SAMUEL WAYNE JR. TAYLOR (M.D.) – Retina Specialist (Ophthalmology) Physician, NPI 1568491017

SAMUEL WAYNE JR. TAYLOR (M.D.) is a healthcare provider. based in Birmingham, Alabama. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 15903 (AL). The NPI Number for SAMUEL WAYNE JR. TAYLOR (M.D.) is 1568491017

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL WAYNE JR. TAYLOR (M.D.)
NPI
1568491017
Phone
(205) 933-2625
Address
2101 HIGHLAND AVE S
Enumeration Date
30 June 2006
Last Update Date
18 October 2019

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2053430003
Graduation Year
1990 (36 years ago)
PAC ID
7214936681
Group Practice PAC ID
9133128507
Professional Enrollment ID
I20061221000240
Address ID
AL354013751TU500XXEXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

250 OPHTHALMOLOGY in AL

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Provider Addresses for SAMUEL WAYNE JR. TAYLOR (M.D.)

  • Highland Avenue, Highland Avenue Historic District, Highland Residence Park, Birmingham, Jefferson County, Alabama, 35205, United States

    SUITE 350

    BIRMINGHAM, AL 352054022

    Phone: (205) 933-2625

    Fax: (205) 558-2553

    Type: Mailing

  • 500, Hargrove Road East, Meadowbrook Shopping Center, Tuscaloosa, Tuscaloosa County, Alabama, 35401, United States

    TUSCALOOSA, AL 354013751

    Phone: (205) 933-2625

    Fax: (205) 558-2553

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $289.

Total Amount is formed as General ($289) + Research ($0) + Ownership ($0) = $289.

Last reported payment date: 2024-06-13 • Largest payer in this snapshot: Genentech USA, Inc. ($131).

Total Amount

$289

General + Research + Ownership

Payments

12

Total payment records

General Amount

$289

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2006-12-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061221000240IOphthalmologyALTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J2777Injection, faricimab-svoa, 0.1 mg5,76022$0
92134Imaging of retina1,785309$0
67028Injection of drug into eye1,490180$0
J0178Injection, aflibercept, 1 mg1,24288$0
J9035Injection, bevacizumab, 10 mg738151$0
View full utilization report →

Insurance plans in this area (ZIP 35205)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133128507View full group profile
NameSpecialtyState
O P H T H A L M O L O G YAL
O P H T H A L M O L O G YMS
O P H T H A L M O L O G YAL

Reviews

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Frequently asked questions

What number should I use to identify SAMUEL WAYNE JR. TAYLOR (M.D.) for billing?
Administrative and clinical systems typically use NPI 1568491017 for SAMUEL WAYNE JR. TAYLOR (M.D.).
Does the public listing show SAMUEL WAYNE JR. TAYLOR (M.D.) as active?
SAMUEL WAYNE JR. TAYLOR (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits SAMUEL WAYNE JR. TAYLOR (M.D.)?
NPPES ties SAMUEL WAYNE JR. TAYLOR (M.D.) to Retina Specialist (Ophthalmology) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to SAMUEL WAYNE JR. TAYLOR (M.D.)?
SAMUEL WAYNE JR. TAYLOR (M.D.) shows a connection to Birmingham, Alabama in registry-derived data.
Can I export SAMUEL WAYNE JR. TAYLOR (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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