOXVILLE, TN 37922
Knox County (865) 690-3003
HOLLY M WEBB APN
Nurse Practitioner (Primary Care)
220 FORT SANDERS WEST BLVD STE 301
KNOXVILLE, TN 37922
Knox County (865) 690-3003
MICHELLE E. SMITH APN-BC
Nurse Practitioner (Family)
220 FORT SANDERS WEST BLVD STE 301
KNOXVILLE, TN 37922
Knox County (865) 690-3003
STEPHANIE SMITH BECKER MD
Internal Medicine
220 FORT SANDERS WEST BLVD STE 301
KNOXVILLE, TN 37922
Knox County (865) 690-3003
MARIANNE KIM SOLOMON M.D.
Internal Medicine
220 FORT SANDERS WEST BLVD STE 301
KNOXVILLE, TN 37922
Knox County (865) 690-3003
CONNIE M HAMILTON APN
Nurse Practitioner (Primary Care)
220 FORT SANDERS WEST BLVD STE 301
KNOXVILLE, TN 37922
Knox County (865) 690-3003
JEFFREY SCOTT BORUFF M.D.
Internal Medicine
220 FORT SANDERS WEST BLVD STE 301
KNOXVILLE, TN 37922
Knox County (865) 690-3003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Anderson's NPI number?

The NPI number for Samuel Anderson is 1013545367. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Samuel Anderson located?

Samuel Anderson practices at 220 Fort Sanders West Blvd Ste 301, Knoxville, TN 37922. The listed phone number is (865) 690-3003.

What is Samuel Anderson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Samuel Anderson enrolled in Medicare?

Yes. Samuel Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Samuel Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Anderson reassigns Medicare benefits to Covenant Medical Group, Inc. (Knoxville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Anderson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Samuel Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Samuel Anderson affiliated with any hospitals?

According to CMS data, Samuel Anderson is affiliated with Cumberland Medical Center, Fort Loudoun Medical Center and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Samuel Anderson was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.