SAMUEL MCKENNA MD, DDS
NPI 1376635706
Oral & Maxillofacial Surgery in Nashville, TN

Active since September 30, 2006PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
719 THOMPSON LN STE 30330, NASHVILLE, TN 37204(615) 322-3000 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 23, 2025, Aug 12, 2022, Oct 15, 2020 and 1 more (4 updates tracked since 2020).

About Samuel Mckenna Md, Dds NPPES

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

SAMUEL MCKENNA MD, DDS (NPI 1376635706) is an individual oral & maxillofacial surgery provider in Nashville, Tennessee, licensed in Tennessee (15993) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1376635706
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameSAMUEL MCKENNACredential: MD, DDS
Location Address719 THOMPSON LN STE 30330Nashville, TN 37204-4701
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 936-2000
Sole ProprietorNo
Medical School CMSUn Of California, Irvine, College Of MedicineGraduated 1983
Enumeration DateSeptember 30, 2006
Last NPPES UpdateDecember 23, 20254 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
NPI 1376635706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License Licensed in TN · 15993
Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 6909 (TN)
719 THOMPSON LN STE 30330, Nashville, TN 37204

Secondary Practice Location 1

Location 11301 22nd Ave SNashville, TN 37232-4701 · Phone (615) 936-2000

Other Identifiers 1

MedicaidQ003502TN

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 Mckenna Md, Dds 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 ID2567590557
PECOS Enrollment IDI20100512000765
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 8

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 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.
61 services37 patients
X-ray of lower jaws, upper jaws and teeth 70355
An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.
43 services35 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.
31 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 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.
23 services21 patients
X-ray of lower jaws, upper jaws and teeth 70355
An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

Radiology (Diagnostic Radiology)
719 THOMPSON LN STE 30330
NASHVILLE, TN 37204
Nurse Practitioner (Family)
719 THOMPSON LN STE 30330
NASHVILLE, TN 37204
Nurse Practitioner (Acute Care)
719 THOMPSON LN STE 30330
NASHVILLE, TN 37204
Nurse Practitioner (Psychiatric/Mental Health)
719 THOMPSON LN STE 30330
NASHVILLE, TN 37204
Obstetrics & Gynecology
719 THOMPSON LN STE 30330
NASHVILLE, TN 37204
Social Worker (Clinical)
719 THOMPSON LN STE 30330
NASHVILLE, TN 37204
Nurse Anesthetist, Certified Registered
719 THOMPSON LN STE 30330
NASHVILLE, TN 37204
Pediatrics (Neonatal-Perinatal Medicine)
719 THOMPSON LN STE 30330
NASHVILLE, TN 37204

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 Mckenna's NPI number?

The NPI number for Samuel Mckenna is 1376635706. It was assigned to this individual provider in the NPPES registry on September 30, 2006.

Where is Samuel Mckenna located?

Samuel Mckenna practices at 719 Thompson Ln Ste 30330, Nashville, TN 37204. The listed phone number is (615) 322-3000.

What is Samuel Mckenna's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Samuel Mckenna enrolled in Medicare?

Yes. Samuel Mckenna 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 Mckenna accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Samuel Mckenna 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 Mckenna affiliated with any hospitals?

According to CMS data, Samuel Mckenna is affiliated with Vanderbilt University Medical Center.

When was this NPI record last updated?

The NPPES record for Samuel Mckenna was last updated on December 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.