SAMUEL BELKNAP
NPI 1073957783
Urology in Watkinsville, GA

Active since April 24, 2013PECOS EnrolledAccepts Medicare Assignment
81.2/100
CMS Quality Rating
1150 GOLDEN WAY, WATKINSVILLE, GA 30677(706) 612-9401(706) 612-9420 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2024, Aug 16, 2018 (2 updates tracked since 2018).

About Samuel Belknap NPPES

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

SAMUEL BELKNAP (NPI 1073957783) is an individual urology provider in Watkinsville, Georgia, licensed in Georgia (79820) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073957783
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameSAMUEL BELKNAP
Location Address1150 GOLDEN WAYWatkinsville, GA 30677-7712
Mailing Address1150 Golden WayWatkinsville, GA 30677-7712 · (706) 612-9401 · Fax (706) 612-9420
Fax(706) 612-9420
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2013
Enumeration DateApril 24, 2013
Last NPPES UpdateAugust 9, 20242 updates tracked since enumeration
NPPES CertifiedAugust 9, 2024
NPI 1073957783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in GA · 79820
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1150 GOLDEN WAY, Watkinsville, GA 30677

Secondary Practice Locations 2

Location 1644 N Chase St Ste 105Athens, GA 30601-1960 · Phone (706) 612-9401 · Fax (706) 612-9420
Location 2930 Franklin Springs StRoyston, GA 30662-3908 · Phone (706) 612-9401 · Fax (706) 612-9420

Other Identifiers 1

Medicaid003205876DGA

Accepted 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 Belknap 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 ID1254644008
PECOS Enrollment IDI20180927002567
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 20

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
599 services367 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.
520 services374 patients
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.
488 services342 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
487 services311 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
259 services67 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
237 services64 patients

Hospital Affiliations CMS Care Compare 5

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

St Mary's Hospital

Acute Care Hospitals · Athens, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110006
Location1230 Baxter StreetAthens, GA 30606 · Clarke County
Emergency services Birthing friendly

Ty Cobb Regional Medical Center, LLC

Acute Care Hospitals · Lavonia, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110027
Location367 Clear Creek ParkwayLavonia, GA 30553 · Franklin County
Emergency services Birthing friendly

Piedmont Walton Hospital

Acute Care Hospitals · Monroe, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110046
Location2151 W Spring StreetMonroe, GA 30655 · Walton County
Emergency services Birthing friendly

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110074
Location1199 Prince AvenueAthens, GA 30606 · Clarke County
Birthing friendly

St. Mary's Good Samaritan Hospital

Critical Access Hospitals · Greensboro, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number111329
Location5401 Lake Oconee ParkwayGreensboro, GA 30642 · Greene County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30677 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.84
Improvement Activities40
Cost62.89

Other Providers at the Same Location NPPES 17

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

Nurse Practitioner
1150 GOLDEN WAY
WATKINSVILLE, GA 30677
Urology
1150 GOLDEN WAY
WATKINSVILLE, GA 30677
Nurse Practitioner
1150 GOLDEN WAY
WATKINSVILLE, GA 30677
Urology
1150 GOLDEN WAY
WATKINSVILLE, GA 30677
Nurse Practitioner (Family)
1150 GOLDEN WAY
WATKINSVILLE, GA 30677
Nurse Practitioner (Family)
1150 GOLDEN WAY
WATKINSVILLE, GA 30677
Nurse Practitioner
1150 GOLDEN WAY
WATKINSVILLE, GA 30677
Urology
1150 GOLDEN WAY
WATKINSVILLE, GA 30677

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 Belknap's NPI number?

The NPI number for Samuel Belknap is 1073957783. It was assigned to this individual provider in the NPPES registry on April 24, 2013.

Where is Samuel Belknap located?

Samuel Belknap practices at 1150 Golden Way, Watkinsville, GA 30677. The listed phone number is (706) 612-9401.

What is Samuel Belknap's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Samuel Belknap enrolled in Medicare?

Yes. Samuel Belknap 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 Belknap accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Samuel Belknap 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 Belknap affiliated with any hospitals?

According to CMS data, Samuel Belknap is affiliated with St Mary's Hospital, Ty Cobb Regional Medical Center, LLC, Piedmont Walton Hospital, Piedmont Athens Regional Medical Center and St. Mary's Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Belknap was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.