DR. SAM J BADRAN MD
NPI 1639745201
Obstetrics & Gynecology - Gynecology in Point Pleasant, WV

Active since June 03, 2021PECOS EnrolledAccepts Medicare Assignment
2520 VALLEY DR, POINT PLEASANT, WV 25550(304) 675-4340(304) 675-6911 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sam J Badran Md NPPES

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

DR. SAM J BADRAN MD (NPI 1639745201) is an individual gynecology provider in Point Pleasant, West Virginia, licensed in West Virginia (30366) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Rivers Health, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1639745201
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameDR. SAM J BADRANCredential: MD
Location Address2520 VALLEY DRPoint Pleasant, WV 25550-2092
Mailing Address4433 Roslyn RdDowners Grove, IL 60515-5804 · (773) 818-2692
Fax(304) 675-6911
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJune 3, 2021
NPPES CertifiedJune 3, 2021
NPI 1639745201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in WV · 30366
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
2520 VALLEY DR, Point Pleasant, WV 25550

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

Dr. Sam J Badran 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 ID4284035213
PECOS Enrollment IDI20210629001375
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

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 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.
25 services16 patients

Hospital Affiliations CMS Care Compare

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

Rivers Health

Acute Care Hospitals · Point Pleasant, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510012
Location2520 Valley DrivePoint Pleasant, WV 25550 · Mason County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25550 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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 20

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

Nurse Anesthetist, Certified Registered
2520 VALLEY DR
POINT PLEASANT, WV 25550
Internal Medicine (Cardiovascular Disease)
2520 VALLEY DR, SUITE # 116
PT PLEASANT, WV 25550
Internal Medicine (Hematology)
2520 VALLEY DR, SUITE 15
POINT PLEASANT, WV 25550
Pharmacist
2520 VALLEY DR
POINT PLEASANT, WV 25550
Surgery
2520 VALLEY DR
PT PLEASANT, WV 25550
Nurse Practitioner
2520 VALLEY DR
POINT PLEASANT, WV 25550
Radiology (Diagnostic Radiology)
2520 VALLEY DR
POINT PLEASANT, WV 25550
Pathology (Anatomic Pathology & Clinical Pathology)
2520 VALLEY DR
PT PLEASANT, WV 25550

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 Sam Badran's NPI number?

The NPI number for Sam Badran is 1639745201. It was assigned to this individual provider in the NPPES registry on June 3, 2021.

Where is Sam Badran located?

Sam Badran practices at 2520 Valley Dr, Point Pleasant, WV 25550. The listed phone number is (304) 675-4340.

What is Sam Badran's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Sam Badran enrolled in Medicare?

Yes. Sam Badran 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 Sam Badran accept?

Health plans from CareSource and Molina Healthcare list Sam Badran 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 Sam Badran affiliated with any hospitals?

According to CMS data, Sam Badran is affiliated with Rivers Health.

When was this NPI record last updated?

The NPPES record for Sam Badran was last updated on June 3, 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.