NPI 1831300995
Internal Medicine - Addiction Medicine in Bradenton, FL

NPI Status: Active since May 24, 2007

Contact Information

100 3RD AVE W STE 110
ZIP 34205
Phone: (941) 708-9555
Fax: (941) 708-5465

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  • Individual
  • Male
  • Years of Experience 21
  • Internal Medicine
  • Addiction Medicine
  • PECOS Enrolled
  • Accepts Medicare Approved Payment


Samuel Amen is an internist established in Bradenton, Florida and his medical specialization is Internal Medicine with a focus in addiction medicine with more than 21 years of experience. He graduated from University Of Oklahoma College Of Medicine in 2003. The healthcare provider is registered in the NPI registry with number 1831300995 assigned on May 2007. The practitioner's primary taxonomy code is 207RA0401X with license number 23587 (OK). The provider is registered as an individual and his NPI record was last updated 3 years ago.

Location Address100 3RD AVE W STE 110 BRADENTON, FL 34205
Location Phone(941) 708-9555
Mailing Address100 3RD AVE W STE 110 BRADENTON, FL 34205
Entity TypeIndividual
Graduation Year2003
Is Sole Proprietor?No
Enumeration Date05-24-2007
Last Update Date05-12-2021
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An internist like Samuel Amen is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Samuel Amen is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $33.81 for a new patient copayment and $25.94 for an established patient copayment.

Location Map

Mailing Address

100 3RD AVE W STE 110
ZIP 34205
Phone: (941) 708-9555
Fax: (941) 708-5465

Secondary Locations

  • 6048A S Sheridan Rd
    Tulsa, OK 74145
    (918) 935-3240
  • 1370 E Venice Ave Ste 104
    Venice, FL 34285
    (941) 708-9555
  • 2811 E 15th St Ste 102
    Tulsa, OK 74104
    (918) 935-3240
  • 2540 S Tamiami Trl
    Sarasota, FL 34239
    (941) 708-9555

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.


Internal Medicine Addiction Medicine

Taxonomy Code207RA0401X
TypeAllopathic & Osteopathic Physicians
License No.23587
License StateOK
Taxonomy DescriptionAn internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

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 /
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

23587 (OK)

Insurance Plans Accepted

The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*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
200521770AMEDICAID (05)OK 

PECOS Enrollment and Medicare Participation Status

Samuel Amen 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: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) 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

  • PECOS PAC ID: 3072745496

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20191104002537

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician 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 34205 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $135.26
  • Minimum New Patient Price $58.4
  • Maximum New Patient Price $178.79
  • Average New Patient Copayment $33.81
  • Minimum New Patient Copayment $14.6
  • Maximum New Patient Copayment $44.69

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $103.76
  • Minimum Established Patient Price $17.74
  • Maximum Established Patient Price $145.28
  • Average Established Patient Copayment $25.94
  • Minimum Established Patient Copayment $4.43
  • Maximum Established Patient Copayment $36.32

* 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.


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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.
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 6 + 0 + 0 + 9 + 1 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1831300995 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235428228 JENNY BUTLER PT
Technician, Health Information100 3RD AVE W STE 110
(941) 708-9555
1942375407 ROBERT F BENSON M.D.
Anesthesiology (Pain Medicine)100 3RD AVE W STE 110
(941) 708-9555
Anesthesiology (Pain Medicine)100 3RD AVE W STE 110
(941) 708-9555

Frequently Asked Questions

What is Dr. Samuel Amen M.D. NPI number?

The NPI number assigned to this healthcare provider is 1831300995, enumerated in the NPI registry as an "individual" on May 24, 2007

Where is the provider located?

The provider is located at 100 3rd Ave W Ste 110 Bradenton, Fl 34205 and the phone number is (941) 708-9555

What is the provider specialty code?

The provider's speciality is Internal Medicine with taxonomy code 207RA0401X with a focus in Addiction Medicine

How many years of experience does Dr. Samuel Amen M.D. have?

The provider has more than 21 years of experience. He graduated from University Of Oklahoma College Of Medicine in 2003.

What insurance does Dr. Samuel Amen M.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Is Dr. Samuel Amen M.D. registered in PECOS?

Yes, as of February 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Dr. Samuel Amen M.D.?

Medicare beneficiaries should expect a typical cost of $135.26 with an average copayment of $33.81 for new patient appointments. Established patients should expect a typical charge of $103.76 and an average copayment of 25.94. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

This NPI record was last updated on May 24, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.