SAMUEL MADDOX
NPI 1568136083
Anesthesiologist Assistant in Clearwater, FL
About Samuel Maddox NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL MADDOX (NPI 1568136083) is an individual anesthesiologist assistant in Clearwater, Florida, licensed in Florida (AA776) and active in the NPI registry since August 2021. He is affiliated with Holmes Regional Medical Center and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
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 Maddox 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.
Medicare Billing Reassignment
Medicare enrollment records show Samuel Maddox reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Melbourne, FL 32940
- Reassigned Medicare billing, Florida enrollment
- 378 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Holmes Regional Medical Center
Acute Care Hospitals · Melbourne, FLViera Hospital
Acute Care Hospitals · Melbourne, FLPalm Bay Hospital
Acute Care Hospitals · Palm Bay, FLMedicare 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.
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.
CLEARWATER, FL 33759
CLEARWATER, FL 33759
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 Maddox's NPI number?
The NPI number for Samuel Maddox is 1568136083. It was assigned to this individual provider in the NPPES registry on August 7, 2021.
Where is Samuel Maddox located?
Samuel Maddox practices at 3400 Gulf To Bay Blvd, Clearwater, FL 33759. The listed phone number is (813) 574-5200.
What is Samuel Maddox's specialty?
The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.
Is Samuel Maddox enrolled in Medicare?
Yes. Samuel Maddox 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.
Which organization bills Medicare for Samuel Maddox's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Maddox reassigns Medicare benefits to Brevard Physician Associates, PLLC (Melbourne, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Maddox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Samuel Maddox affiliated with any hospitals?
According to CMS data, Samuel Maddox is affiliated with Holmes Regional Medical Center, Viera Hospital and Palm Bay Hospital.
When was this NPI record last updated?
The NPPES record for Samuel Maddox was last updated on March 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Samuel Maddox · NPI 1568136083
Anesthesiologist Assistant physician in Clearwater, Florida. Individual provider, active in the CMS NPPES registry since August 7, 2021.
## Identity
- **NPI:** 1568136083 (Entity type: Individual)
- **Enumerated:** August 7, 2021
- **Primary specialty:** Anesthesiologist Assistant · taxonomy 367H00000X
- **State license:** AA776 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 GULF TO BAY BLVD, Clearwater, FL 33759-4514
- **Phone:** (813) 574-5200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Brevard Physician Associates, PLLC (NPI 1124691159, Melbourne, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1568136083) · Data from the CMS NPPES public registry.