SAMUEL THOMAS RAYBURN M.D.
NPI 1629017587
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Little Rock, AR

Q: What is Samuel Rayburn's NPI number?

The NPI number for Samuel Rayburn is 1629017587. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Q: What is Samuel Rayburn's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Rayburn was last updated on May 4, 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 June 06, 2006PECOS EnrolledAccepts Medicare Assignment

10100 KANIS RD, LITTLE ROCK, AR 72205(501) 223-5757(501) 223-5758 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Samuel Thomas Rayburn M.d. NPPES

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

SAMUEL THOMAS RAYBURN M.D. (NPI 1629017587) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Little Rock, Arkansas, licensed in Arkansas (E-2209) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Christus St Michael Health System, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629017587

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameSAMUEL THOMAS RAYBURNCredential: M.D.

Location Address10100 KANIS RDLittle Rock, AR 72205-6202

Mailing Address10100 Kanis RdLittle Rock, AR 72205-6202 · (501) 223-5757 · Fax (501) 223-5758

Phone(501) 223-5757

Fax(501) 223-5758

Sole ProprietorNo

Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1992

Enumeration DateJune 6, 2006

Last NPPES UpdateMay 4, 2023

NPPES CertifiedApril 26, 2023

✔ NPI 1629017587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in AR · E-2209

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedSurgeryTaxonomy 208600000X · License E-2209 (AR)

10100 KANIS RD, Little Rock, AR 72205

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Secondary Practice Locations 2

Location 14301 W Markham St # 713Little Rock, AR 72205-7101 · Phone (501) 686-8000 · Fax (501) 686-5323

Location 24110 Outpatient Circle, Slot 616Little Rock, AR 72205 · Phone (501) 686-8000 · Fax (501) 686-5323

Other Identifiers 1

Medicaid137308001AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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 Thomas Rayburn 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 ID4486609468

PECOS Enrollment IDI20050328000932

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 14

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

168 services71 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

67 services67 patients

Insertion of tube in pulmonary artery for monitoring 93503

This procedure involves placing a tube into your pulmonary artery, which is a blood vessel in your lungs. The tube helps monitor heart function and blood flow, providing vital information for your treatment. It's typically done under local anesthesia to minimize discomfort.

54 services54 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

42 services39 patients

Harvest of vein using an endoscope 33508

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

30 services30 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

29 services29 patients

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

26 services26 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

23 services22 patients

Coronary artery bypass using vein or artery graft, 2 grafts 33518

A coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.

18 services18 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

18 services17 patients

Repair of congenital defect between upper heart chambers on heart-lung machine 33641

This procedure corrects a birth defect in the heart, specifically between the top two chambers. Using a heart-lung machine, which takes over heart and lung functions during surgery, doctors mend the defect. This ensures improved blood flow and overall heart health.

12 services12 patients

Extensive destruction and reconstruction of right upper heart chamber on heart-lung machine 33259

This procedure involves the significant repair and rebuilding of the right upper chamber of your heart, using a heart-lung machine. This machine takes over heart and lung functions during the operation, ensuring oxygen-rich blood circulates in your body.

11 services11 patients

Replacement of aortic valve through the skin and femoral artery 33361

This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.

11 services11 patients

Replacement of mitral valve on heart-lung machine 33430

Mitral valve replacement involves a surgeon removing a damaged or diseased mitral valve in your heart and replacing it with a new, healthy one. This is done while your body is connected to a heart-lung machine, which takes over your heart's pumping function during the procedure.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Christus St Michael Health System

Acute Care Hospitals · Texarkana, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450801

Location2600 St Michael DrTexarkana, TX 75503 · Bowie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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

$157.74 typical visit price

range $51.36 – $157.74

Typical copayment $39.43 (range $12.84 – $39.43)

Most-billed visit code 99205

Established Patient

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers26 claims26 services$17.37 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers26 claims26 services$82.36 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. ANGELA EILEEN CARTWRIGHT APN

Nurse Practitioner