SAMUEL MARK OVERHOLT M.D.
NPI 1417952482
Otolaryngology in Knoxville, TN

Active since June 16, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
9430 PARK WEST BLVD, KNOXVILLE, TN 37923(865) 693-6065(865) 531-6325 Get Directions Write a Review

NPPES record last updated: November 5, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samuel Mark Overholt M.d. NPPES

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

SAMUEL MARK OVERHOLT M.D. (NPI 1417952482) is an individual otolaryngology provider in Knoxville, Tennessee, licensed in Tennessee (28826) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and is a graduate of Baylor College Of Medicine (1991).

NPPES Registry Identity

NPI1417952482
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameSAMUEL MARK OVERHOLTCredential: M.D.
Location Address9430 PARK WEST BLVDKnoxville, TN 37923-4200
Mailing AddressPo Box 31547Knoxville, TN 37930-1547 · (865) 693-6065 · Fax (865) 531-6325
Fax(865) 531-6325
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1991
Enumeration DateJune 16, 2005
Last NPPES UpdateNovember 5, 2007
NPI 1417952482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in TN · 28826
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

9430 PARK WEST BLVD, Knoxville, TN 37923

Other Identifiers 3

Medicaid3808346TN
Medicare PIN3808345
Medicare UPING44180TN

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 Mark Overholt M.d. 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 ID5496870982
PECOS Enrollment IDI20100921001101
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 15

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.
330 services272 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.
311 services222 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
249 services179 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.
184 services184 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
151 services129 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
67 services67 patients

Hospital Affiliations CMS Care Compare 4

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

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440009
Location421 S Main StCrossville, TN 38555 · Cumberland County
Emergency services Birthing friendly

Fort Loudoun Medical Center

Acute Care Hospitals · Lenoir City, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440110
Location550 Fort Loudon Medical Center DrLenoir City, TN 37772 · Loudon County
Emergency services

Fort Sanders Regional Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440125
Location1901 W Clinch AveKnoxville, TN 37916 · Knox County
Emergency services Birthing friendly

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440173
Location9352 Park West BlvdKnoxville, TN 37923 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37923 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Otolaryngology
9430 PARK WEST BLVD, STE 330
KNOXVILLE, TN 37923
Otolaryngology
9430 PARK WEST BLVD, STE 330
KNOXVILLE, TN 37923
Audiologist
9430 PARK WEST BLVD, STE 330
KNOXVILLE, TN 37923
Otolaryngology
9430 PARK WEST BLVD
KNOXVILLE, TN 37923
Otolaryngology
9430 PARK WEST BLVD, STE 330
KNOXVILLE, TN 37923
Occupational Therapist
9430 PARK WEST BLVD, SUITE 230
KNOXVILLE, TN 37923
Physical Therapist
9430 PARK WEST BLVD, SUITE 230
KNOXVILLE, TN 37923
Audiologist
9430 PARK WEST BLVD, SUITE 330
KNOXVILLE, TN 37923

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 Overholt's NPI number?

The NPI number for Samuel Overholt is 1417952482. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Samuel Overholt located?

Samuel Overholt practices at 9430 Park West Blvd, Knoxville, TN 37923. The listed phone number is (865) 693-6065.

What is Samuel Overholt's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Samuel Overholt enrolled in Medicare?

Yes. Samuel Overholt 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 Overholt accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Samuel Overholt 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 Overholt affiliated with any hospitals?

According to CMS data, Samuel Overholt is affiliated with Cumberland Medical Center, Fort Loudoun Medical Center, Fort Sanders Regional Medical Center and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Samuel Overholt was last updated on November 5, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.