SAMUEL MAYHEW WILSON M.D.
NPI 1609844653
Surgery in Clinton, SC

Q: What is Samuel Wilson's NPI number?

The NPI number for Samuel Wilson is 1609844653. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Q: What is Samuel Wilson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Wilson was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 08, 2006PECOS Enrolled

1073 MEDICAL RIDGE RD, CLINTON, SC 29325(864) 833-3557(864) 833-7724 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 21, 2023, Feb 20, 2018 (2 updates tracked since 2018).

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About Samuel Mayhew Wilson M.d. NPPES

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

SAMUEL MAYHEW WILSON M.D. (NPI 1609844653) is an individual surgery provider in Clinton, South Carolina, licensed in South Carolina (33377) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609844653

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameSAMUEL MAYHEW WILSONCredential: M.D.

Location Address1073 MEDICAL RIDGE RDClinton, SC 29325-4542

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603

Phone(864) 833-3557

Fax(864) 833-7724

Sole ProprietorNo

Enumeration DateMarch 8, 2006

Last NPPES UpdateJune 21, 20232 updates tracked since enumeration

NPPES CertifiedJune 21, 2023

✔ NPI 1609844653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in SC · 33377

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1073 MEDICAL RIDGE RD, Clinton, SC 29325

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Other Identifiers 3

Medicaid0000663301DE

Other020042401DE · Railroad Medicare

Medicaid333777SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Mayhew Wilson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Greenville Health System

0.2 mi

Emergency Medicine

22725 HIGHWAY 76 E
Clinton, SC 29325

Reassigned Medicare billing, South Carolina enrollment
735 clinicians in this Medicare group

NPI 1033550058 (864) 833-9100

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 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.

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.

198 services53 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

101 services30 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

72 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29325 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

Other Providers at the Same Location NPPES

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

KAYLA DANIELLE STATON FNP-BC

Nurse Practitioner (Family)

1073 MEDICAL RIDGE RD
CLINTON, SC 29325

Laurens County (864) 833-3557

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 Wilson's NPI number?

The NPI number for Samuel Wilson is 1609844653. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Samuel Wilson located?

Samuel Wilson practices at 1073 Medical Ridge Rd, Clinton, SC 29325. The listed phone number is (864) 833-3557.

What is Samuel Wilson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Samuel Wilson enrolled in Medicare?

Yes. Samuel Wilson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samuel Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Wilson reassigns Medicare benefits to Greenville Health System (Clinton, SC). 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 Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samuel Wilson was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.