DR. SAMUEL WILLIAM POLEN M.D.
NPI 1194721076
Emergency Medicine in Camden, SC

Active since June 24, 2005PECOS Enrolled
1315 ROBERTS ST, CAMDEN, SC 29020(803) 713-6140 Get Directions Write a Review

NPPES record last updated: March 28, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Samuel William Polen M.d. NPPES

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

DR. SAMUEL WILLIAM POLEN M.D. (NPI 1194721076) is an individual emergency medicine provider in Camden, South Carolina, licensed in South Carolina (012753) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194721076
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. SAMUEL WILLIAM POLENCredential: M.D.
Location Address1315 ROBERTS STCamden, SC 29020-3737
Mailing Address101 Pee Dee DrFlorence, SC 29501-8279 · (843) 661-5061
Sole ProprietorNo
Enumeration DateJune 24, 2005
Last NPPES UpdateMarch 28, 2008
NPI 1194721076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in SC · 012753
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedEmergency Medicine · Undersea and Hyperbaric MedicineTaxonomy 207PE0005X · License 012753 (SC)
Also ListedFamily MedicineTaxonomy 207Q00000X · License 012753 (SC)
1315 ROBERTS ST, Camden, SC 29020

Other Identifiers 3

Medicare UPIND79055SC
Medicare ID-Type Unspecified7763SC · Group Number
Medicaid127534SC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Samuel William Polen 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29020 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 20

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

Obstetrics & Gynecology (Gynecology)
1315 ROBERTS ST
CAMDEN, SC 29020
Clinic/Center (Emergency Care)
1315 ROBERTS ST
CAMDEN, SC 29020
Anesthesiology
1315 ROBERTS ST
CAMDEN, SC 29020
Physician Assistant (Medical)
1315 ROBERTS ST
CAMDEN, SC 29020
Community/Behavioral Health
1315 ROBERTS ST
CAMDEN, SC 29020
Emergency Medicine
1315 ROBERTS ST
CAMDEN, SC 29020
Emergency Medicine
1315 ROBERTS ST
CAMDEN, SC 29020
Nurse Anesthetist, Certified Registered
1315 ROBERTS ST
CAMDEN, SC 29020

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 Polen's NPI number?

The NPI number for Samuel Polen is 1194721076. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Where is Samuel Polen located?

Samuel Polen practices at 1315 Roberts St, Camden, SC 29020. The listed phone number is (803) 713-6140.

What is Samuel Polen's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Samuel Polen enrolled in Medicare?

Yes. Samuel Polen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Polen was last updated on March 28, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.