DEREK SAMUELS (MD) – Vascular & Interventional Radiology Physician, NPI 1558523910
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
579 DIAGNOSTIC RADIOLOGY in AL
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Provider Addresses for DEREK SAMUELS (MD)
PO BOX 40480
MOBILE, AL 366400480
Phone: (251) 470-5890
Fax: (251) 471-7925
Type: Mailing
2451, Fillingim Street, Crichton, Mobile, Mobile County, Alabama, 36617, United States
MASTIN 102
MOBILE, AL 366172238
Phone: (251) 470-5890
Fax: (251) 471-7925
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $2,338.
Total Amount is formed as General ($2,338) + Research ($0) + Ownership ($0) = $2,338.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Inari Medical, Inc. ($1,242).
Total Amount
$2,338
General + Research + Ownership
Payments
36
Total payment records
General Amount
$2,338
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inari Medical, Inc. | $1,242 |
| Penumbra, Inc. | $669 |
| DePuy Synthes Sales Inc. | $215 |
| Boston Scientific Corporation | $191 |
| Stryker Corporation | $21 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-10-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151009001349 | I | Diagnostic Radiology | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 5,126 | 54 | $0 |
| 71045 | X-ray of chest, 1 view | 859 | 752 | $0 |
| 70450 | Ct scan head or brain without contrast | 323 | 317 | $0 |
| 71046 | X-ray of chest, 2 views | 148 | 146 | $0 |
| 74018 | X-ray of abdomen, 1 view | 141 | 136 | $0 |
Insurance plans in this area (ZIP 36640)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | AL | 71010 | X-ray of chest, 1 view, front | 660 | 602 |
| DIAGNOSTIC RADIOLOGY | AL | 73110 | X-ray of wrist, minimum of 3 views | 11 | 11 |
| DIAGNOSTIC RADIOLOGY | AL | 73630 | X-ray of foot, minimum of 3 views | 23 | 21 |
| DIAGNOSTIC RADIOLOGY | AL | 74177 | CT scan of abdomen and pelvis with contrast | 126 | 124 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Radiology | FL | |
| - | FL | |
| Diagnostic Radiology | FL | |
| - | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | NM | |
| - | FL | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | FL |
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