SAMUEL ADAMS (M.D.) – Family Medicine Physician, NPI 1225018104

SAMUEL ADAMS (M.D.) is a healthcare provider. based in Deland, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 20454 (WV). The NPI Number for SAMUEL ADAMS (M.D.) is 1225018104

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL ADAMS (M.D.)
NPI
1225018104
Phone
(386) 231-3072
Address
AdventHealth Deland
Enumeration Date
18 January 2006
Last Update Date
31 May 2019

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
3862316000
Graduation Year
1999 (27 years ago)
PAC ID
2264428069
Group Practice PAC ID
7012266836
Professional Enrollment ID
I20190829003541
Address ID
FL321175167DA301XXPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:20State licenses:3Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for SAMUEL ADAMS (M.D.)

  • AdventHealth Deland

    701 West Plymouth Avenue

    Deland, FL 327203291

    Phone: (386) 231-3072

    Fax: (386) 231-5962

    Type: Location

  • 151, Sterling Ridge Road, Ashland, Aroostook County, Maine, 04732, United States

    ASHLAND, KY 411050151

    Phone: (606) 408-4000

    Fax: (606) 408-3841

    Type: Mailing

  • King's Daughters, 2201, Lexington Avenue, Geigers Crossing, Ashland, Boyd County, Kentucky, 41101, United States

    ASHLAND, KY 411012843

    Phone: (606) 408-4000

    Fax: (606) 408-3841

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $281.

Total Amount is formed as General ($281) + Research ($0) + Ownership ($0) = $281.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: PFIZER INC. ($100).

Total Amount

$281

General + Research + Ownership

Payments

14

Total payment records

General Amount

$281

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2019-08-29

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
I20190829003541IFamily PracticeFLTBD

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 minutes203117$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes193111$0
99239Hospital discharge day management, more than 30 minutes117111$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6865$0
99238Hospital discharge day management, 30 minutes or less3232$0
View full utilization report →

Insurance plans in this area (ZIP 32720)

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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: 7012266836View full group profile
NameSpecialtyState
-FL
U R O L O G YFL
G A S T R O E N T E R O L O G YFL
Thoracic SurgeryFL
Internal Medicine, NephrologyPA
Nurse PractitionerFL
Nurse PractitionerGA
General SurgeryFL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)FL
G A S T R O E N T E R O L O G YFL

Reviews

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Frequently asked questions

What is SAMUEL ADAMS (M.D.)'s NPI number?
SAMUEL ADAMS (M.D.)'s NPI is 1225018104 — the number used across U.S. healthcare to identify this provider.
Would SAMUEL ADAMS (M.D.) appear as active to a payer?
You can treat SAMUEL ADAMS (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for SAMUEL ADAMS (M.D.)?
At a glance, SAMUEL ADAMS (M.D.) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SAMUEL ADAMS (M.D.)?
Travel planning: use Deland, Florida as the reference point for SAMUEL ADAMS (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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