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DR. SAMMY JOE HORTON M.D.
NPI 1063416717
Internal Medicine - Gastroenterology in Decatur, TX

Active since June 10, 2005PECOS Enrolled
609 MEDICAL CENTER DR STE 2400, DECATUR, TX 76234(940) 539-2501(940) 626-3811 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 8, 2021, Nov 6, 2020, Sep 16, 2020 and 2 more (5 updates tracked since 2016).

About Dr. Sammy Joe Horton M.d. NPPES

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

DR. SAMMY JOE HORTON M.D. (NPI 1063416717) is an individual gastroenterology provider in Decatur, Texas, licensed in Texas (L0278) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063416717
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. SAMMY JOE HORTONCredential: M.D.
Location Address609 MEDICAL CENTER DR STE 2400Decatur, TX 76234-3803
Mailing AddressPo Box 2078Decatur, TX 76234-6156 · (940) 539-2501 · Fax (940) 626-3811
Phone(940) 539-2501
Fax(940) 626-3811
Sole ProprietorNo
Enumeration DateJune 10, 2005
Last NPPES UpdateSeptember 8, 20215 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2021
✔ NPI 1063416717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TX · L0278
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
609 MEDICAL CENTER DR STE 2400, Decatur, TX 76234
Open in Google Maps ↗

Other Identifiers 2

MedicaidPENDINGTX
OtherPENDINGTX · Bcbs Of Texas

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sammy Joe Horton M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Sammy Horton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regional Employee Assistance Program Inc.
64 mi
Family Medicine
2704 N GALLOWAY AVE, SUITE 103
Mesquite, TX 75150
  • Reassigned Medicare billing, Texas enrollment
  • 318 clinicians in this Medicare group
NPI 1215348487 (214) 660-2500

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76234 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Sammy Horton's NPI number?

The NPI number for Sammy Horton is 1063416717. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Sammy Horton located?

Sammy Horton practices at 609 Medical Center Dr Ste 2400, Decatur, TX 76234. The listed phone number is (940) 539-2501.

What is Sammy Horton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sammy Horton enrolled in Medicare?

Yes. Sammy Horton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sammy Horton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sammy Horton reassigns Medicare benefits to Regional Employee Assistance Program Inc. (Mesquite, TX). 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 Sammy Horton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sammy Horton accept?

Health plans from Taro Health list Sammy Horton 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.

When was this NPI record last updated?

The NPPES record for Sammy Horton was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.