SAMUEL L CLARKE MD
NPI 1275566119
Family Medicine in Greenwood, SC

Q: What is Samuel Clarke's NPI number?

The NPI number for Samuel Clarke is 1275566119. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Q: What is Samuel Clarke's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Clarke was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment

96.08/100

CMS Quality Rating

155 ACADEMY AVE, GREENWOOD, SC 29646(864) 725-4865(864) 725-4883 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 28, 2021, May 24, 2019 (2 updates tracked since 2019).

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About Samuel L Clarke Md NPPES

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

SAMUEL L CLARKE MD (NPI 1275566119) is an individual family medicine provider in Greenwood, South Carolina, licensed in South Carolina (21165) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Self Regional Healthcare, and is a graduate of Medical University Of South Carolina College Of Medicine (1996).

NPPES Registry Identity

NPI1275566119

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSAMUEL L CLARKECredential: MD

Location Address155 ACADEMY AVEGreenwood, SC 29646-3869

Mailing Address155 Academy AveGreenwood, SC 29646-3869 · (864) 725-4865 · Fax (864) 725-4883

Phone(864) 725-4865

Fax(864) 725-4883

Sole ProprietorNo

Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1996

Enumeration DateJuly 7, 2006

Last NPPES UpdateDecember 28, 20212 updates tracked since enumeration

NPPES CertifiedDecember 28, 2021

✔ NPI 1275566119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in SC · 21165

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

155 ACADEMY AVE, Greenwood, SC 29646

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Samuel L Clarke 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 ID1456353259

PECOS Enrollment IDI20070207000539

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

Self Regional Healthcare

Same address

Family Medicine

155 ACADEMY AVE
Greenwood, SC 29646

Reassigned Medicare billing, South Carolina enrollment
231 clinicians in this Medicare group

NPI 1326067703 (864) 725-4865

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 7

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.

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.

204 services137 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

193 services72 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

127 services52 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

82 services78 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

78 services71 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.

54 services46 patients

Hospital Affiliations CMS Care Compare 3

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

Self Regional Healthcare

Acute Care Hospitals · Greenwood, SC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420071

Location1325 Spring StreetGreenwood, SC 29646 · Greenwood County

Emergency services Birthing friendly

Abbeville Area Medical Center

Critical Access Hospitals · Abbeville, SC

OwnershipVoluntary non-profit - Other

CMS Certification Number421301

Location420 Thomson CircleAbbeville, SC 29620 · Abbeville County

Emergency services

Edgefield County Healthcare An Affiliate Of Self R

Critical Access Hospitals · Edgefield, SC

OwnershipGovernment - Local

CMS Certification Number421304

Location300 Ridge Medical PlazaEdgefield, SC 29824 · Edgefield County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29646 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.

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.

96.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

92.17

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$19.50 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$109.33 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

FAITH BROWN

Student in an Organized Health Care Education/Training Program