SAMUEL GRAY DEEM DO
NPI 1700909702
Urology in Charleston, WV

Q: What is Samuel Deem's NPI number?

The NPI number for Samuel Deem is 1700909702. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Q: What is Samuel Deem's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Deem was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 April 06, 2007PECOS Enrolled

90.11/100

CMS Quality Rating

3100 MACCORKLE AVE SE, SUITE 602, CHARLESTON, WV 25304(304) 388-5120(304) 388-5125 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 1, 2025, Dec 14, 2015 (2 updates tracked since 2015).

On this page

About Samuel Gray Deem Do NPPES

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

SAMUEL GRAY DEEM DO (NPI 1700909702) is an individual urology provider in Charleston, West Virginia, licensed in West Virginia (2176) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Camc Greenbrier Valley Medical Center, Inc, and maintains a secondary practice location in Morgantown.

NPPES Registry Identity

NPI1700909702

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameSAMUEL GRAY DEEMCredential: DO

Location Address3100 MACCORKLE AVE SE, SUITE 602Charleston, WV 25304-1223

Mailing Address3100 Maccorkle Ave Se Ste 602Charleston, WV 25304-1231 · (304) 388-5280 · Fax (304) 388-5291

Phone(304) 388-5120

Fax(304) 388-5125

Sole ProprietorNo

Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2004

Enumeration DateApril 6, 2007

Last NPPES UpdateDecember 1, 20252 updates tracked since enumeration

NPPES CertifiedDecember 1, 2025

✔ NPI 1700909702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in WV · 2176

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

3100 MACCORKLE AVE SE, Charleston, WV 25304

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Secondary Practice Location 1

Location 11200 J D Anderson DrMorgantown, WV 26505-3494 · Phone (304) 598-1200

Other Identifiers 2

OtherP01087428WV · Railroad Medicare

Medicaid3810010649WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Gray Deem Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860580610

PECOS Enrollment IDI20071113000323

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 16

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 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.

278 services203 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.

259 services210 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

138 services123 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

99 services68 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

63 services45 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

36 services35 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.

36 services36 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

29 services29 patients

Destruction and/or removal of large growth of bladder using an endoscope 52240

This procedure involves using a special instrument, an endoscope, to view and treat a large growth in the bladder. The growth is either destroyed or removed to alleviate symptoms and prevent further complications. It's a minimally invasive technique, enhancing recovery.

25 services17 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

24 services22 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

23 services15 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

21 services21 patients

Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm 52234

This procedure involves using a special instrument, an endoscope, to view and treat a small growth in the bladder and urethra. It's a minimally invasive method to remove or destroy growths measuring 0.5-2.0 cm, aiding in better urinary health.

17 services15 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

16 services15 patients

High-intensity ultrasound destruction of cancerous tissue in prostate gland, accessed through rectum using ultrasound guidance 55880

This is a non-invasive procedure where high-intensity sound waves are directed to the affected area in the lower body to destroy unhealthy tissue. It's done via a probe inserted through a natural body opening, using sound wave images for precision.

14 services14 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Camc Greenbrier Valley Medical Center, Inc

Acute Care Hospitals · Ronceverte, WV

2/5 CMS rating

OwnershipProprietary

CMS Certification Number510002

Location1320 Maplewood AvenueRonceverte, WV 24970 · Greenbrier County

Emergency services Birthing friendly

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510022

Location501 Morris StreetCharleston, WV 25301 · Kanawha County

Emergency services Birthing friendly

Camc Charleston Surgical Hospital

Acute Care Hospitals · Charleston, WV

OwnershipPhysician

CMS Certification Number510091

Location1306 Kanawha Boulevard EastCharleston, WV 25301 · Kanawha County

Boone Memorial Hospital

Critical Access Hospitals · Madison, WV

OwnershipGovernment - Local

CMS Certification Number511313

Location701 Madison AvenueMadison, WV 25130 · Boone County

Emergency services

Summersville Regional Medical Center

Critical Access Hospitals · Summersville, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511322

Location400 Fairview Heights RoadSummersville, WV 26651 · Nicholas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25304 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.

Medicare 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.

90.11/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

66.96

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 8

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

4 suppliers13 claims1,438 services$1.64 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

4 suppliers33 claims125 services$8.64 avg. paid by Medicare

Ostomy skin barrier, powder, per oz A4371

DME-Orthotic Devices · category DF010N

4 suppliers11 claims13 services$2.98 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

4 suppliers20 claims868 services$4.57 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407

DME-Orthotic Devices · category DF010N

3 suppliers11 claims620 services$8.41 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

6 suppliers39 claims1,235 services$5.57 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.

DARSHANKUMAR ASHWINBHAI DAVE MD

Psychiatry & Neurology (Neurology)

3100 MACCORKLE AVE SE, SUITE 802
CHARLESTON, WV 25304

Kanawha County (304) 343-4400

DR. SCOTT EDWARD MILLER MD

Internal Medicine (Cardiovascular Disease)

3100 MACCORKLE AVE SE, SUITE 610
CHARLESTON, WV 25304

Kanawha County (304) 346-1141

KURT M. NELLHAUS, M.D.

Internal Medicine (Pulmonary Disease)

3100 MACCORKLE AVE SE, SUITE 806
CHARLESTON, WV 25304

Kanawha County (304) 344-9480

NANCY RABEL CANTERBURY MA

Psychologist (Clinical)

3100 MACCORKLE AVE SE, SUITE 401
CHARLESTON, WV 25304

Kanawha County (304) 346-6161

AMANDA L. NEWCOMER NP-C

Nurse Practitioner (Family)

3100 MACCORKLE AVE SE, SUITE 301
CHARLESTON, WV 25304

Kanawha County (304) 388-5395

MR. KATHLEEN A MANNION PA

Physician Assistant

3100 MACCORKLE AVE SE, SUITE 411
CHARLESTON, WV 25304

Kanawha County (304) 343-7576

JENNIFER J. HANCOCK PSY D

Psychologist (Clinical)

3100 MACCORKLE AVE SE, SUITE 101
CHARLESTON, WV 25304

Kanawha County (304) 388-8380

MRS. STACY ANNETTE CHURCH PA-C

Physician Assistant (Medical)

3100 MACCORKLE AVE SE, SUITE 610
CHARLESTON, WV 25304

Kanawha County (304) 346-1141

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 Deem's NPI number?

The NPI number for Samuel Deem is 1700909702. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Samuel Deem located?

Samuel Deem practices at 3100 Maccorkle Ave SE Suite 602, Charleston, WV 25304. The listed phone number is (304) 388-5120.

What is Samuel Deem's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Samuel Deem enrolled in Medicare?

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

What insurance does Samuel Deem accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Samuel Deem 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 Samuel Deem affiliated with any hospitals?

According to CMS data, Samuel Deem is affiliated with Camc Greenbrier Valley Medical Center, Inc, Charleston Area Medical Center, Camc Charleston Surgical Hospital, Boone Memorial Hospital and Summersville Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Samuel Deem was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.