DR. SAMUEL W. MIETLING M.D.
NPI 1750347589
Radiology - Vascular & Interventional Radiology in Jacksonville, FL

Active since April 21, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2416 DUNN AVENUE, JACKSONVILLE, FL 32218(904) 353-3664(904) 353-3858 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 18, 2025, Apr 26, 2024 (2 updates tracked since 2024).

About Dr. Samuel W. Mietling M.d. NPPES

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

DR. SAMUEL W. MIETLING M.D. (NPI 1750347589) is an individual vascular & interventional radiology provider in Jacksonville, Florida, licensed in Georgia (051686) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1985).

NPPES Registry Identity

NPI1750347589
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameDR. SAMUEL W. MIETLINGCredential: M.D.
Location Address2416 DUNN AVENUEJacksonville, FL 32218-1015
Mailing AddressPo Box 3129Augusta, GA 30914-3129 · (706) 737-4575 · Fax (706) 731-5289
Fax(904) 353-3858
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1985
Enumeration DateApril 21, 2006
Last NPPES UpdateNovember 18, 20252 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
NPI 1750347589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Licenses Licensed in GA · 051686 Licensed in FL · ME49311
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License 051686 (GA)
Also ListedRadiology · Diagnostic NeuroimagingTaxonomy 2085D0003X · License 051686 (GA)
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License 051686 (GA)
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License 051686 (GA)
Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X · License 051686 (GA)
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 051686 (GA), ME49311 (FL)
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License 051686 (GA)
2416 DUNN AVENUE, Jacksonville, FL 32218

Secondary Practice Locations 2

Location 1250 E Ponce De Leon Ave Ste 100Decatur, GA 30030-3406 · Phone (404) 377-9171
Location 25246 Snapfinger Park DrDecatur, GA 30035-4044 · Phone (678) 533-6120

Other Identifiers 6

Medicaid00952795CGA
Medicaid00952795AGA
Medicaid00952795BGA
Other1346357217Npi - Vascular Radiology
Other83555SC · Sc Medical License
MedicaidG51686SC

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. Samuel W. Mietling 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 ID648358663
PECOS Enrollment IDI20080416000333, I20211021001452
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 13

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.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
165 services146 patients
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902
This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.
96 services87 patients
Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 99153
This service involves a physician administering medication to lower your consciousness during a procedure. It's done for your comfort and safety. The drug's effects last about 15 minutes, so additional doses may be given as needed.
95 services54 patients
Fluoroscopic guidance for insertion or removal of central vein access device 77001
Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.
46 services43 patients
Balloon dilation of dialysis segment with review by radiologist 36907
Balloon dilation of a dialysis segment is a procedure where a tiny balloon is inserted and inflated in a narrowed area of your dialysis access site, improving blood flow. A radiologist reviews images to ensure success.
38 services33 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.
38 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32218 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.09
Improvement Activities40

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 Mietling's NPI number?

The NPI number for Samuel Mietling is 1750347589. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Samuel Mietling located?

Samuel Mietling practices at 2416 Dunn Avenue, Jacksonville, FL 32218. The listed phone number is (904) 353-3664.

What is Samuel Mietling's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Samuel Mietling enrolled in Medicare?

Yes. Samuel Mietling 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 Samuel Mietling accept?

Health plans from Molina Healthcare list Samuel Mietling 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.

When was this NPI record last updated?

The NPPES record for Samuel Mietling was last updated on November 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.