SAMUEL MANSOUR MD
NPI 1306894555
Emergency Medicine in Pontotoc, MS

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
176 SOUTH MAIN ST, PONTOTOC, MS 38863(662) 488-7640(662) 488-7675 Get Directions Write a Review

NPPES record last updated: December 20, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samuel Mansour Md NPPES

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

SAMUEL MANSOUR MD (NPI 1306894555) is an individual emergency medicine provider in Pontotoc, Mississippi, licensed in Mississippi (9152) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Tishomingo Health Services Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306894555
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSAMUEL MANSOURCredential: MD
Location Address176 SOUTH MAIN STPontotoc, MS 38863
Mailing Address176 South Main StPontotoc, MS 38863 · (662) 488-7640 · Fax (662) 488-7675
Fax(662) 488-7675
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1980
Enumeration DateMay 4, 2006
Last NPPES UpdateDecember 20, 2018
NPI 1306894555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MS · 9152
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.

176 SOUTH MAIN ST, Pontotoc, MS 38863

Secondary Practice Locations 2

Location 11100 Highway 16 ECarthage, MS 39051-4222 · Phone (601) 267-1195 · Fax (601) 267-1191
Location 2140 Burke Calhoun City RdCalhoun City, MS 38916-9690 · Phone (662) 628-6611 · Fax (662) 628-6300

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 Mansour 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 ID7517926603
PECOS Enrollment IDI20041005000700
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
34 services34 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
18 services18 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Tishomingo Health Services Inc

Acute Care Hospitals · Iuka, MS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250002
Location1777 Curtis DriveIuka, MS 38852 · Tishomingo County
Emergency services

Monroe Regional Hospital

Critical Access Hospitals · Aberdeen, MS
OwnershipVoluntary non-profit - Private
CMS Certification Number251302
Location400 South Chestnut StreetAberdeen, MS 39730 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38863 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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 Mansour's NPI number?

The NPI number for Samuel Mansour is 1306894555. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Samuel Mansour located?

Samuel Mansour practices at 176 South Main St, Pontotoc, MS 38863. The listed phone number is (662) 488-7640.

What is Samuel Mansour's specialty?

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

Is Samuel Mansour enrolled in Medicare?

Yes. Samuel Mansour 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 Mansour accept?

Health plans from Molina Healthcare list Samuel Mansour 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 Mansour affiliated with any hospitals?

According to CMS data, Samuel Mansour is affiliated with Tishomingo Health Services Inc and Monroe Regional Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Mansour was last updated on December 20, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.