SAMUEL B PEGRAM MD
NPI 1528043130
Internal Medicine - Rheumatology in Georgetown, TX

Q: What is Samuel Pegram's NPI number?

The NPI number for Samuel Pegram is 1528043130. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Q: What is Samuel Pegram's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Pegram was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 December 07, 2005PECOS EnrolledAccepts Medicare Assignment

3316 WILLIAMS DR STE 150, GEORGETOWN, TX 78628(512) 244-4272(512) 244-2895 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 24, 2021, Apr 13, 2021, Jan 18, 2021 and 2 more (5 updates tracked since 2019).

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About Samuel B Pegram Md NPPES

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

SAMUEL B PEGRAM MD (NPI 1528043130) is an individual rheumatology provider in Georgetown, Texas, licensed in Texas (F9937) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Central Texas, and maintains a secondary practice location in Round Rock.

NPPES Registry Identity

NPI1528043130

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameSAMUEL B PEGRAMCredential: MD

Location Address3316 WILLIAMS DR STE 150Georgetown, TX 78628-2891

Mailing Address2000 S Mays St Ste 201Round Rock, TX 78664-7580 · (512) 244-4272 · Fax (512) 244-2895

Phone(512) 244-4272

Fax(512) 244-2895

Sole ProprietorYes

Medical School CMSOhio State University College Of MedicineGraduated 1980

Enumeration DateDecember 7, 2005

Last NPPES UpdateAugust 24, 20215 updates tracked since enumeration

NPPES CertifiedAugust 24, 2021

✔ NPI 1528043130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in TX · F9937

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

3316 WILLIAMS DR STE 150, Georgetown, TX 78628

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Secondary Practice Location 1

Location 12000 S Mays St Ste 300Round Rock, TX 78664-7580 · Phone (512) 244-4272 · Fax (512) 244-2895

Other Identifiers 1

Medicaid128203006TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 B Pegram 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 ID8729987581

PECOS Enrollment IDI20101207000847

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

Mark Malone MD PA

9.5 mi

Pain Medicine

2000 S MAYS ST, SUITE 201
Round Rock, TX 78664

Reassigned Medicare billing, Texas enrollment
100 clinicians in this Medicare group

NPI 1407057250 (512) 244-4272

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 12

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.

Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717

Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.

53,600 services23 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

336 services57 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

297 services44 patients

Injection, zoledronic acid, 1 mg J3489

Zoledronic acid is a medication given via injection to strengthen bones. It's often used in patients with osteoporosis or certain types of cancer. The injection helps reduce the risk of fractures and other bone complications.

285 services57 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.

284 services158 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

108 services44 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.

89 services73 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

38 services33 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.

31 services31 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

29 services26 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

28 services13 patients

Injection of drug or substance into vein 96374

This procedure involves introducing a medication or substance directly into your vein using a syringe. It's a quick and efficient way to deliver treatment throughout your body. You might feel a small prick when the needle enters. It's generally safe and effective.

24 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Adventhealth Central Texas

Acute Care Hospitals · Killeen, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450152

Location2201 S Clear Creek RoadKilleen, TX 76542 · Bell County

Emergency services Birthing friendly

Adventhealth Rollins Brook

Critical Access Hospitals · Lampasas, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number451323

Location608 North Key AvenueLampasas, TX 76550 · Lampasas County

Emergency services

Seton Medical Center Harker Heights

Acute Care Hospitals · Harker Heights, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number670080

Location850 W Central Texas ExpresswayHarker Heights, TX 76548 · Bell County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78628 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 6

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

MICHELLE HOWARD APNP

Nurse Practitioner (Gerontology)