SAMUEL TUCKER BURNS (MD) – Family Medicine Physician, NPI 1922428077

SAMUEL TUCKER BURNS (MD) is a healthcare provider. based in Fort smith, Arkansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 62705 (MN). The NPI Number for SAMUEL TUCKER BURNS (MD) is 1922428077

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL TUCKER BURNS (MD)
NPI
1922428077
Phone
(479) 785-2431
Address
612 S 12TH ST
Enumeration Date
16 April 2014
Last Update Date
5 April 2021

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
3207322141
Graduation Year
2014 (12 years ago)
PAC ID
1254653595
Group Practice PAC ID
3870524598
Professional Enrollment ID
I20210222000809
Address ID
MN563472100LO50XXXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:12State licenses:3Digital endpointsOther names

1,506 FAMILY PRACTICE in AR

Provider Addresses for SAMUEL TUCKER BURNS (MD)

  • 612 S 12TH ST

    FORT SMITH, AR 729014702

    Phone: (479) 785-2431

    Type: Mailing

  • 2301 Hwy 71 S

    Spirit Lake, IA 513600612

    Phone: (712) 336-8793

    Type: Location

  • 612 S 12th St

    Fort Smith, AR 72901

    Phone: (479) 785-2431

    Type: Location

  • 50 CENTRACARE DR

    LONG PRAIRIE, MN 563472100

    Phone: (320) 732-2131

    Fax: (320) 732-6913

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-02-22

PECOS data refreshed: 2026-06-15

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
I20210222000809IFamily PracticeMNTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4628$0
99238Hospital discharge day management, 30 minutes or less3228$0
View full utilization report →

Insurance plans in this area (ZIP 72901)

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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: 3870524598View full group profile
NameSpecialtyState
General Surgery, Colorectal Surgery (Proctology), Surgical Oncology, Thoracic SurgeryMN
Physician AssistantGA
Family PracticeND
Hospice/Palliative CareMN
Internal Medicine, HospitalistMN
Nurse PractitionerMN
Nurse PractitionerMN
Internal Medicine, HospitalistMI
Internal Medicine, HospitalistMN
Internal Medicine, HospitalistMN

Reviews

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Frequently asked questions

How is SAMUEL TUCKER BURNS (MD) identified in CMS data?
CMS-hosted NPPES data lists SAMUEL TUCKER BURNS (MD) with NPI 1922428077.
Does CMS list SAMUEL TUCKER BURNS (MD) as active?
Yes — SAMUEL TUCKER BURNS (MD) is active in the NPI listing used on this page.
What is SAMUEL TUCKER BURNS (MD)'s specialty?
The listing groups SAMUEL TUCKER BURNS (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect SAMUEL TUCKER BURNS (MD) on a map?
Expect Fort Smith, Arkansas as a primary anchor for SAMUEL TUCKER BURNS (MD) unless the record lists multiple sites.
Is the information about SAMUEL TUCKER BURNS (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."