MR. SAMUEL MILTON PLUCKER M.D.
NPI 1942418496
Family Medicine in Bristol, TN

Q: What is Samuel Plucker's NPI number?

The NPI number for Samuel Plucker is 1942418496. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Q: What is Samuel Plucker's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Plucker was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 18, 2007PECOS EnrolledAccepts Medicare Assignment

240 MEDICAL PARK BLVD, SUITE 3000, BRISTOL, TN 37620(423) 990-2400(423) 990-2405 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mr. Samuel Milton Plucker M.d. NPPES

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

MR. SAMUEL MILTON PLUCKER M.D. (NPI 1942418496) is an individual family medicine provider in Bristol, Tennessee, licensed in Tennessee (MD45580) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and is a graduate of East Tennessee State University Quillen College Of Medicine (2007).

NPPES Registry Identity

NPI1942418496

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMR. SAMUEL MILTON PLUCKERCredential: M.D.

Location Address240 MEDICAL PARK BLVD, SUITE 3000Bristol, TN 37620-7346

Mailing AddressPo Box 9Kingsport, TN 37662-0009 · (423) 857-2093 · Fax (423) 857-2070

Phone(423) 990-2400

Fax(423) 990-2405

Sole ProprietorNo

Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2007

Enumeration DateMay 18, 2007

Last NPPES UpdateJuly 22, 2021

NPPES CertifiedJuly 22, 2021

✔ NPI 1942418496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TN · MD45580

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

240 MEDICAL PARK BLVD, Bristol, TN 37620

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Samuel Milton Plucker 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 ID9931394731

PECOS Enrollment IDI20101105000866

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.

Medicare Billing Reassignment

Medicare enrollment records show Samuel Plucker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Holston Medical Group PC

17 mi

Medical Laboratory

105 W STONE DR, 1H
Kingsport, TN 37660

Reassigned Medicare billing, Tennessee enrollment
250 clinicians in this Medicare group

NPI 1356405120 (423) 392-6200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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.

514 services203 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

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.

134 services134 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

127 services38 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

115 services98 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

51 services48 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.

46 services42 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

42 services42 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

40 services40 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

29 services21 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

29 services25 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

26 services15 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

21 services21 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

16 services13 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440017

Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County

Emergency services

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440063

Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County

Emergency services Birthing friendly

Indian Path Community Hospital

Acute Care Hospitals · Kingsport, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440176

Location2000 Brookside DrKingsport, TN 37660 · Sullivan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37620 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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

10 suppliers28 claims62 services$5.55 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers12 claims72 services$2.38 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers12 claims12 services$907.03 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers25 claims25 services$82.85 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers22 claims22 services$32.50 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.

RICK WHILES MD

Internal Medicine

240 MEDICAL PARK BLVD, STE 3600
BRISTOL, TN 37620

Sullivan County (423) 990-2414

ANDREW BROCKMYRE MD

Family Medicine

240 MEDICAL PARK BLVD, STE 3600
BRISTOL, TN 37620

Sullivan County (423) 990-2400

TRUSHA PATEL DO

Internal Medicine (Rheumatology)

240 MEDICAL PARK BLVD, STE 3800
BRISTOL, TN 37620

Sullivan County (423) 990-2424

SAPLING GROVE AMBULATORY SURGERY CENTER, LLC

Clinic/Center (Ambulatory Surgical)

240 MEDICAL PARK BLVD, STE 2400
BRISTOL, TN 37620

Sullivan County (423) 990-2470

SPINE AND HAND CENTER, PC

Specialist

240 MEDICAL PARK BLVD, SUITE 2700
BRISTOL, TN 37620

Sullivan County (423) 844-0501

DR. RYAN CHRISTOPHER KENNEDY M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

240 MEDICAL PARK BLVD, STE 3800
BRISTOL, TN 37620

Sullivan County (423) 990-2424

SARAH ANN FERGUSON NP

Nurse Practitioner

240 MEDICAL PARK BLVD, STE 3600
BRISTOL, TN 37620

Sullivan County (423) 990-2414

TAYLOR WHITE ATC

Specialist/Technologist (Athletic Trainer)

240 MEDICAL PARK BLVD
BRISTOL, TN 37620

Sullivan County (423) 990-2414

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 Plucker's NPI number?

The NPI number for Samuel Plucker is 1942418496. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Samuel Plucker located?

Samuel Plucker practices at 240 Medical Park Blvd Suite 3000, Bristol, TN 37620. The listed phone number is (423) 990-2400.

What is Samuel Plucker's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Samuel Plucker enrolled in Medicare?

Yes. Samuel Plucker 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.

Which organization bills Medicare for Samuel Plucker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Plucker reassigns Medicare benefits to Holston Medical Group PC (Kingsport, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Plucker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Plucker accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare and UnitedHealthcare list Samuel Plucker 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 Plucker affiliated with any hospitals?

According to CMS data, Samuel Plucker is affiliated with Wellmont Holston Valley Medical Center, Johnson City Medical Center and Indian Path Community Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Plucker was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.