DR. SAMUEL WINSTON HUDDLESTON V M.D.
NPI 1053607432
Radiology - Diagnostic Radiology in Johnson City, TN

Active since June 23, 2011PECOS EnrolledAccepts Medicare Assignment
408 N STATE OF FRANKLIN RD, SUITE 31, JOHNSON CITY, TN 37604(423) 431-2478 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Samuel Winston Huddleston V M.d. NPPES

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

DR. SAMUEL WINSTON HUDDLESTON V M.D. (NPI 1053607432) is an individual diagnostic radiology provider in Johnson City, Tennessee, licensed in Tennessee (49158) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2011).

NPPES Registry Identity

NPI1053607432
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. SAMUEL WINSTON HUDDLESTON VCredential: M.D.
Location Address408 N STATE OF FRANKLIN RD, SUITE 31Johnson City, TN 37604-6089
Mailing Address820 Liberty Bell Blvd, Apt 6Johnson City, TN 37604-3773 · (423) 895-1217
Sole ProprietorYes
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2011
Enumeration DateJune 23, 2011
Last NPPES UpdateJune 23, 2020
NPPES CertifiedJune 23, 2020
✔ NPI 1053607432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in TN · 49158
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
408 N STATE OF FRANKLIN RD, Johnson City, TN 37604

Accepted 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

Dr. Samuel Winston Huddleston V M.d. 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 ID3274964531
PECOS Enrollment IDI20200520003774, I20201120000199
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 Huddleston reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diagnostic Radiology
933 HIGHWAY 126
Bristol, TN 37620
  • Reassigned Medicare billing, Tennessee and Virginia enrollments
  • Medicare enrollment name: Blue Ridge Radiology PC
  • 89 clinicians in this Medicare group

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 29

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
744 services744 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
664 services664 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
184 services176 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
176 services171 patients
X-ray of spine, 1 view 72020
An X-ray of the spine, 1 view, is a quick and painless imaging procedure. It uses radiation to capture images of the bones in your spine. It helps in detecting issues like fractures, infections, or tumors. You'll be positioned, the machine captures the image, and you're done. It's a safe, routine procedure.
118 services90 patients
Diagnostic mammography of 1 breast 77065
Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
118 services107 patients

Hospital Affiliations CMS Care Compare 5

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

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Greeneville Community Hospital

Acute Care Hospitals · Greeneville, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440050
Location1420 Tusculum BoulevardGreeneville, TN 37745 · Greene County
Emergency services Birthing friendly

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Johnston Memorial Hospital

Acute Care Hospitals · Abingdon, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490053
Location16000 Johnston Memorial DriveAbingdon, VA 24211 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Nurse Practitioner (Adult Health)
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Nurse Practitioner (Family)
408 N STATE OF FRANKLIN RD, SUITE 31B
JOHNSON CITY, TN 37604
Neurological Surgery
408 N STATE OF FRANKLIN RD, SUITE 42
JOHNSON CITY, TN 37604
Nurse Practitioner
408 N STATE OF FRANKLIN RD, SUITE 31C
JOHNSON CITY, TN 37604
Internal Medicine
408 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Internal Medicine (Gastroenterology)
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Internal Medicine
408 N STATE OF FRANKLIN RD, SUITE 31C
JOHNSON CITY, TN 37604

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 Huddleston's NPI number?

The NPI number for Samuel Huddleston is 1053607432. It was assigned to this individual provider in the NPPES registry on June 23, 2011.

Where is Samuel Huddleston located?

Samuel Huddleston practices at 408 N State Of Franklin Rd Suite 31, Johnson City, TN 37604. The listed phone number is (423) 431-2478.

What is Samuel Huddleston's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Samuel Huddleston enrolled in Medicare?

Yes. Samuel Huddleston 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 Huddleston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Huddleston reassigns Medicare benefits to Blue Ridge Radiology, P.C. (Bristol, 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 Huddleston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Huddleston accept?

Health plans from Cigna Healthcare list Samuel Huddleston 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 Huddleston affiliated with any hospitals?

According to CMS data, Samuel Huddleston is affiliated with Wellmont Bristol Regional Medical Center, Wellmont Holston Valley Medical Center, Greeneville Community Hospital, Johnson City Medical Center and Johnston Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Huddleston was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.