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SAM EDWIN ROLON D.O.
NPI 1962616706
Family Medicine in The Woodlands, TX

Active since May 10, 2007PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
8558 CREEKSIDE FOREST DR STE B, THE WOODLANDS, TX 77375(832) 534-7700 Get Directions Write a Review

NPPES record last updated: August 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 10, 2025, Dec 6, 2023, May 19, 2016 (3 updates tracked since 2016).

About Sam Edwin Rolon D.o. NPPES

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

SAM EDWIN ROLON D.O. (NPI 1962616706) is an individual family medicine provider in The Woodlands, Texas, licensed in Texas (M5472) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with St Luke's The Woodlands Hospital, and maintains a secondary practice location in Spring.

NPPES Registry Identity

NPI1962616706
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSAM EDWIN ROLONCredential: D.O.
Location Address8558 CREEKSIDE FOREST DR STE BThe Woodlands, TX 77375-2175
Mailing Address10857 Kuykendahl Rd Ste 130Spring, TX 77382-2936 · (936) 266-4150 · Fax (936) 266-4159
Phone(832) 534-7700
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2004
Enumeration DateMay 10, 2007
Last NPPES UpdateAugust 10, 20253 updates tracked since enumeration
NPPES CertifiedAugust 10, 2025
✔ NPI 1962616706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · M5472
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.
8558 CREEKSIDE FOREST DR STE B, The Woodlands, TX 77375
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Secondary Practice Location 1

Location 110857 Kuykendahl Rd Ste 130, Attn: Sam Rolon, D.O.Spring, TX 77382-2936 · Phone (936) 266-4150 · Fax (936) 266-4159

Other Identifiers 2

Other8AK400TX · Bcbstx
Medicaid188396901TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Sam Edwin Rolon D.o. 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 ID7618069543
PECOS Enrollment IDI20070823000607
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 Sam Rolon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baylor St. Luke's Medical Group
7.4 mi
Internal Medicine
17350 ST LUKES WAY STE 400
The Woodlands, TX 77384
  • Reassigned Medicare billing, Texas enrollment
  • 169 clinicians in this Medicare group
NPI 1740485879 (936) 266-3513

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 8

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.
369 services151 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
132 services14 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
77 services53 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.
69 services69 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.
39 services35 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
38 services19 patients

Hospital Affiliations CMS Care Compare 3

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

St Luke's The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450862
Location17200 St Luke's WayThe Woodlands, TX 77384 · Montgomery County
Emergency services Birthing friendly

Chi St Lukes Lakeside Hospital

Acute Care Hospitals · The Woodlands, TX
OwnershipVoluntary non-profit - Other
CMS Certification Number670059
Location17400 St Lukes WayThe Woodlands, TX 77384 · Montgomery County
Emergency services

St Luke's Hospital At The Vintage

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670075
Location20171 Chasewood Park DriveHouston, TX 77070 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77375 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 12

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
6 suppliers14 claims36 services$5.49 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers28 claims28 services$30.05 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers14 claims14 services$73.17 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers13 claims36 services$28.35 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers12 claims72 services$14.81 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers11 claims65 services$10.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Sam Rolon's NPI number?

The NPI number for Sam Rolon is 1962616706. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Sam Rolon located?

Sam Rolon practices at 8558 Creekside Forest Dr Ste B, The Woodlands, TX 77375. The listed phone number is (832) 534-7700.

What is Sam Rolon's specialty?

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

Is Sam Rolon enrolled in Medicare?

Yes. Sam Rolon 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 Sam Rolon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sam Rolon reassigns Medicare benefits to Baylor St. Luke's Medical Group (The Woodlands, TX). 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 Sam Rolon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sam Rolon accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Sam Rolon 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 Sam Rolon affiliated with any hospitals?

According to CMS data, Sam Rolon is affiliated with St Luke's The Woodlands Hospital, Chi St Lukes Lakeside Hospital and St Luke's Hospital At The Vintage.

When was this NPI record last updated?

The NPPES record for Sam Rolon was last updated on August 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.