SAMUEL ELLIOTT
NPI 1992400337
Internal Medicine in Columbia, SC

Active since April 04, 2023PECOS Enrolled
2 MEDICAL PARK RD, COLUMBIA, SC 29203(803) 434-6956 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 11, 2023, Apr 4, 2023 (2 updates tracked since 2023).

About Samuel Elliott NPPES

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

SAMUEL ELLIOTT (NPI 1992400337) is an individual internal medicine provider in Columbia, South Carolina, licensed in South Carolina (LL89730) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with Murray-calloway County Hospital, and is a graduate of Lincoln Mem Univ, Debusk Col Of Osteopathic Med (2023).

NPPES Registry Identity

NPI1992400337
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSAMUEL ELLIOTT
Location Address2 MEDICAL PARK RDColumbia, SC 29203-6808
Mailing Address2 Medical Park RdColumbia, SC 29203-6808
Sole ProprietorYes
Medical School CMSLincoln Mem Univ, Debusk Col Of Osteopathic MedGraduated 2023
Enumeration DateApril 4, 2023
Last NPPES UpdateJuly 11, 20232 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
✔ NPI 1992400337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SC · LL89730
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2 MEDICAL PARK RD, Columbia, SC 29203

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Elliott is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890157663
PECOS Enrollment IDI20260828003304
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 Elliott reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adult Mental Health
719 ELM ST
Murray, KY 42071
  • Reassigned Medicare billing, Kentucky enrollment
  • 99 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Murray-Calloway County Hospital

Acute Care Hospitals · Murray, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180027
Location803 Poplar StreetMurray, KY 42071 · Calloway County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 20

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

Orthopaedic Surgery
2 MEDICAL PARK RD
COLUMBIA, SC 29203
Orthopaedic Surgery
2 MEDICAL PARK RD
COLUMBIA, SC 29203
Orthopaedic Surgery
2 MEDICAL PARK RD
COLUMBIA, SC 29203
Genetic Counselor, MS
2 MEDICAL PARK RD, SUITE 103
COLUMBIA, SC 29203
Orthopaedic Surgery
2 MEDICAL PARK RD, SUITE 404
COLUMBIA, SC 29203
Specialist/Technologist (Athletic Trainer)
2 MEDICAL PARK RD, SUITE 104
COLUMBIA, SC 29203
Internal Medicine
2 MEDICAL PARK RD
COLUMBIA, SC 29203
Internal Medicine
2 MEDICAL PARK RD, SUITE 501
COLUMBIA, SC 29203

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 Elliott's NPI number?

The NPI number for Samuel Elliott is 1992400337. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Samuel Elliott located?

Samuel Elliott practices at 2 Medical Park Rd, Columbia, SC 29203. The listed phone number is (803) 434-6956.

What is Samuel Elliott's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Samuel Elliott enrolled in Medicare?

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

Which organization bills Medicare for Samuel Elliott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Elliott reassigns Medicare benefits to Murray-Calloway County Public Hospital Corporation (Murray, KY). 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 Elliott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Elliott accept?

Health plans from Anthem Blue Cross and Blue Shield list Samuel Elliott 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 Elliott affiliated with any hospitals?

According to CMS data, Samuel Elliott is affiliated with Murray-Calloway County Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Elliott was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.