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DR. SAMUEL MACK PUCKETT M.D.
NPI 1770501819
Pediatrics in Newport, TN

Active since July 17, 2006PECOS Enrolled
1829 CROWE LN, NEWPORT, TN 37821(423) 623-0653(423) 625-8264 Get Directions Write a Review

NPPES record last updated: January 20, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Samuel Mack Puckett M.d. NPPES

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

DR. SAMUEL MACK PUCKETT M.D. (NPI 1770501819) is an individual pediatrics provider in Newport, Tennessee, licensed in Tennessee (MD16317) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770501819
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. SAMUEL MACK PUCKETTCredential: M.D.
Location Address1829 CROWE LNNewport, TN 37821-7264
Mailing Address1829 Crowe LnNewport, TN 37821-7264 · (423) 623-0653 · Fax (423) 625-8264
Phone(423) 623-0653
Fax(423) 625-8264
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateJanuary 20, 2010
✔ NPI 1770501819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TN · MD16317
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1829 CROWE LN, Newport, TN 37821
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Other Identifiers 3

Medicare UPINA97916TN
Medicaid3015182TN
Medicare ID-Type Unspecified3015183TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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)

Dr. Samuel Mack Puckett M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37821 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
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 5

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

NEWPORT PEDIATRICS, P.C.
Pediatrics
1829 CROWE LN
NEWPORT, TN 37821
Cocke County (423) 623-0653
ESTHER M HOOPER-LAYMAN C.P.N.P.
Nurse Practitioner (Pediatrics)
1829 CROWE LN
NEWPORT, TN 37821
Cocke County (423) 623-0653
LAURA BRAWLEY STRADER C.F.N.P.
Nurse Practitioner (Family)
1829 CROWE LN
NEWPORT, TN 37821
Cocke County (423) 623-0653
COURTNEY VANCE BURGIN FNP-BC
Nurse Practitioner (Family)
1829 CROWE LN
NEWPORT, TN 37821
Cocke County (423) 623-0653
DR. JENNIFER LEA SAUCEMAN M.D.
Pediatrics
1829 CROWE LN
NEWPORT, TN 37821
Cocke County (423) 623-0653

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 Puckett's NPI number?

The NPI number for Samuel Puckett is 1770501819. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Samuel Puckett located?

Samuel Puckett practices at 1829 Crowe Ln, Newport, TN 37821. The listed phone number is (423) 623-0653.

What is Samuel Puckett's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Samuel Puckett enrolled in Medicare?

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

What insurance does Samuel Puckett accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Samuel Puckett 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 Puckett was last updated on January 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.