SAMUEL DOUGLAS GREESON MD
NPI 1760565402
Preventive Medicine - Occupational Medicine in Fort Wayne, IN
NPI Status: Active since October 24, 2006
Contact Information
7333 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
Phone: (260) 458-3830
Fax: (260) 458-3831
- Individual
- Male
- Preventive Medicine
- Occupational Medicine
- Accepts Insurance
- PECOS Enrolled
About SAMUEL GREESON
This page provides the complete NPI Profile along with additional information for Samuel Greeson, a provider established in Fort Wayne, Indiana with a medical specialization in Preventive Medicine, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1760565402 assigned on October 2006. The practitioner's primary taxonomy code is 2083X0100X with license number 01028597A (IN). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1760565402
- Provider Name
- SAMUEL DOUGLAS GREESON MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 7333 W JEFFERSON BLVD FORT WAYNE, IN 46804
- Location Phone
- (260) 458-3830
- Location Fax
- (260) 458-3831
- Mailing Address
- 6920 POINTE INVERNESS WAY STE 200 FORT WAYNE, IN 46804
- Mailing Phone
- (260) 479-3516
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-24-2006
- Last Update Date
- 03-28-2022
- Code Navigator
Location Map
Secondary Locations
- 2600 Greenbush St
Lafayette, IN 47904
(765) 448-8000
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Preventive Medicine Occupational Medicine
- Taxonomy Code
- 2083X0100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 01028597A
- License State
- IN
- Taxonomy Description
- Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | 01028597A (IN) |
| 2 | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | 01028597A (IN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- HSA Eligible Bronze 6000 - HMO
- Low Premium Bronze 9200 $25 Generic Drugs - HMO
- Low Premium Bronze 9200 $25 Generic Drugs Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Platinum Zero $5 Generic Drugs - HMO
- Platinum Zero $5 Generic Drugs Adult Vision & Fitness - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000000646442 | OTHER (01) | IN | ANTHEM PROVIDER NUMBER |
| 100085750 | MEDICAID (05) | IN |
Medicare Participation & PECOS Enrollment Status
Samuel Greeson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
This service was performed 78 times for 78 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 46804 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $122.49
- Minimum New Patient Price $53.07
- Maximum New Patient Price $161.76
- Average New Patient Copayment $30.62
- Minimum New Patient Copayment $13.26
- Maximum New Patient Copayment $40.44
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $94.22
- Minimum Established Patient Price $16.93
- Maximum Established Patient Price $132.22
- Average Established Patient Copayment $23.55
- Minimum Established Patient Copayment $4.23
- Maximum Established Patient Copayment $33.05
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for SAMUEL DOUGLAS GREESON MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 6 | 0 | 5 | 6 | 5 | 4 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 10 | 6 | 10 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 1 + 0 + 6 + 1 + 0 + 4 + 0 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1760565402 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
QHG OF FORT WAYNE COMPANY LLC
General Practice
7333 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
CHAD W TOWNER PHYSICAL THERAPIST
Physical Therapist
7333 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
APRIL A ROSENOGLE PTA
Physical Therapy Assistant
7333 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
AMANDA S MELCHER PTA
Physical Therapy Assistant
7333 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
JENNIFER M HOWELL PTA
Physical Therapy Assistant
7333 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
BETH A LUNDBLAD PHYSICAL THERAPIST
Physical Therapist
7333 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
MR. ALAN RICHARDS M.D.
Emergency Medicine
7333 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
SUZANNE BERNADETTE REECER PA
Physician Assistant
7333 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
KIMBERLY B CROMP
Nurse Practitioner
(Adult Health)
7333 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
MRS. RACHEL MCPHERSON PA-C
Physician Assistant
(Medical)
7333 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
AMBER APPLE NURSE PRACTITIONER
Nurse Practitioner
(Family)
7333 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
CRISTA RANDOL FNP-C
Nurse Practitioner
7333 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
JENNY KNAPKE
Nurse Practitioner
(Family)
7333 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
MRS. LIECE LAURENS PA-C
Physician Assistant
7333 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
JODI GROVER NP-C
Nurse Practitioner
(Family)
7333 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
KIMBERLY A. BURNS NP
Nurse Practitioner
(Family)
7333 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
STACEY M. KRICK PA
Physician Assistant
7333 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
DEBORAH S CASTILE P.A.
Physician Assistant
7333 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
LORRAINE CONKLIN PAC
Physician Assistant
7333 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
LAURA MCCALL PAC
Physician Assistant
7333 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760565402, enumerated as an "individual" on October 24, 2006.
The provider is located at 7333 W JEFFERSON BLVD FORT WAYNE, IN 46804 and the phone number is (260) 458-3830.
Preventive Medicine with taxonomy code 2083X0100X and a focus in Occupational Medicine.
The provider might be accepting Accepts: CareSource, Anthem Blue Cross, Medicare and. Please consult your insurance carrier or call the provider to verify.
