SAMUEL GRADY PUTNAM MD
NPI 1023066404
Radiology - Vascular & Interventional Radiology in Southaven, MS

Q: What is Samuel Putnam's NPI number?

The NPI number for Samuel Putnam is 1023066404. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Q: What is Samuel Putnam's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Putnam was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment

55 PHYSICIANS LN, SOUTHAVEN, MS 38671(662) 655-2136(662) 996-2214 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2025, Jan 7, 2025, Oct 1, 2024 and 3 more (6 updates tracked since 2016).

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About Samuel Grady Putnam Md NPPES

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

SAMUEL GRADY PUTNAM MD (NPI 1023066404) is an individual vascular & interventional radiology provider in Southaven, Mississippi, licensed in Mississippi (28916) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Hilo Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1023066404

Entity TypeIndividualMale

Primary Taxonomy2085R0204X

Provider Legal NameSAMUEL GRADY PUTNAMCredential: MD

Location Address55 PHYSICIANS LNSouthaven, MS 38671-9569

Mailing Address26500 Agoura Rd Ste 102-587Calabasas, CA 91302-1952 · (818) 880-8605 · Fax (818) 579-7916

Phone(662) 655-2136

Fax(662) 996-2214

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateMay 5, 2006

Last NPPES UpdateMay 6, 20256 updates tracked since enumeration

NPPES CertifiedMay 6, 2025

✔ NPI 1023066404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

Licenses✔ Licensed in MS · 28916✔ Licensed in PA · MD041221E✔ Licensed in NJ · 25MA09575600✔ Licensed in TN · 63241✔ Licensed in HI · MD-23034✔ Licensed in DE · C1-0011573

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 25MA09575600 (NJ), MD041221E (PA), C1-0011573 (DE)

55 PHYSICIANS LN, Southaven, MS 38671

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Secondary Practice Locations 3

Location 1750 Brunswick AveTrenton, NJ 08638-4143 · Phone (609) 394-6000

Location 21120 15th StAugusta, GA 30912-9569 · Phone (706) 721-8623

Location 31 Capital WayPennington, NJ 08534-2520 · Phone (609) 303-4000

Other Identifiers 9

Other1172545PA · Aetna Hmo

Other30026885PA · Keystone Mercy

Medicaid0012723560016PA

Other0546464000PA · Amerihealth/intercounty

Other300099781PA · Rrm

Other7929044PA · Aetna Ppo

Other0546464000PA · Ibc - Pc/khpe

Other710371PA · Highmark Blue Shield

Other8215722PA · Cigna Hmo/ppo

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of North Dakota, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel Grady Putnam 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 ID5991699522

PECOS Enrollment IDI20040212000699, I20151022000580, I20230517002017, I20241016001457, I20251212003249

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.

Areas of Expertise CMS Part B claims 15

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967

Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.

9,563 services90 patients

Review by radiologist of additional artery image 75774

This procedure involves a radiologist examining an extra image of your artery. It's done to gain more insight into your vascular health. The radiologist will study the image to identify any abnormalities or issues that may need further medical attention.

625 services92 patients

Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond 36248

This procedure involves placing a tube into an artery in the abdomen, pelvis, or leg. It's done to improve blood flow or deliver medication. If more than one tube is needed, each additional insertion is done separately.

551 services93 patients

Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 99153

This service involves a physician administering medication to lower your consciousness during a procedure. It's done for your comfort and safety. The drug's effects last about 15 minutes, so additional doses may be given as needed.

310 services98 patients

Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch 36247

This procedure involves placing a tube into an artery in the abdomen, pelvis, or leg. The tube is inserted into the initial third order branch of the artery. This can help doctors diagnose or treat certain conditions by allowing access to these blood vessels.

190 services93 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

102 services98 patients

Review by radiologist of abdominal artery image 75726

This procedure involves a radiologist examining an image of your abdominal artery. The goal is to identify any abnormalities or issues that might impact your health. It's a non-invasive method that provides valuable information about your body's circulatory system.

96 services92 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

96 services92 patients

Occlusion of growths or obstructed vessels with review by radiologist 37243

This procedure involves blocking abnormal growths or blocked vessels in your body. A radiologist, a doctor specialized in imaging techniques, will review the process. The aim is to improve your health by preventing these issues from causing further complications.

90 services87 patients

Occlusion of artery with review by radiologist 37242

This procedure involves blocking an artery to manage certain conditions. A radiologist, a doctor specialized in imaging techniques, reviews the process to ensure accuracy and effectiveness. It's a safe, controlled method used in various treatments.

80 services78 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

55 services55 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

46 services46 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

22 services22 patients

Review by radiologist of ct guidance for needle placement 77012

This process involves a radiologist examining CT scan images to accurately guide a needle's placement within the body. This technique is often used for biopsies or treatments, ensuring precision and safety.

12 services12 patients

Ultrasonic guidance for blood vessel access 76937

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Hilo Medical Center

Acute Care Hospitals · Hilo, HI

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number120005

Location1190 Waianuenue AvenueHilo, HI 96720 · Hawaii County

Emergency services Birthing friendly

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140091

Location611 West Park StreetUrbana, IL 61801 · Champaign County

Emergency services Birthing friendly

Sanford Medical Center Bismarck

Acute Care Hospitals · Bismarck, ND

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350015

Location300 N 7th StBismarck, ND 58506 · Burleigh County

Emergency services Birthing friendly

Geisinger-Lewistown Hospital

Acute Care Hospitals · Lewistown, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390048

Location400 Highland AvenueLewistown, PA 17044 · Mifflin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38671 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 4

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

MODERN VASCULAR OF SOUTHAVEN, LLC

Radiology (Vascular & Interventional Radiology)

55 PHYSICIANS LN
SOUTHAVEN, MS 38671

Desoto County (662) 655-2136

THE NEUROSURGICAL CENTER

Neurological Surgery

55 PHYSICIANS LN, SUITE 1
SOUTHAVEN, MS 38671

Desoto County (662) 349-5660

MICHAELINE BAILEY

Nurse Practitioner (Family)

55 PHYSICIANS LN
SOUTHAVEN, MS 38671

Desoto County (662) 655-2136

ROGER L DECKER AGACNP-BC

Nurse Practitioner (Acute Care)

55 PHYSICIANS LN
SOUTHAVEN, MS 38671

Desoto County (662) 655-2136

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 Putnam's NPI number?

The NPI number for Samuel Putnam is 1023066404. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Samuel Putnam located?

Samuel Putnam practices at 55 Physicians Ln, Southaven, MS 38671. The listed phone number is (662) 655-2136.

What is Samuel Putnam's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Samuel Putnam enrolled in Medicare?

Yes. Samuel Putnam 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.

What insurance does Samuel Putnam accept?

Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Texas, Molina Healthcare and UnitedHealthcare list Samuel Putnam 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 Putnam affiliated with any hospitals?

According to CMS data, Samuel Putnam is affiliated with Hilo Medical Center, Carle Foundation Hospital, Sanford Medical Center Bismarck and Geisinger-Lewistown Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Putnam was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.